- Catholic Health Initiatives (Omaha, NE)
- … Review experience.** Medical Coding experience is a plus! As our Utilization Review RN , you will be responsible for conducting comprehensive ... of a Commonspirit Health Facility Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and… more
- Molina Healthcare (Omaha, NE)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who be licensed in the state they reside. We are looking for a RN Supervisor ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization management… more
- Molina Healthcare (Omaha, NE)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Molina Healthcare (Omaha, NE)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Omaha, NE)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Catholic Health Initiatives (Omaha, NE)
- …pertaining to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Required** + Graduate of an ... Nursing field in lieu of 1 year experience. + RN license in the state(s) covered is required. +...+ Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. **Preferred** + Bachelor's… more
- Fresenius Medical Center (Omaha, NE)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Omaha Children's Hospital (Omaha, NE)
- …fiscal reports. + Skills in negotiation and problem solving. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... operational or financial plan. + Assure efficiencies in staffing and resource utilization by comparison with internal and external benchmarks as measured by… more