• Utilization Review RN

    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 ... **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize… more
    Catholic Health Initiatives (04/23/25)
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  • Care Review Clinician, PA ( RN )…

    Molina Healthcare (Omaha, NE)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of… more
    Molina Healthcare (06/06/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Omaha, NE)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (06/11/25)
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  • RN Care Coordinator

    Catholic Health Initiatives (Omaha, NE)
    …and make a difference in the lives of our patients!** We are seeking a compassionate and experienced Registered Nurse ( RN ) to join our team as a RN Care ... their practice. 13. Performs other duties as assigned including utilization review as necessary. **Qualifications** **Required** +...Nursing field in lieu of 1 year experience. + RN license in the state(s) covered is required. +… more
    Catholic Health Initiatives (04/26/25)
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  • Consultant, Nurse Disability

    Lincoln Financial (Omaha, NE)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like… more
    Lincoln Financial (06/10/25)
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  • Insurance Case Manager

    Insight Global (Omaha, NE)
    …Worker's Compensation . Prior Experience with Case Management Cost Containment Background - utilization review or managed care null We are a company committed ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
    Insight Global (05/24/25)
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  • Surgery Program Manager

    Omaha Children's Hospital (Omaha, NE)
    …skills, motivation, problem-solving, autonomy and supporting the team. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... with surgical needs. Plays an active role in the administration and review of children's surgical care across the continuum, from admission through discharge.… more
    Omaha Children's Hospital (06/12/25)
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  • Director Cardiac Care Unit

    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
    Omaha Children's Hospital (04/23/25)
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