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Utilization Review Assistant Jobs in Nebraska (NOW HIRING)

Bryan Health

Care Transitions RN

Lincoln, NE · On-site

Performs utilization review activities, including preadmission screening, insurance verification ... Collaborates with the ED physicians, admitting physicians, and Bed Management to assist in ...

Bryan Health

Care Transitions RN

Lincoln, NE

Performs utilization review activities, including preadmission screening, insurance verification ... Collaborates with the ED physicians, admitting physicians, and Bed Management to assist in ...

Bryan Health

Care Transitions RN

Lincoln, NE

Performs utilization review activities, including preadmission screening, insurance verification ... Collaborates with the ED physicians, admitting physicians, and Bed Management to assist in ...

Nebraska Medicine

Ophthalmology - 2026-063

Omaha, NE · On-site

$16.75 - $22.50/hr

Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to ...

Nebraska Medicine

Ob/Gyn - RAF 2025-326

Omaha, NE · On-site

Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to ...

Nebraska Medicine

Dermatology-2026-051

Omaha, NE · On-site

Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Nebraska

Utilization Review Assistant information

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$9

$29

$59

How much do utilization review assistant jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for utilization review assistant in Nebraska is $29.05, according to ZipRecruiter salary data. Most workers in this role earn between $16.47 and $35.66 per hour, depending on experience, location, and employer.

What is a Utilization Review Assistant job?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What are the key skills and qualifications needed to thrive in the Utilization Review Assistant position, and why are they important?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

What does a typical day look like for a Utilization Review Assistant and who do they work with?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What are the most commonly searched types of Utilization Review jobs in Nebraska? The most popular types of Utilization Review jobs in Nebraska are:
What are popular job titles related to Utilization Review Assistant jobs in Nebraska? For Utilization Review Assistant jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Utilization Review Assistant jobs in Nebraska look for? The top searched job categories for Utilization Review Assistant jobs in Nebraska are:
What cities in Nebraska are hiring for Utilization Review Assistant jobs? Cities in Nebraska with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Nebraska as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $60,428 per year, or $29.1 per hour.
Utilization Specialist

Utilization Specialist

Lutheran Family Services

Lincoln, NE • On-site, Remote

Full-time

Posted 18 days ago

Job description

Utilization Specialist
Job Type
Full-Time
Position Summary:
  • The Utilization Specialist uses strong independent judgment to ensure access to medically necessary, high-quality behavioral health and community-based services across the agency. The Utilization Specialist ensures services align with medical necessity, reimbursement requirements, and regulatory standards, while supporting continuity of care, reducing denials, and promoting operational sustainability while maintaining a client-centered focus.
Job Duties:
  • Serve as a liaison between managed care organizations (MCOs), payers, and internal clinical and operational teams to support authorization, utilization management, and reimbursement processes.
  • Conduct utilization reviews to ensure services meet medical necessity criteria, payer requirements, and continued stay expectations.
  • Monitor authorizations, service units, length of stay, and extensions; proactively communicate issues that may impact service delivery or reimbursement.
  • Coordinate pre-certifications and authorization requirements prior to service initiation in collaboration with admissions and intake staff.
  • Initiate and manage appeals for denied services or continued stay determinations, including facilitating peer-to-peer reviews as needed.
  • Review clinical documentation within the electronic health record to ensure accuracy, timeliness, and alignment with authorization and payer requirements.
  • Identify documentation gaps or compliance risks and provide guidance to staff on documentation standards and workflows.
  • Conduct quality and utilization reviews to assess appropriateness of services and compliance with payer and regulatory standards.
  • Monitor and report on non-certified days, denials, and utilization trends, including identifying root causes and opportunities for improvement.
  • Assist with internal, payer, and regulatory audits, including documentation review and response to data requests.
  • Develop and analyze utilization reports and metrics to support operational and clinical decision-making.
  • Provide training and ongoing education to staff on documentation standards, medical necessity, and utilization processes.
  • Serve as a resource for staff questions related to utilization management, documentation, and payer expectations.
  • Perform other duties as assigned to support program operations and organizational needs.
Required Skills/Abilities:
  • Expertise in utilization management, medical necessity, and managed care processes.
  • Strong written and verbal communication skills, with the ability to collaborate effectively across clinical, operational, and external stakeholders.
  • High attention to detail with strong organizational, analytical, and follow-through skills.
  • Proficiency in electronic health records and data tracking/reporting systems.
  • Able to analyze data, identify trends, and support process improvement efforts.
  • Commitment to confidentiality, ethical practice, and client-centered care.
  • Awareness and sensitivity of our constituents and the populations served by employees.
  • Regular and predictable attendance, and promptness for work.
  • Commitment to uphold the mission, vision, and values of Lutheran Family Services.
  • Support the organization’s objective to be an inclusive and accessible workplace.
Position Competencies:
  • Process Improvement
  • Relationship Building
  • Analytical Skills
  • Accountability
  • Communication Skills
Education and Experience:
  • High school diploma or equivalent required; bachelor’s degree in social work, behavioral health, nursing or related healthcare field preferred.
  • Two (2) years’ experience working with populations served by LFS or in a related clinical or behavioral health setting required.
  • Utilization Review experience highly preferred.
  • Experience in community mental health, CCBHC, or nonprofit human services preferred.
  • Active LPN, RN, MSW, CSW, LPC, or another clinical license in Nebraska preferred.
Physical Requirements:
  • Prolonged periods of sitting and working on a computer.
  • Hybrid or remote work may be available based on operational needs.
  • Flexible scheduling required during audits, appeal deadlines, or high-volume authorization periods.
  • Company-issued laptop and cell phone.
  • Valid driver’s license, liability auto insurance, and ability to drive a personal vehicle for travel between office locations and/or program sites, as needed.
Lutheran Family Services is an equal opportunity employer. We do not discriminate against any employee or applicant for employment on the basis of age, race, religion, color, ethnicity, disability, gender, sexual orientation, gender identity, or national origin.

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