Top 25 Utilization review Jobs in Lincoln, Ne

Medicaid Review Nurse - Central Office
State of Nebraska —Lincoln, NE
- $40 an hour
- Urgently hiring
- Background check
- Pass drug screening
- Mid-level
- Paid holidays
- Health insurance
1d
Provider Fraud Investigator
State of Nebraska —Lincoln, NE
- $25.61 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid time off
7d
Utilization Management RN- Weekender
Bryan Health —Lincoln, NE
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Health Advocate - PRN
Lincoln Surgical Hospital —Lincoln, NE
- PRN
- RN License
- Hospital
- BLS Certification
Quick Apply
Clinical Documentation Specialist (PRN)
Bryan Health —Lincoln, NE
- PRN
- Anatomy knowledge
- RN License
- Writing skills
10d
Medicaid Medical Director
Nebraska Department of Health and Human Services —Lincoln, NE
- $300,000 - $350,000 a year
- Full-time
- Medicine
- Doctoral degree
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
Nursing Supervisor - Registered Nurse
Lincoln Medical Education Partnership —Lincoln, NE
- $85,000 - $105,000 a year
- Online Application
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
RN Care Manager
P3 Health Partners —Lincoln, NE
- $85,000 - $105,000 a year
- Hybrid work
- CPR Certification
- Nursing
- RN License
Quick Apply
Care Coordinator RN / Social Worker
CHI Health Saint Elizabeth —Lincoln, NE
- $32.70 - $48.65 an hour
- Full-time
- Nursing
- RN License
- Hospital
8d
Care Coordinator RN
CHI Health Saint Elizabeth —Lincoln, NE
- $32.70 - $48.65 an hour
- PRN
- Nursing
- RN License
- Hospital
8d
Care Transitions RN
Bryan Health —Lincoln, NE
- Full-time
- CPR Certification
- RN License
- Hospital
Nursing Supervisor
Lincoln Medical Education Partnership —Lincoln, NE
- Full-time
- Nursing
- RN License
- BLS Certification
Board Certified Behavior Analyst (BCBA) - Remote
All Care Therapies —Lincoln, NE
- $43 - $56 an hour
- Part-time
- HIPAA
- Psychology
- Mentoring
Quick Apply
14d
Medicaid Medical Director
State of Nebraska —Lincoln, NE
- $300,000 - $350,000 a year
- Full-time
- Medicine
- BC/BE
- Travel
- Health insurance
- Paid time off

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Investigator- Remote in Nebraska
UnitedHealthcare —Omaha, NE
If you reside in the state of Nebraska, you will have the flexibility to telecommute* as you take on some tough challenges.
$49,700 - $88,800 a year
Provider Fraud Investigator
State of Nebraska —Lincoln, NE
Other: Valid driver's license or the ability to provide independent authorized transportation. Minimum Qualifications: Post high school coursework/training in…
$25.61 an hour
7d

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Medicaid Review Nurse - Central Office

State of Nebraska -
Lincoln, NE

Apply Now

Job Details

Full-time
$40 an hour
1 day ago

Benefits

Paid holidays
Health insurance
Dental insurance
Tuition reimbursement
Military leave
Paid time off
On-the-job training
Employee assistance program
Vision insurance
Loan forgiveness
Life insurance

Qualifications

Driver's License
Typing
Nursing

Full Job Description

The work we do matters!

Hiring Agency:

Correctional Services - Agency 46

Location:

Lincoln, NE

Hiring Rate:

$40.000

Job Posting:

JR2026-00028692 Medicaid Review Nurse - Central Office (Open)

Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):

08-29-2026

Job Description:

We want you to join our team! IMMEDIATE OPENING
✨Starting wage $40.000/hour. Additional $3.00/hour facility differential for hours worked.

13 paid holidays
Vacation and sick leave (24 days your first year, accruing immediately)
Military leave
156% state-matched retirement
Tuition reimbursement
Employee assistance program
79% employer paid health insurance plans
Dental and vision insurance plans
Employer-paid $20,000 life insurance policy
Public Service Loan Forgiveness Program (PSLF) eligible through the Federal

government

Meaningful public service - service with a purpose!
Numerous training and development opportunities

The Nebraska Department of Correctional Services (NDCS) employs nearly 2,300 team members operating institutions statewide, which house approximately 5,800 inmates. The department's focus includes inmate programming and education, physical and behavioral health care, re-entry services, and community programs, and is accredited by the American Correctional Association (ACA). Candidates will model the NDCS values of integrity, respect, compassion, growth, and excellence as we accomplish our mission, "Keep people safe."

Information about the Department can be found at: www.corrections.nebraska.gov. For Americans with Disabilities Act (ADA) accommodations, please contact Megan Jones at [email protected].

DUTIES:

The Medicaid Review Nurse manages and processes all Medicaid applications for NDCS incarcerated individuals. This role also coordinates Medicaid eligibility, enrollment, authorizations, covered services, and continuity of care.
Responsibilities include assisting with applications and renewals, supporting hospital and discharge planning, and addressing coverage issues.
The Medicaid Review Nurse uses nursing knowledge to identify services eligible for Medicaid reimbursement, monitor utilization and expenditures, and support cost-saving strategies.
In addition, the position performs quality control duties for internal and external medical services.
Medicaid Nurse will need to adapt to changing priorities and assist with additional duties as needed.

Requirements / Qualifications:

Minimum Qualifications: A current license to practice as a Licensed Practical Nurse in Nebraska or authority based on the Nurse Licensure Compact to practice as a Licensed Practical Nurse in Nebraska is required.

Preferred:

Demonstrates proficiency in data entry, including accurate and timely entry of information into applicable systems, spreadsheets, and databases. Must possess strong keyboarding skills and the ability to maintain a high level of accuracy while processing information efficiently.
Prior experience working with Medicaid applications, eligibility determination, or Medicaid reimbursement processes.
Experience with utilization review, CQI processes, or peer review practices.
Experience using electronic health record, tracing systems, or medical claims databases.
Experience reviewing, processing, and tracking applications, medical records, or similar complex paperwork requiring attention to detail and accuracy.
Experience in correctional healthcare, public health, or working with justice-involved populations.

Other : Must possess a valid driver's license. Must be able to lift up to 50 lbs. with assistance. Will complete four to eight weeks of on-the-job training. Must submit to security background check. Applicants accepting a job offer must pass the pre-employment medical examination and a drug test. Once at the Staff Training Academy, must successfully complete the fully paid NDCS Pre-service Training Program.

If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/

Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

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Refine Your Search

utilization review jobs in lincoln, ne

Medicaid Review Nurse - Central Office

Provider Fraud Investigator

Utilization Management RN- Weekender

Health Advocate - PRN

Clinical Documentation Specialist (PRN)

Medicaid Medical Director

Nursing Supervisor - Registered Nurse

RN Care Manager

Care Coordinator RN / Social Worker

Care Coordinator RN

Care Transitions RN

Nursing Supervisor

Board Certified Behavior Analyst (BCBA) - Remote

Medicaid Medical Director

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