- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Lincoln, NE)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Lincoln, NE)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (Bellevue, NE)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to… more
- CenterWell (Omaha, NE)
- …sit on-site at our** **Omaha, NE** **branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... **Branch Location** : Omaha, NE **This is not a remote or work-from-home position. This position requires you to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Molina Healthcare (Bellevue, NE)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Contributes to overarching strategy to provide quality and cost-effective member care . Essential Job Duties* Collaboratively plans and executes internal healthcare… more
- Sharecare (Lincoln, NE)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Highmark Health (Lincoln, NE)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- CenterWell (Omaha, NE)
- …**Position Type** : On-site **Branch Location** : Omaha, NE **This is not a remote or work-from-home position. This position requires you to sit on-site at our ... Omaha, NE** **branch location.** The ** RN Branch Director** is accountable for managing the day-to-day...to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient… more
- CenterWell (Lincoln, NE)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more