• Registered Nurse Care Manager Remote…

    Molina Healthcare (Lincoln, NE)
    …Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery ... Monday - Friday 8:00am - 4:30pm EST Remote with field travel within Norfolk/ Suffolk/ Middlesex counties depending on enrollment **KNOWLEDGE/SKILLS/ABILITIES** +… more
    Molina Healthcare (05/30/25)
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  • Hospice Registered Nurse

    Gentiva (Lincoln, NE)
    …in company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: ... proud to be an EEO employer + We maintain a drug-free workplace ReqID: 2025-121996 Category: Registered Nurse Position Type: Full-Time Company: Heartland Hospice more
    Gentiva (04/30/25)
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  • Care Review Clinician, PA (RN) - Transplant…

    Molina Healthcare (Lincoln, NE)
    …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... United States who has a compact, multi-state license. This team reviews the prior authorization requests for transplants; the...+ Adheres to UM policies and procedures. + Occasional travel to other Molina offices or hospitals as requested,… more
    Molina Healthcare (03/07/25)
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  • Senior Special Investigations Coding Manager…

    CVS Health (Lincoln, NE)
    … up to 10%, (dependent on business needs). Preferred Qualifications: + Active Registered Nurse (RN) Licensure preferred + Experience conducting audits of medical ... experienced medical professional to manage strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit. Key… more
    CVS Health (05/24/25)
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  • Care Review Clinician, PA (RN) (Must work PST)

    Molina Healthcare (Lincoln, NE)
    …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery… more
    Molina Healthcare (05/11/25)
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  • Senior Regulatory Guidance and Assurance Analyst

    Highmark Health (Lincoln, NE)
    …+ Certified Information Systems Auditor (CISA) + Juris Doctor (JD) + PharmD + Registered Nurse (RN) **SKILLS** + Demonstrate knowledge of business and technology ... RESPONSIBILITIES** + Lead project and initiatives involving a global team of specialists. Identify, develop, coordinate, and implement legislative, regulatory,… more
    Highmark Health (05/13/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Lincoln, NE)
    …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... Review & Pharmacy, you will lead and direct a team of Utilization Review and Pharmacy nurses who are...experience + Proficiency with Microsoft Office + Ability to travel 0%-25% At Zurich, compensation for roles is influenced… more
    Zurich NA (05/22/25)
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  • Clinical Nursing Instructor - Must be a RN

    Mosaic (Lincoln, NE)
    …with a team that puts people first. We're looking for a Health Education Coordinator ( Registered Nurse ) to join our team ! In this role, you will be ... regulations. SCHEDULE: Days, Salaried, hours will vary based on training needs, travel required to all Nebraska agencies - agency vehicle or mileage reimbursement,… more
    Mosaic (05/20/25)
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  • Remote Accommodations Clinical Specialist-…

    Sedgwick (Lincoln, NE)
    …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... critical thinking skills + Ability to work in a team environment + Ability to meet or exceed Performance...extended periods while operating a computer and phone system. Travel as required. **Auditory/Visual:** Hearing, vision and talking The… more
    Sedgwick (05/23/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Lincoln, NE)
    …Master's degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant ... **Job Description :** **JOB SUMMARY** This job serves as the sales team 's clinical expert, providing high-level support and insights for strategic clients, aligning… more
    Highmark Health (05/10/25)
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