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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 · On-site

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

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

Utilization Review Assistant information

See Nebraska salary details

$9

$29

$59

How much do utilization review assistant jobs pay per hour?

As of Jun 13, 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
Clinic Utilization Review Specialist

Clinic Utilization Review Specialist

Sidney Regional Medical Center

Sidney, NE

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Sidney Regional Medical Center rating

7.7

Company rating: 7.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

204th of 999 rated hospitals

Job description

Description


Join our caring community at Sidney Regional Medical Center in Sidney, Nebraska! 

We are currently pursuing a non-licensed, full-time Clinic Utilization Review Specialist to join our Case Management team.


At SRMC, our patients are our number one priority. We aim to provide extraordinary care every single day by ensuring that our patients' well-being comes first, but amazing patient care starts with YOU. Your positivity and knowledge will greatly improve their experience!


Loan Repayment: SRMC is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! We provide employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness.


Why Us:

Panhandle Hospitality: Bring your warmth and kindness to our patients with a smile.

Close-Knit Team: Small community, big heart - where every team member makes a difference.

Meaningful Impact: Your dedication transforms lives and creates a supportive, caring environment.

This individual will be responsible for the completion of medical prior authorizations for the facility, helping nursing staff with medical necessity, obtaining patient health information required for admissions, and obtaining proper authorizations as required by SRMC policy.


Responsibilities:

Provide excellent customer service.

Ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements.

Ensure all reviews are conducted using nationally recognized and evidence-based standards.

Analyze insurance, governmental, and accrediting agency standards to determine criteria concerning medical justifications and treatment or procedures.

Knowledgeable of criteria for Medicare, Medicaid, and private insurance coverage.

Efficiently navigate insurance provider portals.

Collaborate with nurses, physicians, and ancillary staff to ensure all information and documentation is obtained to support authorization, level of care, and/or medical appropriateness.

Act as a resource to other departments, leveraging expertise relative to the authorization and medical necessity process.

Respond to common inquiries or complaints from patients or regulatory agencies and address them, forwarding them to the appropriate person when necessary.

Retrieve patient data in Electronic Medical Record.

Perform and maintain accurate documentation.

Communicate effectively with medical providers, nursing staff, rehab team, and social workers to meet the needs of the patient.

Assist director with identifying and completing process improvements for the facility that involves authorization activity.

Perform non-clinical Case Manager duties in Acute Care when needed.

Assist director when appropriate in research to reduce denials and improve reimbursement.

Other duties as assigned by management.


Benefits:

Generous paid time off.

Education reimbursement opportunities.

Growing 401(k) retirement program up to 5% company match.

Comprehensive dental, vision, disability, and accident insurance.

Insurance for critical illness, health, and life.

 Sidney Regional Medical Center is an EEO Employer/Vet/Disabled.  

Requirements

High school graduate or GED.

Prefer clerical/medical and prior authorization experience.



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