- Highmark Health (Lincoln, NE)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- 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 ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- Molina Healthcare (Omaha, NE)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- Molina Healthcare (NE)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... delivery of care across the continuum, including behavioral health and long term care...assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Highmark Health (Lincoln, NE)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Molina Healthcare (Bellevue, NE)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- Highmark Health (Lincoln, NE)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Molina Healthcare (Omaha, NE)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... delivery of care across the continuum, including behavioral health and long term care...and time management skills is highly preferred. The Case Manager must have the ability to work in a… more
- Highmark Health (Lincoln, NE)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Catholic Health Initiatives (Bellevue, NE)
- …an accredited educational institution in Counseling, Social Work, Nursing or other related behavioral health field is required. NE - LIMHP license required **Pay ... Health formed between Catholic Health Initiatives (CHI) and Dignity Health , includes 150+ clinics delivering quality care to patients across Nebraska and… more
- Catholic Health Initiatives (Omaha, NE)
- …an accredited educational institution in Counseling, Social Work, Nursing or other related behavioral health field is required. NE - LIMHP license required **Pay ... of Catholic Health Initiatives (CHI) and Dignity Health . With more than 700 care sites...our patients. **Responsibilities** The incumbent reports directly to the Manager - Outpatient Clinics. In addition, the incumbent works… more
- Veterans Affairs, Veterans Health Administration (Grand Island, NE)
- …Authorized Financial Disclosure Report: Not required Nebraska-Western Iowa is part of the VA Midwest Health Care Network (VISN 23). The VA Midwest Health ... Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.… more
- Catholic Health Initiatives (Papillion, NE)
- …an accredited educational institution in Counseling, Social Work, Nursing or other related behavioral health field is required. NE - LIMHP license **Pay Range** ... Health formed between Catholic Health Initiatives (CHI) and Dignity Health , includes 150+ clinics delivering quality care to patients across Nebraska and… more
- Highmark Health (Lincoln, NE)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Molina Healthcare (Lincoln, NE)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job...Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare… more
- J&J Family of Companies (Lincoln, NE)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Molina Healthcare (NE)
- …CEO + Extend scope to more fully include related areas besides 'Medical/Clinical', for example Behavioral Health , Long Term Care + Assist in proposing and ... Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management… more
- Sharecare (Lincoln, NE)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- CenterWell (Lincoln, NE)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... minimum of three years experience post Master's level training, health care actuarial experience, health ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more