- Evolent (Lincoln, NE)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (Lincoln, NE)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Molina Healthcare (Lincoln, NE)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... and the site of service. **Job Duties** * Completes clinical assessments of members per regulated timelines and determines...standards * Promotes integration of services for members including behavioral health care and long term services… more
- Molina Healthcare (Lincoln, NE)
- **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care… more
- Sharecare (Lincoln, NE)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- Molina Healthcare (Lincoln, NE)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume...management. + Promotes integration of services for members including behavioral health care and long term services… more
- CAI (Lincoln, NE)
- …career move, apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...and protocols. + Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health… more
- Molina Healthcare (Lincoln, NE)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... this role, we are seeking a RN Complex Case Manager . Must reside and be licensed for the state...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Highmark Health (Lincoln, NE)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- Highmark Health (Lincoln, NE)
- …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- Evolent (Lincoln, NE)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Evolent (Lincoln, NE)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more
- Catholic Health Initiatives (Lincoln, NE)
- …the shift to assure patient-centered care needs are met and quality, cost-effective care is delivered. Serves as a behavioral role model and promotes an ... and Vision by implementing and maintaining programs, adhering to policies, and patient care delivery standards of care in assigned departments. Leads the… more
- Highmark Health (Lincoln, NE)
- …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
- CenterWell (Lincoln, NE)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... improvement and membership growth. This role is within Centerwell's Primary Care Organization and requires an understanding of value-based agreements and primary… more