Demo

RN Utilization Review

Sterling Therapy Solutions
Omaha, NE Full Time
POSTED ON 3/6/2025
AVAILABLE BEFORE 5/5/2025

Job Opportunity: RN Utilization Review

Location: Omaha, NE, 68122

Position Details

Shift Schedule: 08-hour Day shifts

Assignment Duration: 13 weeks

Pay Rate: $64/hr on W2

About the Role

We are seeking an experienced RN for a 13-week contract in a Utilization Review Unit in Omaha, NE, 68122 . This position offers a rewarding opportunity to provide essential patient care in a behavioral health setting.

Key Responsibilities

✔ The UR nurse reviews patient medical records to evaluate the treatments and services provided. They ensure that the care is appropriate and aligned with the patient's condition, diagnosis, and medical needs.

✔ One of the core tasks of the UR nurse is to determine if the medical services provided are medically necessary. This means assessing whether a treatment, procedure, or hospitalization is required based on the patient's diagnosis and the severity of the illness or condition.

✔Utilization Review nurses often use established clinical guidelines and criteria (such as InterQual or Milliman Care Guidelines) to help determine the necessity and appropriateness of services.

✔ UR nurses may recommend alternative care options, suggest adjustments to treatment plans, or collaborate with the healthcare team to ensure the most efficient and appropriate care is provided.

✔ If a service is deemed unnecessary or if an insurance company denies coverage, the UR nurse may appeal the decision or work with the healthcare team to find alternative treatments.

Qualifications Required:

Active and unrestricted AZ RN License.

Minimum of 2 years of RN experience (NICU experience preferred).

Current BLS certification.

Why Join Us?

Competitive Weekly Pay: Earn top rates based on experience.

Premier Behavioral Health Facility: Work in a specialized unit.

Professional Growth: Gain valuable experience in patient care.

Flexible Assignments: 13-week contracts with 08-hour day shifts.

How to Apply

For more details or to apply for this RN Utilization Review opportunity in Omaha, NE, contact Mike Johns/(408) 883 6979 directly. Don't miss this chance to advance your career in health nursing with a flexible contract and competitive pay!

#RNJobs #UtilizationReviewNursing #Health #OmahaJobs #HealthCare

Job Types: Full-time, Contract

Pay: $62.00 - $64.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to Commute:

  • Omaha, NE 68122 (Required)

Ability to Relocate:

  • Omaha, NE 68122: Relocate before starting work (Required)

Work Location: In person

Salary : $62 - $64

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