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Utilization Review Rn Jobs in Nebraska (NOW HIRING)

Shenandoah Accura Healthcare

MDS Coordinator - RN

Pierce, NE · On-site

$35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare of Pierce

MDS Coordinator - RN

Pierce, NE · On-site

$35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare

MDS Coordinator - RN

Pierce, NE · On-site

$35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare of Pierce

MDS Coordinator - RN

Pierce, NE · On-site

$35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare of Pierce

MDS Coordinator - RN

Pierce, NE

$35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare

MDS Coordinator - RN - Full-Time

Kenesaw, NE · On-site

$38 - $42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Faith Health

RN-ARU

Norfolk, NE · On-site

The registered nurse (RN) is a professional nurse under the supervision and direction of the ... utilization review regarding clinical nursing issues. 4. Assumes all other duties and ...

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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 Aug 18, 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?

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 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.

NEW GRAD Registered Nurse (RN) - Part-Time Days

Northpoint Recovery Holdings, LLC

Omaha, NE • On-site

$36 - $42/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Job Title: NEW GRAD Registered Nurse (RN) - Part-Time Days
Reports To: Director of Nursing
Location: Northpoint Nebraska (Adult inpatient in Omaha, NE)
Schedule: 2x12's 6am-6:30pm; Rotating schedule with 1 weekend every 3 weeks & alternating holidays
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

FULL-TIME BENEFITS INCLUDE:
  • Subsidized Health Insurance Coverage for Employee, Spouse, & Dependent(s)
  • 100% Employer Paid Basic Life Insurance equal to 1x annual salary, up to $100,000
  • 100% Employer Paid Employee Assistance Program
  • Voluntary Dental, Vision, Short-Term Disability, Supplemental Life & AD&D, Critical Illness, Accident, and Hospital Indemnity Insurance.
  • Pre-tax Savings Accounts for all IRS-allowable medical and dependent care expenses
  • Generous Paid Time Off plan
  • 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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