RN - Utilization Management Lead - Casual

The Nebraska Medical Center • Omaha, NE

8d • Hybrid

About The Position

The Casual Utilization Management Lead will use the utilization review process and identify clinically acceptable, cost-effective treatment strategies by identifying appropriate levels of care and ensure appropriate resource usage in order to achieve maximum clinical and financial outcomes.

Candidate must live in Nebraska or Iowa

This is a hybrid position, must be able to work on campus rotating weekends 2 shifts per month

Preferred consideration will be given to applicants with Masters of Science in Nursing (MSN) degree

Resume REQUIRED for consideration

Why Work at Nebraska Medicine?
Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Be part of something extraordinary at Nebraska Medicine!

Requirements

• Minimum of five years recent clinical experience in a health care setting required.
• Bachelor’s degree in nursing (BSN) required.
• Knowledge of health care finance environment and reimbursement systems required.
• Effective critical thinking/analytical skills required.
• Effective communication skills, both written and verbal, required.
• Ability to establish relationships and work collaboratively with an interdisciplinary team and administration required.
• Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required.
• Basic Life Support (BLS) certification required, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later).

Nice To Haves

• Master's of Science in Nursing (MSN) degree preferred.
• Experience with audiovisual equipment preferred.
• Experience with computer skills with Windows information systems/computer workstation preferred.
• Experience with telecommunication equipment and office equipment/supplies preferred.

Responsibilities

• use the utilization review process
• identify clinically acceptable, cost-effective treatment strategies by identifying appropriate levels of care
• ensure appropriate resource usage in order to achieve maximum clinical and financial outcomes

Benefits

• Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.

What This Job Offers

• Career Level: Mid Level