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Utilization Review Rn Jobs in Omaha, NE (NOW HIRING)

Charge RN Job Summary and Responsibilities As a Charge RN, you'll oversee a department of frontline ... Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership

As a Charge RN, you'll oversee a department of frontline nurses caring for patients. Your previous ... Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership

Charge RN

Council Bluffs, IA · On-site

$36.94 - $53.56/hr

Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership ... Graduate of an RN nursing program, upon hire * Registered Nurse: NE, upon hire and * Basic Life ...

Charge RN

Omaha, NE · On-site

As a Charge RN, you'll oversee a department of frontline nurses caring for patients. Your previous ... Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership

Charge RN

Omaha, NE · On-site

Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership ... Graduate of a RN nursing program., upon hire * Registered Nurse: NE, upon hire and * Basic Life ...

Charge RN

Omaha, NE · On-site

$36.94 - $53.56/hr

Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership ... Graduate of a RN nursing program., upon hire * Registered Nurse: NE, upon hire and * Basic Life ...

As a Charge RN, you'll oversee a department of frontline nurses caring for patients. Your previous ... Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership

Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership ... Registered Nurse: NE (RN:NE) * Basic Life Support - CPR (BLS-CPR) * Advanced Cardiac Life Support ...

As a Charge RN, you'll oversee a department of frontline nurses caring for patients. Your previous ... Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership

CVU Charge RN

Omaha, NE · On-site

$36.94 - $53.56/hr

Assists with budget goals, payroll monitoring, and responsible resource utilization. Leadership ... Graduate of a RN nursing program. * Registered Nurse: NE (RN:NE) * Basic Life Support - CPR (BLS ...

Showing results 41-60

Utilization Review Rn information

See Omaha, NE 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 Omaha, NE is $40.45, according to ZipRecruiter salary data. Most workers in this role earn between $31.97 and $46.44 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 Omaha, NE?

The most popular types of Utilization Review Rn jobs in Omaha, NE are:

Infographic showing various Utilization Review Rn job openings in Omaha, NE as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 4% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,132 per year, or $40.4 per hour.

Job description


Job Summary and Responsibilities

As a Charge RN, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team.
Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives.
To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit.

Human Resources Management

  • Supports staffing, scheduling, staff development, certification tracking, and performance management activities.

Fiscal Management

  • Assists with budget goals, payroll monitoring, and responsible resource utilization.

Leadership

  • Promotes departmental goals, quality outcomes, regulatory compliance, staff communication, education, and continuous improvement initiatives.

Clinical Competence

  • Maintains clinical expertise, serves as a specialty resource, and models professional and clinical excellence while ensuring quality patient care.
Job Requirements

Required

  • Graduate of a RN nursing program., upon hire
  • Registered Nurse: NE, upon hire and
  • Basic Life Support - CPR, upon hire and
  • Advanced Cardiac Life Support, within 5 - months and
  • Pediatric Advanced Life Support, within 5 - months and
  • Neonatal Resuscitation Program, within 6 - months
Where You'll Work

At CHI Health Creighton University Medical Center - Bergan Mercy, our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body, mind, and spirit of every person in a more comfortable, less stressful hospital environment. Our full range of medical services includes trauma services, heart and vascular care, emergency services, surgery, maternity, cancer care, and diagnostic imaging.

Qualifications:

Required

  • Graduate of a RN nursing program., upon hire
  • Registered Nurse: NE, upon hire and
  • Basic Life Support - CPR, upon hire and
  • Advanced Cardiac Life Support, within 5 - months and
  • Pediatric Advanced Life Support, within 5 - months and
  • Neonatal Resuscitation Program, within 6 - months
Employment Type: Full Time