Top 1260 Practice nurse Jobs in Nebraska

Utilization Management Nurse
Detego Health —Omaha, NE
- $75,000 - $85,000 a year
- Full-time
- RN License
- Mid-level
- Office
Quick Apply
4d
Registered Nurse
UroHealth Partners —Omaha, NE
- Full-time
- Nursing
- RN License
- Medical office experience
- Health savings account
- Health insurance
Quick Apply
Registered Nurse (RN)
Nebraska Department of Health and Human Services —Lincoln, NE
- $51.33 an hour
- 12 hour shift
- Psychiatry
- RN License
- Driver's License
- 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
Registered Nurse - OR I ($15,000.00 Hiring Bonus)
Boys Town National Research Hospital —Omaha, NE
- Full-time
- CPR Certification
- Nursing
- Surgery
- Health insurance
- Tuition reimbursement
Case Manager, Registered Nurse
CVS Health —Nebraska
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Corrections Registered Nurse (RN)
Amergis Healthcare Staffing —Lincoln, NE
- $2,290 a week
- 18 years or older
- CPR Certification
- RN License
- Health insurance
- Dental insurance
Quick Apply
12d
Registered Nurse - 1st Shift - Omaha, NE
Tyson Foods —Omaha, NE
- Full-time
- Background check
- Nursing
- RN License
- Employee stock purchase plan
- Paid holidays
1d
Hybrid Clinic RN
CHI Health Clinic —Omaha, NE
- $27.97 - $41.60 an hour
- Extended hours
- Hybrid work
- Nursing
- Vital signs
- RN License
- Work from home
Quality Practice Liaison (Must be licensed in Arizona or Multi-State)
CVS Health —Nebraska
- $54,095 - $155,538 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Hybrid Scheduling Nurse-RN (9:00am to 6:00pm)
Bryan Health —Lincoln, NE
- Full-time
- Nursing
- RN License
- Customer service
GI Lab RN
CHI Health Immanuel —Omaha, NE
- $36.00 - $52.20 an hour
- Full-time
- Nursing
- RN License
- Hospital
Registered Nurse - Surgery Clinic Outpatient
US Veterans Health Administration —Omaha, NE
- $65,500 - $140,292 a year
- Online Application
- Background check
- Nursing
- Vital signs
- Paid holidays
- Dental insurance
10d
PRN Clinic RN
CHI Health Clinic —Omaha, NE
- $27.97 - $41.60 an hour
- Extended hours
- Nursing
- Vital signs
- RN License
Nurse Vaccinator- PRN
Omaha, Nebraska —Omaha, NE
- From $31.49 an hour
- PRN
- CPR Certification
- Nursing
- RN License
Gen Surgery Clinic Nurse
CHI Health Clinic —Omaha, NE
- $27.97 - $41.60 an hour
- Extended hours
- Nursing
- Vital signs
- Surgery
Nurse Practitioner, Fellowship
University of Nebraska Medical Center —Omaha, NE
- $95,000 - $152,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
2026-27 School Nurse
Bellevue Public Schools —Bellevue, NE
- Full-time
- Management
- RN License
- Children
Virtual Care Nurse
CHI Health Saint Elizabeth —Lincoln, NE
- $36.00 - $52.20 an hour
- Part-time
- Nursing
- RN License
- Bachelor of Science
Pre OP RN
CHI Health Midlands —Papillion, NE
- $36.00 - $52.20 an hour
- Full-time
- Nursing
- RN License
- Hospital
11d

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Utilization Management Nurse

Detego Health -
Omaha, NE

Quick Apply

Job Details

Full-time
$75,000 - $85,000 a year
4 days ago

Qualifications

Teamwork
RN License
Patient assessment
Health insurance policy knowledge
Regulatory compliance
Utilization management
Attention to detail
Resource utilization in healthcare

Full Job Description

Position Summary

As a Utilization Management Nurse you will work with members to ensure they obtain the proper healthcare in the most cost-effective manner. The Utilization Management Nurse will also review planned, in-process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria.

Key Responsibilities (included but not limited to): · Conduct thorough reviews of medical records, treatment plans, and other relevant documentation to determine the medical necessity and appropriateness of healthcare services.· Communicate with healthcare providers, insurance companies, and other stakeholders to gather necessary information and discuss patient care plans.· Maintain detailed records of utilization management activities, including findings, decisions, and communications with stakeholders.· Ensure that all utilization management activities adhere to regulatory requirements, accreditation standards, and organizational policies and procedures.· Identify opportunities to optimize healthcare resources, such as by recommending alternative treatments or care settings that may be more cost-effective or clinically appropriate.· Advocate for patients' rights and ensure that they receive timely and appropriate healthcare services based on their individual needs.· Participate in quality improvement initiatives aimed at enhancing the efficiency, effectiveness, and safety of healthcare delivery.· Coordinate peer-to-peer reviews between providers and medical directors in determining coverage of requested services.· Refer members with costly medications or non-covered medications to ScriptAide for assistance via the Patient Assistance Program or the Prescription Importation Program.· Collaborate with the Medical Director on review of procedures/medications that do not meet medical necessity review per clinical guidelines. · Provide procedure and/or medication cost to the member’s plan.

Career experience required:

· Active RN license preferred; or, LPN license

· Health plan utilization management experience

· Strong clinical assessment skills

· Excellent communication and interpersonal skills

· Ability to work independently and collaboratively in a fast-paced environment

· Knowledge of healthcare regulations and reimbursement policies

· Experience with a TPA or in the health insurance industry preferred

Behavioral competencies desired:

· Critical Thinking – Use of exceptional critical thinking skills and attention to detail

· Analytical Skills – Analyze information and exercise sound judgement when making decisions

· Innovation – Take a multi-faceted approach to problem-solving and creation of novel solutions to problems. Champion organization-wide learning and sharing of information. Take a viewpoint that is broader than one’s immediate group or department and encompasses external factors.

· Collaboration – Understand the importance of relationships to enable effective teamwork. Modify personal style, focus on the needs of others, and listen effectively to ensure effective outcomes for group endeavors.

· Business Acumen – Knowledge of general business practices in the TPA world as well as knowledge of the organization’s functioning. An understanding of organizational culture and the ability to function effectively within its social structure.

Pay: $75,000.00 - $85,000.00 per year

Work Location: In person

Quick Apply

Refine Your Search

practice nurse jobs in nebraska

Utilization Management Nurse

Registered Nurse

Registered Nurse (RN)

RN Care Manager

Registered Nurse - OR I ($15,000.00 Hiring Bonus)

Case Manager, Registered Nurse

Corrections Registered Nurse (RN)

Registered Nurse - 1st Shift - Omaha, NE

Hybrid Clinic RN

Quality Practice Liaison (Must be licensed in Arizona or Multi-State)

Hybrid Scheduling Nurse-RN (9:00am to 6:00pm)

GI Lab RN

Registered Nurse - Surgery Clinic Outpatient

PRN Clinic RN

Nurse Vaccinator- PRN

Gen Surgery Clinic Nurse

Nurse Practitioner, Fellowship

2026-27 School Nurse

Virtual Care Nurse

Pre OP RN

I want to receive the latest job alert for practice nurse in nebraska

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