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Utilization Review Rn Jobs in Nebraska (NOW HIRING)

CHI Health

Care Coordinator Nurse Float

Omaha, NE · On-site

$32.70 - $48.65/hr

The RN Care Coordinator is responsible for performing utilization review activities, overseeing the progression of care and transition of care planning for identified patients requiring these ...

CVS Health

Case Manager, Registered Nurse

Lincoln, NE · On-site

$54K - $155K/yr

A RN who resides in a compact state is required to have an active multistate license through the ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

CHI Health

Care Coordinator Nurse Float

Omaha, NE

$32.70 - $48.65/hr

The RN Care Coordinator is responsible for performing utilization review activities, overseeing the progression of care and transition of care planning for identified patients requiring these ...

CHI Health

Care Coordinator Nurse Float

Omaha, NE · On-site

$32.70 - $48.65/hr

The RN Care Coordinator is responsible for performing utilization review activities, overseeing the progression of care and transition of care planning for identified patients requiring these ...

CHI Health

Care Coordinator Nurse Float

Omaha, NE · On-site

The RN Care Coordinator is responsible for performing utilization review activities, overseeing the progression of care and transition of care planning for identified patients requiring these ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Nebraska

Utilization Review Rn information

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$40

$65

How much do utilization review rn jobs pay per hour?

As of Jun 29, 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.

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.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

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 does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

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 make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

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 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 June 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.

Registered Nurse (RN) - PRN Nights

Northpoint Recovery Holdings, LLC

Omaha, NE • On-site

$36 - $42/hr

Other

Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Job Title: Registered Nurse (RN) - PRN
Reports To: Director of Nursing
Location: Northpoint Nebraska (Adult inpatient in Omaha, NE)
Schedule: As needed Monday-Sunday for Night Shifts
Compensation: $36-42/hour
Northpoint Recovery Holdings, LLC began 2009 as Ashwood Outpatient and officially launched the Northpoint platform in 2015. Now celebrating 10 years of growth in 2025, Northpoint is a leading behavioral healthcare provider offering evidence-based treatment for adults with substance use and co-occurring disorders through the Northpoint Recovery brand, and mental health treatment for adolescents through Imagine by Northpoint. Operating under an in-network, commercial insurance model, Northpoint has grown exclusively through de novo expansion-from two facilities to seventeen across the Western U.S.-with more planned in both existing and new markets. We're guided by core values of humility, heart, inspiration, and conviction. Our mission is simple: saving lives and restoring relationships by helping people get their lives back, and treating every individual with empathy and respect.
POSITION SUMMARY: As a key member of the Northpoint team, the Registered Nurse (RN) will provide and oversee the medical services provided to a caseload of patients. This licensed nursing professional will act as the medical treatment plan coordinator for the multi-disciplinary team in the development and implementation of the master treatment plan and the discharge plan for each patient. This person will actively communicate with support staff, treatment teams, providers, and outside agencies on treatment and safety issues pertaining to patients and their family members. The Registered Nurse (RN) will work under the supervision of a Registered Nurse or provider, and will perform duties according to established patient care protocols, standards, and procedures. This position is expected to complete all documentation associated with these duties in a professional and timely manner.
ESSENTIAL RESPONSIBILITIES AND DUTIES:
  • Interact routinely with patients, observe behaviors and communicate significant observations to multidisciplinary team as necessary
  • Administer medications to patients, and engage in education process
  • Utilize de-escalation skills when exposed to volatile patients to maintain personal safety for the patient and other individuals in our care
  • Provide admission, orientation, education and discharge plans to patients, families and others to aid in the treatment process
  • Consult with the multidisciplinary treatment team in the development of treatment plans and discharge planning to strive for excellent patient care
  • Participate in the maintenance of a clean, orderly and safe environment, and report needs for repairs and maintenance to appropriate staff
  • Admissions and discharges of patients
  • Obtain vital signs, monitor symptoms and document in the patient record
  • Comply with all laws, regulations, and scope of licensure
  • Monitor patients on an ongoing basis to continually assess needs and facilitate medical treatment and interventions
  • Document medical assessment, diagnosis, progress notes, roundings, and other treatment planning items in a timely manner to assure comprehensive and quality patient care
  • Actively participate as a member of the multidisciplinary treatment team and maintain effective working relationships with employees and peers
  • Maintain professional boundaries with patients at all times
  • Oversee and participate in the quality assurance and compliance activities of the facility
  • Provide medical updates to utilization review and representatives of managed care to best coordinate reimbursement of treatment services
  • Adhere to all company policies and procedures
  • Maintain confidentiality in accordance with established policies and procedures and standards of care
  • Other clinically appropriate services and special projects as assigned
QUALIFICATIONS/REQUIREMENTS:
  • Current, unencumbered, active license to practice as a Registered Nurse in the state where services are rendered
  • Must be at least twenty-one (21) years of age
  • Current and nationally accredited CPR/First Aid/AED certification
  • Knowledge of computer and electronic medical records systems (KIPU preferred)
  • Enthusiasm, passion for working with people, and an internal drive to improve the lives of individuals in our care
  • Must maintain applicable state licensure requirements throughout duration of employment
  • Ability to work with a diverse population along with interpersonal skills and knowledge required for treating patients in area of assigned specialty
  • Demonstrated ability to hold strong personal boundaries and ability to build rapport with patients
  • Must understand and adhere to the ethical standards of the respective licensure governing board
PREFERRED KNOWLEDGE AND SKILLS:
  • Excellent organizational abilities
  • Excellent written and oral communication skills
  • Attention to detail and accuracy
  • Patient service oriented (both internal and external)
  • Creative and persistent problem solver
  • Able to handle confidential material in a reliable manner
  • Ability to interact and communicate with individuals at all levels of organization
  • Strong interpersonal skills to handle sensitive situations and confidential information
  • Ability to multi-task and prioritize workload in a fast-paced environment
  • Proficiency with Microsoft Office Suite
PRN BENEFITS INCLUDE:
  • Sick Leave
  • Employee Referral Bonuses
  • 401K Retirement Plan & Employer Match

This job description is not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with this job. It is meant to be an accurate reflection of the principal job elements essential for making fair pay decisions about jobs.
Employees with potential access to protected health information must comply with all procedures and guidelines governed by HIPAA.
Northpoint is an Equal Opportunity Employer. Northpoint is an At-Will employer. Employment may be terminated at any time by employee, or employer with or without notice.
Compensation:
$36-$42 USD

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