- 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
- CenterWell (Lincoln, NE)
- …and procedures to support program implementation. + Establish collaborative relationships with clinical teams and care integration leadership to align on program ... develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations...health care organization. + Knowledge of health care regulations and policies related to behavioral … 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
- Highmark Health (Lincoln, NE)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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
- 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
- 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
- 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 ... of various healthcare payer models, including episodic, fee-for-service, and value-based care + Successful track record in influencing, facilitating, and consulting… 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
- 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 ... opportunities. Application Deadline: 03-30-2025 **About us** About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive … more
- Prime Therapeutics (Lincoln, NE)
- …engineering, physics, accounting, finance, economics, computer sciences or business/social and behavioral science or related area of study, or the equivalent ... and ability to adjust focus **Reporting Structure** + Reports to Principal, Manager , Director, or Sr Director in the Health Outcomes, Pharmacy Audit, Pricing,… more