- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills ... medical services and/or benefit administration of post-acute determinations. The Manager , Utilization Management Nursing...to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in IL, WI, MN, SD, ND, IA,… more
- Evolent Health (Lincoln, NE)
- …others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager in supervising the ... operational productivity of the Utilization Management nurses by implementing and maintaining an efficient and...department. The UM Lead, in collaboration with the UM Manager and Director, ensures compliance with all regulatory standards… more
- Fresenius Medical Center (Kearney, NE)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Prime Therapeutics (Lincoln, NE)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- JBS USA (Grand Island, NE)
- …throughout the organization **KNOWLEDGE, SKILLS and ABILITIES** + RN-Graduate of a school of nursing accredited by the State Board of Nurse Examiners or an ... JBS under the direct supervision of the Occupational Health Manager . **SAFETY IS A CONDITION** : At JBS, _Safety...the scope of practice and regulations of the State Nurse Practice Act. + Provide compassionate, quality care to… more
- Omaha Children's Hospital (Omaha, NE)
- …meets department guidelines, standards, and policies. + Communicates and collaborates with the Utilization Management (UM) Nurse , or other NCMs as necessary ... care team to assess for diagnosis, care needs, and discharge plans. + Introduces Nurse Case Management (NCM) role to family. + Completes NCM assessment and… more
- Omaha Children's Hospital (Omaha, NE)
- …to address performance improvement and processes. + Communicates and collaborates with the Utilization Management (UM) Nurse , or other NCMs as necessary ... care team to assess for diagnosis, care needs, and discharge plans. * Introduces Nurse Case Management (NCM) role to family. * Completes NCM assessment and… more
- CenterWell (Lincoln, NE)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... and help us put health first** The **RN** **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Catholic Health Initiatives (Omaha, NE)
- …and accurate information to payors. The role integrates and coordinates utilization management , care facilitation and discharge planning functions. Additional ... delivery of care in the appropriate setting. + Completes Utilization Management and screening for assigned patients....practice in our state + Graduate of an accredited nursing program + Experience as a Registered Nurse… more
- Huron Consulting Group (Lincoln, NE)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Catholic Health Initiatives (Omaha, NE)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM),...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Catholic Health Initiatives (Omaha, NE)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + ... hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of...healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM)… more
- Sharecare, Inc. (Lincoln, NE)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Catholic Health Initiatives (La Vista, NE)
- …patients. **Responsibilities** **Job Summary / Purpose** The Supervisor - Clinic Nursing assists the Clinic Administrator/Practice Manager with general ... has an immediate need to add a Clinic RN ( Nurse ) Supervisor to our LaVista Family Medicine Clinic located...Monitors the payroll system to help control employee time management . + Monitors utilization of staff and… more