ZipRecruiter

Log In

1

Utilization Review Rn Jobs in Nebraska (NOW HIRING)

CommonSpirit Health

Utilization Review RN

Omaha, NE · On-site

Ensures compliance with principles of utilization review, hospital policies and external regulatory ... review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care.

CHI Health

Utilization Review RN

Omaha, NE

$33.51 - $48.58/hr

Ensures compliance with principles of utilization review, hospital policies and external regulatory ... review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care.

P3 Health Partners

RN Concurrent Review

Omaha, NE · On-site

$90K - $100K/yr

We are looking for a RN Concurrent Review . If you are passionate about your work; eager to have ... The UM Nurse will integrate the functions of utilization review, discharge planning and resource ...

next page

Showing results 1-20

People also search for

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Nebraska

Utilization Review Rn information

See Nebraska salary details

$20

$40

$65

How much do utilization review rn jobs pay per hour?

As of May 31, 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 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.

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 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.

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.

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? The top searched job categories for Utilization Review Rn jobs in Nebraska are:
What cities in Nebraska are hiring for Utilization Review Rn jobs? Cities in Nebraska with the most Utilization Review Rn job openings:
What are popular job titles related to Utilization Review Rn jobs in NE? For Utilization Review Rn jobs in NE, the most frequently searched job titles are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Nebraska as of May 2026, with employment types broken down into 88% Full Time, and 12% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $83,852 per year, or $40.3 per hour.
Utilization Review RN

Utilization Review RN

CommonSpirit Health

Omaha, NE • On-site

Full-time

Posted 18 days ago

CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 500 frontline employees who took The Breakroom Quiz

401st of 864 rated healthcare providers

Job description


Job Summary and Responsibilities

Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based on established criteria and critical thinking.  Reviews include admission, concurrent and post discharge for appropriate status determination.

Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for eligibility.


Reviews the records for the presence of accurate patient status orders and addresses deficiencies with providers.


Ensures timely communication and follow up with physicians, payers, Care Coordinators and other stakeholders
regarding review outcomes.


Collaborates with facility RN Care Coordinators to ensure progression of care.


Engages the second level physician reviewer, internal or external, as indicated to support the appropriate status.


Communicates the need for proper notifications and education in alignment with status changes.

Job Requirements

Graduate of an accredited school of nursing

RN license

Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Qualifications:

Graduate of an accredited school of nursing

RN license

Employment Type: Full Time

What CommonSpirit Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply