- Public Consulting Group (Lincoln, NE)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- CVS Health (Lincoln, NE)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Lincoln, NE)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- St Croix Hospice (Lincoln, NE)
- Registered Nurse Case Manager Job Details Job Location Lincoln NE - Lincoln, NE Position Type Full Time Travel Percentage 100% Description At St. Croix Hospice, ... you to join our team, where your work truly matters. As a Registered Nurse Case Manager , you will be the heart of our care model, providing 1:1 holistic support… more
- Sedgwick (Lincoln, NE)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Lincoln, NE)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Otsuka America Pharmaceutical Inc. (Lincoln, NE)
- **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Public Consulting Group (Lincoln, NE)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Lincoln, NE)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Lincoln, NE)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Lincoln, NE)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... intervention skills preferred Managed care/utilization review experience preferred. + Case management and discharge planning experience preferred. + Managed… more
- Mosaic (Lincoln, NE)
- …Empowering Lives: Mosaic at Home Coordinator Do you have a passion for empowering individuals with intellectual and developmental disabilities to live fulfilling ... lives? Are you a skilled communicator and problem-solver who thrives in a collaborative environment? If so, join Mosaic as a Mosaic at Home/Shared Living Provider Coordinator and make a real difference in the lives of the people we serve. At Mosaic, we… more
- Cardinal Health (Lincoln, NE)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Cardinal Health (Lincoln, NE)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- Summary The Specialty Medicine Clinic Case Manager assists Veterans, family members, and caregivers with receiving the most appropriate options and services to ... on a weekly basis, if qualified. Responsibilities The Specialty Medicine Clinic Case Manager duties include, but are not limited to, the following: Coordinates… more
- Travelers Insurance Company (Lincoln, NE)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- Molina Healthcare (Lincoln, NE)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Catholic Health Initiatives (Lincoln, NE)
- **Responsibilities** The purpose of the Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the ... underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation… more
- Gentiva (Lincoln, NE)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and… more
- CommonSpirit Health at Home (Lincoln, NE)
- …to clinical protocols and guidelines. + Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient ... feelings of patients and their families. + Participate in case conferences and in-services or special case ...in case conferences and in-services or special case orientations. + Complete and submit all required documentation… more