- Molina Healthcare (Lincoln, NE)
- …home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Case Manager (CCM), **PREFERRED EDUCATION:** Registered Nurse or ... assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required...Clinician ( counseling, social work, or related field) Nurses: Registered Nurse , BSN, MSN Master's level behavioral… more
- Molina Healthcare (Lincoln, NE)
- **For this role, we are seeking a RN Complex Case Manager . Must reside and be licensed for the state of NEBRASKA.** **JOB DESCRIPTION** **Job Summary** ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- Summary The Specialty Medicine Clinic Case Manager assists Veterans, family members, and caregivers with receiving the most appropriate options and services to ... improves their health and well-being. The Specialty Medicine Clinic Case Manager duties include, but are not...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Highmark Health (Lincoln, NE)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Molina Healthcare (Lincoln, NE)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
- Highmark Health (Lincoln, NE)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Molina Healthcare (Lincoln, NE)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Highmark Health (Lincoln, NE)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- St Croix Hospice (Fremont, NE)
- …patient as needed + You will assess and report patient's condition and changes to the RN Case Manager + You will assist in ambulation, exercise, transfers, ... and valued member of the interdisciplinary care team. You will work under RN supervision and focus on quality, continuity, and safe patient care. In this… more
- Highmark Health (Lincoln, NE)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Humana (Lincoln, NE)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- Sharecare (Lincoln, NE)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Takeda Pharmaceuticals (Lincoln, NE)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
- Sharecare (Lincoln, NE)
- **Job Description:** **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the ... supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of… more
- CVS Health (Lincoln, NE)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... Care and Medicare experience **Preferred Qualifications** Healthcare licensure and/or certifications ( RN , LPN, MSW, LCSW, CDE etc) highly preferred -5 years practice… more