Utilization Review Nurse — Remote-Eligible & Impactful

Berkshire Hathaway Homestate Companies - Workers Compensation Division; 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

Paid Time Off

Paid Holidays

Retirement Savings Match

Group Health Insurance

Tuition Reimbursement Program

Employee Referral Program

Job summary

A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines. Candidates should have a BSN or RN degree and at least 5 years of clinical experience in critical care. The role involves reviewing medical requests, advocating for injured workers, and maintaining accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits.

Qualifications

• Current RN license with 5+ years of clinical experience in Critical care units.
• Ability to interpret medical reports, coding, and legal documents.
• Proficient in independent internet medical research.

Responsibilities

• Review workers compensation treatment requests against established guidelines.
• Advocate for injured workers and ensure treatment appropriateness.
• Maintain documentation of treatments and communicate with providers.

Skills

Clinical experience

Effective communication

Evidence-based practice knowledge

Microsoft Office proficiency

Education

Bachelor of Science Nursing degree (BSN) or RN

Tools

Proprietary medical software

Job description

A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines. Candidates should have a BSN or RN degree and at least 5 years of clinical experience in critical care. The role involves reviewing medical requests, advocating for injured workers, and maintaining accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits.