- Mosaic (Lincoln, NE)
- Job Description **Your clinical skills, our leadership opportunity. Apply Now Manager of Clinical Services (RN.** **Plus, we'll give you a $5,000 WELCOME ... that puts people first. We're looking for a Health Services Manager - Registered Nurse/RN...to move forward efficiently This position is for a Manager of Clinical Services (RN)… more
- CVS Health (Lincoln, NE)
- …Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key ... + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.… more
- CenterWell (Lincoln, NE)
- …The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on both home ... health clinical quality assurance and home health clinical ...care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more
- CenterWell (Lincoln, NE)
- …and case management for each patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial plan of ... of the patient in accordance with physician orders, under Clinical Manager 's supervision. Revise plan in consultation...care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more
- Molina Healthcare (Lincoln, NE)
- …state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services , length of ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals...individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care.… more
- Oracle (Lincoln, NE)
- **Job Description** **Oracle Health Government Services ** **Lead Clinical Consultant** **Location: United States** **No visa sponsorship is available for this ... Master's degree in Health Informatics, Public Health, or Business Administration (preferred) + Registered Nurse (RN) or other clinical licensure (preferred) + 5+… more
- Sharecare (Lincoln, NE)
- …for everyone. To learn more, visit www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, ... as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and...clinical /coaching oversight to team to ensure consistency in service delivery to drive contract outcomes. + Collaborate with… more
- Molina Healthcare (Lincoln, NE)
- …timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified ... member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports… more
- Molina Healthcare (Lincoln, NE)
- …* Develops, performs and promotes interdepartmental integration and collaboration to enhance clinical services . * Manages and evaluates team members in the ... functions: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), and other clinical programs.… more
- CenterWell (Lincoln, NE)
- …all patients served by the Branch by providing supervision and support to the Clinical Manager (s). + Works in conjunction with the Area Director of Operations ... leadership and provides support and supervision to the Clinical Manager (s) to promote more effective performance...care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more
- CenterWell (Lincoln, NE)
- …all patients served by the Branch by providing supervision and support to the Clinical Manager (s). + Works in conjunction with the Area Director of Operations ... leadership and provides support and supervision to the Clinical Manager (s) to promote more effective performance...care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more
- Humana (Lincoln, NE)
- …and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding ... for services rendered is complete, compliant and accurate to support...documentation to ensure capture of all relevant coding. Applies clinical and coding experience to conduct a clinical… more