Utilization Review Nurse - Remote & Benefits

Berkshire Hathaway Homestate Companies; Omaha (NE); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Work From Home (up to 2 days per week)

Onsite Gym

Garage Parking

Paid Time Off

Paid Holidays

Retirement Savings Match

Group Health Insurance

Life and AD&D Insurance

Long Term Disability Insurance

Employee Assistance Program

Tuition Reimbursement Program

Employee Referral Program

Diversity, Equity and Inclusion Program

Job summary

A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition into a new area. Responsibilities include reviewing medical treatment requests, advocating for injured workers, and maintaining accurate documentation. The position offers flexibility with work-from-home options, competitive benefits, and a supportive office environment.

Qualifications

• Must have a current RN license with 5+ years of clinical experience.
• Hands-on experience in critical care settings such as ICU or Emergency Room required.
• Ability to read and interpret scientific and technical documents.

Responsibilities

• Review complex workers compensation medical treatment requests.
• Research claims in relation to medical treatment requests.
• Advocate for injured workers and ensure treatment requests are appropriate.

Skills

Clinical experience

Knowledge of evidence-based medicine guidelines

Proficient in Microsoft Office

Medical research abilities

Interpersonal communication

Education

Bachelor of Science Nursing degree (BSN)

Registered Nursing degree (RN)

Job description

A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition into a new area. Responsibilities include reviewing medical treatment requests, advocating for injured workers, and maintaining accurate documentation. The position offers flexibility with work-from-home options, competitive benefits, and a supportive office environment.