- Mosaic (Lincoln, NE)
- Job Description **Your clinical skills, our leadership opportunity. Apply for our Manager of Clinical Services (RN) position.** **Plus, we'll give you a ... that puts people first. We're looking for a Health Services Manager - Registered Nurse/RN...to move forward efficiently This position is for a Manager of Clinical Services (RN)… more
- Sharecare (Lincoln, NE)
- …and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in ... Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary...+ Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical … more
- CVS Health (Lincoln, NE)
- …Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key ... + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.… more
- CVS Health (Lincoln, NE)
- …Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. - This ... position consists of working intensely as a telephonic Associate Manager , Case Management with staff and clients for fully...support staff. - Maintain a focus on timely customer service for internal and external clients. - Establish professional… more
- CenterWell (Lincoln, NE)
- …and case management for each patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial plan of ... of the patient in accordance with physician orders, under Clinical Manager 's supervision. Revise plan in consultation...care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager ,… more
- Gentiva (Lincoln, NE)
- …dignity, comfort, and love. **What You'll Do as a Hospice RN / RN Case Manager :** + Be the primary point of contact for patients and families, guiding them through ... team, ensuring timely and appropriate interventions. + Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards. +… more
- Molina Healthcare (Lincoln, NE)
- …state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services , length of ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal...individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care.… more
- Oracle (Lincoln, NE)
- **Job Description** **Oracle Health Government Services ** **Lead Clinical Consultant** **Location: United States** **No visa sponsorship is available for this ... Master's degree in Health Informatics, Public Health, or Business Administration (preferred) + Registered Nurse (RN) or other clinical licensure (preferred) + 5+… more
- CVS Health (Lincoln, NE)
- …The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and utilization management requirements ... with heart, each and every day. **Position Summary** The Clinical Operations Advisor is a client facing role that...to 5% of the time. **Required Qualifications** + Active Registered Pharmacist license in state of residence + 2-3+… more
- Molina Healthcare (Lincoln, NE)
- …goals into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality ... Job SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution,… more
- Sharecare (Lincoln, NE)
- …for everyone. To learn more, visit www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, ... as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and...clinical /coaching oversight to team to ensure consistency in service delivery to drive contract outcomes. + Collaborate with… more
- Humana (Lincoln, NE)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... nurses are titled Care Managers, because our case management services are centered on the person rather than the...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- Molina Healthcare (Lincoln, NE)
- …timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified ... member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports… more
- Molina Healthcare (Lincoln, NE)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes comprehensive assessments of members per regulated timelines… more
- Omaha Children's Hospital (Plattsmouth, NE)
- …**Skills and Abilities** + Excellent skills in communication, listening, customer service , organization. + Excellent clinical skills providing direct and ... Thursday, Friday with rotating Saturday mornings. At Children's, the region's only full- service pediatric healthcare center, our people make us the very best for… more