Utilization Management Nurse Reviewer

Workers’ compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care.  You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimants and peer reviewers as part of the utilization management process. 

• Requires a current and unrestricted RN license in the state of Nebraska or that of a compact state, and at least 5 years of clinical experience.
• Familiar with utilization review process, case management, and/or discharge planning.
• Proficient using Microsoft Windows, including Word, Excel, Outlook, how to search for files, and create PDFs.
• Ability to utilize template letters, forms, and creating summaries.

• Fully-paid employee Medical Insurance, Dental Insurance, and Vision Insurance
• Fully-vested employer match 401(k)
• Section 125 - Flexible Spending Account
• In-house pharmacy provides employees significant savings and convenience
• Tuition Reimbursement