- Humana (Lincoln, NE)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… more
- Omaha Children's Hospital (Omaha, NE)
- ** Manager of Behavioral Health and Wellness Center (LIMHP) Inpatient - Days** At Children's Nebraska, our mission is to improve the life of every child ... holistic care to our patients and families-from primary and specialty care to behavioral health services and everything in between. Dedicated to a People… more
- Molina Healthcare (Bellevue, NE)
- **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Certified Case Manager (CCM) Certified Diabetes Educator To all current Molina… more
- Highmark Health (Lincoln, NE)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- CAI (Lincoln, NE)
- …including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health , and Complex Case Management + ... Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...Care Plans + Experience collaborating with PCP's, Occupational Therapists, Behavioral Health , and Providers + Experience with… more
- Highmark Health (Lincoln, NE)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Customer Navigation and Service Senior Product Manager defines the vision, strategy and ... optimizing channel connectivity, and enhancing agent tools. The Senior Product Manager will define the product's value proposition, develop a compelling business… more
- Molina Healthcare (Bellevue, NE)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
- Highmark Health (Lincoln, NE)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
- Intermountain Health (Lincoln, NE)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
- Highmark Health (Lincoln, NE)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Molina Healthcare (Bellevue, NE)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …EDRP participants ineligible to apply. Responsibilities The Licensed Professional Mental Health Counselor (LPMHC) position for the Substance Use Disorder Program ... of the SUDP multidisciplinary team and performs substance abuse and mental health counseling for SUDP participants as well as completing administrative tasks. The… more
- Highmark Health (Lincoln, NE)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Elevance Health (Council Bluffs, IA)
- …field - Human Services, Social Work, Psychology, Substance Abuse, etc.) + Behavioral Health Case management experience. + Medicaid/Medicare experience. ... funded programs. + Coaches members on ways to reduce health risks. + Prepares reports to document case...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Iowa Department of Administrative Services (Council Bluffs, IA)
- …chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted (Medicaid) Case Manager ; OR an Iowa license to practice as a ... in a timely manner + The ability to develop case plans, use critical thinking skills, prioritize work and...least 30 semester hours or its equivalent in the behavioral sciences, education, health care, human services… more
- Molina Healthcare (Bellevue, NE)
- …years in case , disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery and/or development ... in case , disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active,… more
- Highmark Health (Lincoln, NE)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more