- Molina Healthcare (Grand Island, NE)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Grand Island, NE)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies… more
- Molina Healthcare (Grand Island, NE)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
- Molina Healthcare (Grand Island, NE)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- Molina Healthcare (Grand Island, NE)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
- Molina Healthcare (Grand Island, NE)
- …+ Analyze results to identify early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies related to medical care ... with operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process regarding… more
- Good Samaritan (Hastings, NE)
- …overall quality of care provided by the organization's nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing ... service and strategies. This role has a larger size, scope, or complexity. Interprets policies and objectives of nursing service to staff and community groups. Monitors the operations of the nursing staff and ensures compliance with regulations on… more
- Molina Healthcare (Grand Island, NE)
- …reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting ... IBNR, including bed days and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other measurable factors that may be leading indicators of the level of reserve required for a particular cell (eg, a particular product within a… more
- Fresenius Medical Center (Grand Island, NE)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Accura Healthcare (Grand Island, NE)
- …in Nebraska + Competitive salary, dependent on experience + Comprehensive medical , dental, vision, employer paid life-insurance and ancillary benefits + Progressive ... Care setting or Long-Term Care Surveyor experience + Previous Director of Nursing and/or Nurse Consulting experience is required...+ Paid Time Off (PTO) & Paid Holidays* + Medical , Dental, & Vision Benefits* + Flexible Spending Account*… more
- CDM Smith (Grand Island, NE)
- …Packages and defining Scopes of Work under the supervision of the Director of Construction/President or Project Manager. * Responsible for overseeing total ... reports, etc.), purchase requisitions, change request, etc., under supervision of Director of Construction/President or Project Manager. * Ensures all field… more
- Catholic Health Initiatives (Grand Island, NE)
- …is able to evaluate equipment issues and reports assessment to supervisor, manager or director . + Ensures all equipment is in working order at the beginning of the ... Board Certified in Radiology + Must hold a valid Medical Radiography or General Radiology Technologist Permit to Practice...community. Our goal is to provide patients with high-quality medical care close to home, where they can be… more
- Catholic Health Initiatives (Grand Island, NE)
- …is able to evaluate equipment issues and reports assessment to supervisor, manager or director + Ensures all equipment is in working order at the beginning of the ... + Currently enrolled in, or graduate of, a Diagnostic Medical Sonography, Radiology Technology program or graduate of a...community. Our goal is to provide patients with high-quality medical care close to home, where they can be… more
- Nelnet (Hastings, NE)
- …act as a technical subject matter expert (SME) in Agentic AI, supporting the IT Director of Agentic AI. This role is critical for driving the adoption of Agentic AI ... without the need for current or future sponsorship.** Our benefits package includes medical , dental, vision, HSA and FSA, generous earned time off, 401K/student loan… more
- Molina Healthcare (Grand Island, NE)
- …issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC ... contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting… more
- Molina Healthcare (Grand Island, NE)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible ... metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders (internal and… more
- Robert Half Technology (Grand Island, NE)
- …email your resume direct to myself: Shawn M Troy - Technology Practice Director with Robert Half (additional contact information is on LinkedIn). Having experience ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- Catholic Health Initiatives (Grand Island, NE)
- …is able to evaluate equipment issues and reports assessment to supervisor, manager or director + Ensures all equipment is in working order at the beginning of the ... to build a healthier community. Our goal is to provide patients with high-quality medical care close to home, where they can be supported by their family, friends,… more