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Utilization Manager Jobs in Nebraska (NOW HIRING)

Imedica

Manager, Clinical Pharmacy

Omaha, NE

The Manager, Clinical Pharmacy is responsible for leading the development, maintenance, and ... Financial and utilization considerations (in partnership with analytics/actuarial/finance)

Bryan Health

Care Transitions RN

Lincoln, NE · On-site

Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. *Promotes quality ...

Bryan Health

Care Transitions RN

Lincoln, NE · On-site

Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. *Promotes quality ...

Bryan Health

Care Transitions RN

Lincoln, NE

Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. *Promotes quality ...

MedImpact

Formulary Administration Pharmacist

Fremont, NE

$73.30 - $94.43/hr

Formulary creation and maintenance, utilization management creation and maintenance. * Collaborates with GPS, Compliance and other departments to ensure generation of regulatory compliance, reporting ...

MedImpact

Formulary Administration Pharmacist

Fremont, NE · On-site

$73.30 - $94.43/hr

Formulary creation and maintenance, utilization management creation and maintenance. * Collaborates with GPS, Compliance and other departments to ensure generation of regulatory compliance, reporting ...

Son

Medicaid Medical Director

Lincoln, NE · On-site +1

$300K - $350K/yr

This position leads clinical quality strategy, medical policy, utilization management, and population health initiatives while serving as the principal physician advisor to MLTC executive leadership.

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Nebraska

Utilization Manager information

See Nebraska salary details

$37.2K

$86.8K

$159.7K

How much do utilization manager jobs pay per year?

As of Jul 21, 2026, the average yearly pay for utilization manager in Nebraska is $86,775.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,700.00 and $104,400.00 per year, depending on experience, location, and employer.

What does a utilization manager do?

A utilization manager oversees the allocation and efficient use of resources, such as staff and equipment, to meet organizational goals. They analyze data, monitor utilization rates, and ensure compliance with policies, often using tools like spreadsheets or specialized software. This role requires strong organizational and communication skills to optimize productivity and control costs.

What jobs pay 4000 a week without a degree?

Utilization Managers typically require a relevant background in healthcare, logistics, or operations, and their salaries usually do not reach $4,000 weekly without specialized experience or certifications. High-paying roles that can reach this level without a degree often include sales, real estate, or skilled trades like certain construction or technical jobs, which rely more on experience and skills than formal education.

What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What is the highest paying job in healthcare management?

The highest paying roles in healthcare management include Chief Executive Officers (CEOs) of hospitals and health systems, with salaries often exceeding $200,000 annually. Other high-paying positions include Chief Financial Officers (CFOs) and Chief Operating Officers (COOs), who oversee organizational strategy and operations, typically earning six-figure salaries. These roles require extensive experience, advanced degrees, and strong leadership skills.

What are some common challenges faced by Utilization Managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What Is a Utilization Manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative skills and knowledge of medical terminology. It provides experience in patient interaction, scheduling, and office management, which can serve as a stepping stone to more advanced healthcare roles. However, career advancement may require additional certifications or education.
More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Nebraska? The most popular types of Utilization jobs in Nebraska are:
What are popular job titles related to Utilization Manager jobs in Nebraska? For Utilization Manager jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Nebraska look for? The top searched job categories for Utilization Manager jobs in Nebraska are:
What cities in Nebraska are hiring for Utilization Manager jobs? Cities in Nebraska with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in NE? For Utilization Manager jobs in NE, the most frequently searched job titles are:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Nebraska as of July 2026, with employment types broken down into 81% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $86,775 per year, or $41.7 per hour.
Care Navigator - Utilization Management (per diem)

Care Navigator - Utilization Management (per diem)

P3 Health Partners

Omaha, NE • On-site

$22 - $25/hr

Part-time

Re-posted 2 days ago

P3 Health Partners rating

6.6

Company rating: 6.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.
We are looking for a Care Navigator. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team
*This is a per diem role. May work nights, holidays and weekends. Approximately 10 hours per week.
Care Navigator - Utilization Management
Overall Purpose:
Under the supervision of the Medical Management Nurses, this position is responsible for assisting the nurses with Medical Management processes that do not require RN intervention, based on the scope of practice within the state. Through case finding, data and other tools, high risk patients will be identified and guided to enhance the achievement of the Quadruple Aim: improved outcomes, improved experience of care for patients and providers and lower healthcare costs.
Education and Experience:
  • High School graduate required
  • Education as a medical assistant or nursing school student helpful
  • Strong problem-solving skills required
  • Experience in a managed care organization preferred
  • Knowledge of medical terminology required
  • Excellent communication skills with patients, providers, internal and external customers required
  • Must have excellent computer skills
  • Must have excellent organizational skills and ability to work independently

Knowledge, Skills and Abilities:
  • Friendly and compassionate disposition
  • Proficiency with computer, software programs (i.e. Microsoft Word, Excel) and internet required
  • Excellent communication and problem-solving skills
  • Excellent organizational and time management skills
  • Ability to learn quickly
  • Ability to handle a fast-paced environment and prioritize tasks based on importance
  • Strong interpersonal communication skills
  • Ability to work independently or as part of a team
  • Dedication to maintaining confidentiality of all patient records
  • Knowledge of medical terminology required Ability to demonstrate knowledge of vital signs and other clinical skills to obtain and maintain employment
  • Familiarity with EMR's

Essential Functions:
  • Promote the mission, vision and values of P3 Health Partners
  • Coordinates patient care activities between UM and CM for assigned patient populations
  • Provides administrative functions to support UM and CM
  • Makes initial follow up telephone call to patients discharged from a facility, acute or post-acute, unless acuity requires RN to perform
  • Provides outreach and guidance to non-high-risk patients
  • Responsible for managing ER utilization report and interventions, per policy, to address inappropriate ER utilization
  • Assists Medical Management team in gathering additional clinical information when applicable
  • Supports the Medical Management team with appropriate referrals, claims history or any other clinical information necessary
  • Responsible for timely and accurate documentation in systems
  • Develops spreadsheets and other tools to support Medical Management team
  • Assists patients in obtaining / coordinating community and other resources

Work Location & Schedule
This role offers either an on-site or fully remote work arrangement. Candidates within a 50-mile radius of a company office will follow our on-site schedule. Candidates located outside this radius will work remotely, with occasional travel to offices for meetings or key events.
Pay Rate range: $22.00 - $25.00 based on experience
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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