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Utilization Review Case Manager Jobs in Nebraska

Gphealth

Case Manager - BSW/Bachelors

North Platte, NE · On-site

$21 - $27.50/hr

... and documents the utilization of resources and progress of the patient through their care ... review, personal interview, and consultation with members of treatment teams as necessary. This ...

Mosaic

Case Manager

Grand Island, NE · On-site

$20 - $25.75/hr

Habilitative Coordinator/ Case Manager Real Life. Real Possibilities. Location: Grand Island ... Coordinate and present key assessments (CFA, POM, SIS), lead annual review meetings, and present ...

Mosaic

Case Manager

Grand Island, NE · On-site

$20 - $25.75/hr

Habilitative Coordinator/ Case Manager Real Life. Real Possibilities. Location: Grand Island ... Coordinate and present key assessments (CFA, POM, SIS), lead annual review meetings, and present ...

P3 Health Partners

RN Care Manager

Lincoln, NE

$85K - $105K/yr

Through case finding, data and other tools, high risk patients will be identified and guided to ... The Care Manager may be responsible for activities overlapping with utilization review and quality ...

P3 Health Partners

RN Care Manager

Lincoln, NE · On-site

$85K - $105K/yr

Through case finding, data and other tools, high risk patients will be identified and guided to ... The Care Manager may be responsible for activities overlapping with utilization review and quality ...

P3 Health Partners

RN Care Manager

Lincoln, NE · On-site

$85K - $105K/yr

Through case finding, data and other tools, high risk patients will be identified and guided to ... The Care Manager may be responsible for activities overlapping with utilization review and quality ...

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Showing results 21-40

All JobsUtilization Review Case JobsUtilization Review Case Manager JobsUtilization Review Case Manager Jobs in Nebraska

Utilization Review Case Manager information

See Nebraska salary details

$15

$34

$57

How much do utilization review case manager jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for utilization review case manager in Nebraska is $34.79, according to ZipRecruiter salary data. Most workers in this role earn between $28.17 and $36.68 per hour, depending on experience, location, and employer.

What is a utilization review case manager?

A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.

What are some common challenges utilization review case managers face when coordinating care across multiple departments?

Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.

What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?

To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.

What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing medical records, clinical review, patient care evaluation

Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Review Case Manager jobs in Nebraska?

For Utilization Review Case Manager jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Utilization Review Case Manager jobs in Nebraska look for?

The top searched job categories for Utilization Review Case Manager jobs in Nebraska are:

What cities in Nebraska are hiring for Utilization Review Case Manager jobs?

Cities in Nebraska with the most Utilization Review Case Manager job openings:

Utilization Review Case Manager jobs near you
Infographic showing various Utilization Review Case Manager job openings in Nebraska as of August 2026, with employment types broken down into 57% Full Time, and 43% Contract. Highlights an 100% In-person job distribution, with an average salary of $72,358 per year, or $34.8 per hour.

Case Manager - BSW/Bachelors

Gphealth

North Platte, NE • On-site

$21 - $27.50/hr

Full-time

Re-posted 4 days ago

Job description

Great people. Great careers.
Join the team at Great Plains Health, where you can be a part of something, well, great.

Job Title:

Case Manager - BSW/Bachelors

Cost Center:

Case Management

Job Description:

This position provides comprehensive care coordination for patients as assigned. This position assesses the patient's plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient's health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. Minimum QualificationsEducationBachelor's degree in Social Work required.CredentialsCurrent certification by the State of Nebraska in Social Work (CSW) required.Work EnvironmentWorks throughout the medical center. Exposure to blood and body fluids, contagious diseases, hazardous chemicals, dangerous fumes, and extremes in outdoor heat and cold. Frequent use of telephone and computer.Physical DemandsStand and/or walk frequently.Sit frequently.Bend, stoop, and crouch occasionally.Reach floor to overhead occasionally.Lift and/or carry 25 pounds 100 feet occasionally.Push and/or pull 25 pounds occasionally.Visual acuity and hearing within normal limits.Fine motor coordination within normal limits.Computer use frequently.Drive a vehicle occasionally.Essential FunctionsWorks in collaboration with the Case Management team in simple/difficult/complex cases.Assesses bio-psychosocial needs of identified patients and families through processes such as: chart review, personal interview, and consultation with members of treatment teams as necessary. This assessment is completed with an awareness of age specific needs.Develops discharge plan, in relationship to age specific needs, addressing identified patient and family needs and assist with implementation.Performs the daily screening process to identify patients in likely need of intervention.Participates in Patient Care meetings and maintains necessary records.Understands community resources, eligibility, and communicates information to patients and families, in relationship to age specific needs.Documents discharge plans and interventions in patient's medical records, and also provides patient information for continuity of care with other team members.Provides Case Management services (when available) when the trauma team is activated and in emergency situations on a call back disaster plan.Provides crisis intervention, according to age specific needs to patient and their families.Join us. Join great. Join the dynamic team at Great Plains Health and be a part of something truly exceptional. At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other.
As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued. We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community.
Passion drives us forward, propelling us to constantly strive for excellence in everything we do. If you're seeking a rewarding career in healthcare surrounded by like-minded individuals who share your dedication and enthusiasm, Great Plains Health is the place for you. Come join us and be part of a team that's making a real difference every day.

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