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Utilization Management Jobs in Nebraska (NOW HIRING)

CareMore Health

The Director partners closely with executive leadership, Finance, Clinical Operations, Provider Data Management, Legal, Local Leadership, Utilization Management, and Strategic Initiatives to advance ...

New

Imedica

Clinical Initiatives Business Analyst

Omaha, NE · On-site

$78K - $134K/yr

Build, maintain, and enhance clinical and operational dashboards (e.g., utilization, care management performance) * Develop recurring and ad hoc reports using Excel, BI tools, SQL (Power BI, Tableau ...

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Utilization Management information

See Nebraska salary details

$37.2K

$85.3K

$155.4K

How much do utilization management jobs pay per year?

As of Aug 11, 2026, the average yearly pay for utilization management in Nebraska is $85,317.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,500.00 and $99,600.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are popular job titles related to Utilization Management jobs in Nebraska? For Utilization Management jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Nebraska look for? The top searched job categories for Utilization Management jobs in Nebraska are:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Nebraska as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $85,317 per year, or $41 per hour.

Utilization Review Registered Nurse

Ironside HR

Kearney, NE • On-site

Other

Re-posted 3 days ago

Job description


A facility located near Lexington, Nebraska is seeking a Utilization Review Registered Nurse to join their team!
Utilization Review Registered Nurse Opportunity:
  • Full-time, permanent position
  • Schedule: Monday-Friday, 9: 00AM-5: 00PM
  • Collaborates with providers, departments, and community resources to ensure patient-centered care and effective communication of care plans
  • Supports utilization review, quality data collection, compliance, and accurate medical documentation while maintaining patient safety and infection control standards
Utilization Review Registered Nurse Requirements:
  • NE Registered Nurse License
  • Associate s or Bachelor s degree in Nursing required (Bachelor s preferred)
  • At least two years of nursing experience
  • BLS certification required within six months of hire
  • Strong communication, documentation, and confidentiality skills with the ability to collaborate with patients, staff, insurance representatives, and regulatory agencies while following infection control protocols
The Location:
  • Located in South Central Nebraska
  • Maintains more than 100 acres of green space, public parks, trails, a skate park, aquatic center, indoor sports field house and racquets center
  • Not far from Johnson Lake which offers boating, fishing, and trails
  • Known for a welcoming small-town feel with affordable living and a strong sense of community
Interested? Contact Aidan G. | Ironsidehr.Com | 469-921-0777 | aidan@ironsidehr.Com
Ironside Human Resources logo

About Ironside Human Resources

Sourced by ZipRecruiter

Ironside Human Resources, based in Dallas, TX, US, is a national healthcare recruitment company that offers staffing solutions to hospitals and healthcare providers across the United States. With an official website located at ironsidehr.com, the firm specializes in direct-hire recruitment for diverse sectors, including nursing, allied health, ancillary, administrative and executive-level roles in the healthcare industry. The company was founded in 2011 and has since committed to solving the healthcare staffing shortage through their unique, cost-effective recruitment strategies. Their core commitment is defined by their professional integrity, exceptional customer service, and dedication to delivering value and effective solutions.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Dallas, TX, US

Year founded

2011

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