Utilization review nurse [h1.location_city]

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Utilization review nurse • lincoln ne

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Drug Utilization Review Pharmacist

Pharmacy CareersLincoln, NE, United States

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Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications.Drug Utilization Review (DUR) Pharmacist. This role is ideal for pharmacists who enjoy analyzing medication use, app...[show_more][last_updated.last_updated_30]

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Utilization Management Nurse

CenterWellLincoln, NE, United States

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Become a part of our caring community and help us put health first.Healthcare isn't just about health anymore.It's about caring for family, friends, finances, and personal life goals.At Conviva, a ...[show_more][last_updated.last_updated_variable_hours]

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Nurse Technician

Lifepoint HealthLancaster, Nebraska, USA

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Full-time Nursing Assistant Nights.At Lancaster Rehabilitation Hospital your passion for care is valued supported and empowered. Backed by Penn Medicine Lancaster General Health and Lifepoint Rehabi...[show_more][last_updated.last_updated_variable_days]

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Registered Nurse

US NavyLincoln, NE, US

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Many nurses find the joy of serving others to be incredibly rewarding.This is especially true in the Navy Nurse Corps.When you work to improve the lives of others, you can vastly improve your own a...[show_more][last_updated.last_updated_variable_days]

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Travel Nurse RN - Med Surg - $2,391 per week

Nurse FirstLincoln, NE, USA

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Travel Nurse RN - Med Surg - $2,391 per week at Nurse First summary : .Nurse First is seeking a Med Surg travel nurse RN for a 13-week assignment in Lincoln, Nebraska, offering competitive pay and mu...[show_more][last_updated.last_updated_variable_days]

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Summer Nurse

Belmont Public SchoolsLincoln, NE, United States

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Summer 2026 District-Wide Nurse.Belmont Public Schools is seeking a nurse for a 6-week 2026 summer assignment.Responsibilities include, but are not limited to : . Provide support to the Summer Enrichm...[show_more][last_updated.last_updated_variable_days]

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Registered Nurse

DaVitaLincoln, NE, United States

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North 46th st, Lincoln, Nebraska, 68503, United States of America.DaVita is seeking a Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in th...[show_more][last_updated.last_updated_variable_days]

Admitted Attorney Document Review Projects

Beacon HillLincoln, Nebraska

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Beacon Hill Legal is one of the country's largest legal staffing agencies.We are privately owned and part of Beacon Hill Staffing Group, LLC. Beacon Hill Legal seeks US barred attorneys in the Louis...[show_more][last_updated.last_updated_30]

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Travel Nurse RN - Oncology - $2,152 per week in Omaha, NE

Travel Nurse SourceLincoln, NE, United States

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Registered Nurse (RN) | Oncology.TravelNurseSource is working with Nationwide Therapy Group to find a qualified Oncology RN in Omaha, Nebraska, 68124!. NTG is committed to matching you to the right ...[show_more][last_updated.last_updated_1_day]

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Travel Nurse RN - Med Surg - $2,097 per week

Jackson Nurse ProfessionalsLincoln, NE, USA

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Travel Nurse RN - Med Surg - $2,097 per week at Jackson Nurse Professionals summary : .A Travel Nurse RN with a focus on Med Surg is needed in Lincoln, Nebraska, offering a competitive weekly pay of ...[show_more][last_updated.last_updated_variable_days]

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PRN Nurse

Sumner PlaceLincoln, NE, US

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Sumner Place is seeking PRN nurses!.Our licensed nurses are vital to providing Quality Care for our residents through ensuring medications and treatments are issued as ordered and updating provider...[show_more][last_updated.last_updated_30]

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Maine Licensed Utilization Review Nurse

VirtualVocationsLincoln, Nebraska, United States

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A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities Review prior authorization requests for medical necessity and collaborate with healthcare providers Manage medic...[show_more][last_updated.last_updated_1_day]

Care Review Clinician (RN)

Nebraska StaffingLincoln, NE, United States

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Clinical Member Services Reviewer.Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with establishe...[show_more][last_updated.last_updated_variable_days]

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Charge Nurse

Emerald Nursing and Rehab LancasterLincoln, NE, United States

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LPN (Licensed Practical Nurse) Charge Nurse.LPN (Licensed Practical Nurse).Full time, Part time, 10am-10pm, Rotating Weekends. As a Licensed Practical Nurse (LPN) at.Emerald Nursing & Rehab Lancaste...[show_more][last_updated.last_updated_variable_days]

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Medical Review Nurse (RN)

Molina HealthcareLincoln, NE, United States

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Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medical...[show_more][last_updated.last_updated_variable_days]

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Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Finance BuzzWaverly, Nebraska, US

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Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz. No experience needed – just a willingness to try out differ...[show_more][last_updated.last_updated_variable_days]

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Advanced Practice Nurse / Nurse Practitioner

MLee Healthcare Staffing and Recruiting, IncLincoln, NE, United States

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Empower Lives, Embrace Autonomy - Your Next Chapter as a Nurse Practitioner Awaits in Lincoln, Nebraska.In the world of healthcare, impact unfolds in ways beyond statistics; it is about lives trans...[show_more][last_updated.last_updated_30]

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Utilization Management RN- Weekender

Bryan HealthLincoln, NE, United States

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Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient's hospital experience. Proactively consults with the interdisciplinary team which includes, but...[show_more][last_updated.last_updated_30]

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Nurse Practitioner

Comprehensive Rehab ConsultantsLincoln, NE, United States

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The future of healthcare relies on the brightest minds and biggest hearts.Join us and be part of the team building tomorrow's healthcare. Work for a fun, fast-growing company that is revolutionizing...[show_more][last_updated.last_updated_variable_days]

Drug Utilization Review Pharmacist

Pharmacy CareersLincoln, NE, United States

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Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications

A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care.

Key Responsibilities

Conduct prospective, concurrent, and retrospective drug utilization reviews.
Evaluate prescribing patterns against clinical guidelines and formulary criteria.
Identify potential drug interactions, duplications, and inappropriate therapy.
Prepare recommendations for prescribers to optimize therapy and reduce risk.
Document reviews and ensure compliance with state, federal, and health plan requirements.
Contribute to quality improvement initiatives and pharmacy program development.

What You'll Bring

Education : Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.

Licensure : Active and unrestricted pharmacist license in the U.S.

Experience : Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply.

Skills : Analytical mindset, detail-oriented, and excellent written and verbal communication.

Why This Role?

Impact : Shape prescribing decisions that affect thousands of patients.

Growth : Build expertise in managed care and population health pharmacy.

Flexibility : Many DUR roles offer hybrid or fully remote schedules.

Rewards : Competitive salary, benefits, and career advancement opportunities.

About Us

We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations.

Apply Today

Advance your career in managed care pharmacy - apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes.