Utilization Management Nurse Reviewer

Embark on a rewarding career journey at Applied Underwriters, where employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers our employees to shape the future of global risk services. Join a team where your ideas are valued and your talents are nurtured with formal, paid training and mentorship. Experience a workplace culture that celebrates initiative, recognizes results, and provides outstanding benefits that allow you to focus on achieving your full potential.

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.

100% employer-paid medical, dental, and vision insurance for employees

401(k) plan with 100% immediate vesting and a 4% company match

Paid time off (PTO) and paid holidays

On-site pharmacy, Promesa, provides convenient prescription delivery directly to you

Life, disability, critical illness and accident insurance

Employee Assistance Program (EAP)

Pre-tax Flexible Spending Accounts for health, dependent care, and commuter-related expenses

Tuition reimbursement

Fitness reimbursement and various additional quality-of-life benefits