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Remote Utilization Review Rn Jobs in Nebraska (NOW HIRING)

LRS Healthcare

Recruiter (Remote)

Omaha, NE · On-site +1

... and nursing healthcare professional across the nation. The Recruiter position is integral in ... For further information, please review the Know Your Rights notice from the Department of Labor.

Cayenta

... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Live On Nebraska

Referral Management Coordinator

Omaha, NE · On-site +1

$28.43 - $35.56/hr

This job will report to our Omaha, NE office with a remote option for candidates with Referral ... Must be a Licensed Registered Nurse, Respiratory Therapist, or Paramedic/EMT * Current experience ...

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Remote Utilization Review Rn information

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How much do remote utilization review rn jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote utilization review rn in Nebraska is $40.31, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $46.30 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

What are popular job titles related to Remote Utilization Review Rn jobs in Nebraska?

For Remote Utilization Review Rn jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Nebraska look for?

The top searched job categories for Remote Utilization Review Rn jobs in Nebraska are:

What cities in Nebraska are hiring for Remote Utilization Review Rn jobs?

Cities in Nebraska with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Nebraska as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,852 per year, or $40.3 per hour.

Oncology Account Executive

BillionToOne

Omaha, NE • Remote

$241K - $311K/yr

Full-time

Medical, Retirement, PTO

Re-posted 19 days ago

Job description

We are looking for a field-based professional Oncology Account Executive, Omaha with scientific and clinical expertise to support our oncology portfolio of liquid biopsy products. The position is responsible for driving sales volume for BillionToOne's Northstar Liquid biopsy products and services, while cultivating relationships with oncologists and other members of the extended cancer care community in the designated geography. The Oncology Account Executive is a field based position and reports to a Regional Manager - Oncology.

Responsibilities:

  • Increasing revenue and driving market development through direct sales to individual Oncologists
  • Creating and implementing a strategic business plan to grow revenue quickly in your geography
  • Sales efforts include effective prospecting and cultivating new business and maintaining key relationships

Qualifications:

  • Bachelor's Degree or equivalent experience 
  • Demonstrated successful sales track record (e.g., Presidents club, Chairman's club, Rookie of the Year, or a history of success - at or above goal for multiple quarters/years)
  • Experience selling to medical providers
  • Experience selling medical diagnostics, medical or surgical devices
  • Lives within the defined territory and centrally located to defined accounts 
  • Commitment to travel within defined territory 
  • Excellent organizational and communication skills (written and verbal) with demonstrated ability to effectively present to both internal and external customers
  • Effective time management skills required with a demonstrated ability to assess and prioritize opportunity required
  • Exceptionally bright, flexible, self-motivated and results oriented with strong interpersonal and analytical skills and the ability to think strategically as well as execute tactically
  • Must act with a sense of urgency, with a focus on closing business
  • Ability to assess the needs of medical professionals and staff members with a focus on consultative sales, coordination of logistics, and problem solving
  • Strong desire to work in a startup environment and must work independently with an internal drive to be successful

We will also consider candidates with the following backgrounds:

  • Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ordering late stage cancer liquid biopsy tests

Benefits And Perks:

  • Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
  • Open, transparent culture that includes weekly Town Hall meetings
  • The ability to indirectly or directly change the lives of hundreds of thousand patients
  • Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80%
  • Extremely generous Family Bonding Leave for eligible employees (16 weeks, paid at 100%)
  • Supplemental fertility benefits coverage 
  • Retirement savings program including a 4% Company match
  • Increase paid time off with increased tenure
  • Latest and greatest hardware (laptop, lab equipment, facilities)

At BillionToOne, we are proud to offer a combination of a (1) base pay + uncapped commissions  (2) generous equity options offering, on top of (3) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave, etc.).

For this position, we offer a total compensation range of $241,946 - $311,536 per year (at plan), including a base salary range of $168,346 - $184,186 per year (based on the level and experience). Commission's potential is uncapped and can be significant.

BillionToOne is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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