Utilization Management Nurse

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.


Requirements:

• 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.

Our Benefits Include:

• 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

Applied Underwriters is a global risk services firm helping business and people manage uncertainty through its business services, insurance, and reinsurance solutions. As a company, we truly operate differently within our business sector. Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.