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Utilization Review Rn Jobs in Nebraska (NOW HIRING)

CHI Health

Utilization Review RN

Omaha, NE · On-site

$33.51 - $48.58/hr

Job Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in optimizing healthcare delivery by ensuring medical necessity and appropriate patient status throughout ...

CHI Health Schuyler

Care Coordinator RN

Schuyler, NE · On-site

$32.70 - $48.65/hr

Utilization Review & Care Progression: Perform rigorous utilization review activities and apply ... NE (RN:NE) upon hire and * Basic Life Support - CPR (BLS-CPR) within 90 Days Preferred

CHI Health Schuyler

Care Coordinator RN

Schuyler, NE · On-site

$32.70 - $48.65/hr

Utilization Review & Care Progression: Perform rigorous utilization review activities and apply ... NE (RN:NE) upon hire and * Basic Life Support - CPR (BLS-CPR) within 90 Days Preferred

CHI Health Schuyler

Care Coordinator RN

Schuyler, NE · On-site

$32.70 - $48.65/hr

Utilization Review & Care Progression: Perform rigorous utilization review activities and apply ... NE (RN:NE) upon hire and * Basic Life Support - CPR (BLS-CPR) within 90 Days Preferred

P3 Health Partners, Inc.

RN Care Manager

Lincoln, NE · On-site

$85 - $105/hr

We are looking for a RN Care Manager . If you are passionate about your work; eager to have fun ... The Care Manager may be responsible for activities overlapping with utilization review and quality ...

P3 Health Partners

RN Care Manager

Lincoln, NE · On-site

$85 - $105/hr

We are looking for a RN Care Manager . If you are passionate about your work; eager to have fun ... The Care Manager may be responsible for activities overlapping with utilization review and quality ...

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Utilization Review Rn information

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How much do utilization review rn jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for utilization review rn in Nebraska is $40.31, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $46.30 per hour, depending on experience, location, and employer.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

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

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

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

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are the most commonly searched types of Utilization Review Rn jobs in Nebraska?

The most popular types of Utilization Review Rn jobs in Nebraska are:

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

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

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

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What cities in Nebraska are hiring for Utilization Review Rn jobs?

Cities in Nebraska with the most Utilization Review Rn job openings:

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Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Nebraska as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $83,852 per year, or $40.3 per hour.

Utilization Review Registered Nurse

Ironside Human Resources

Kearney, NE • On-site

Full-time

Re-posted 2 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 O...

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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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