- Mosaic (Beatrice, 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
- Molina Healthcare (Lincoln, NE)
- …goals into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality ... Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution,… 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
- 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
- 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
- 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
- Sharecare (Lincoln, NE)
- …helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate in the… more