- Molina Healthcare (Bellevue, NE)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Bellevue, NE)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Bellevue, NE)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- Molina Healthcare (Bellevue, NE)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… more
- Molina Healthcare (Bellevue, NE)
- …member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports ... * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication regimens. * Care… more
- Advanced Correctional Healthcare (Papillion, NE)
- …physical safety requirements to ensure safe working environment + Monitors and/or provides an in- service program suitable to the facility health care program ... Travel Percentage None Category Nursing/Nursing Support Description BENEFITS: + Referral program + 401(k) w/employer match + Health insurance + Vision insurance… more
- CVS Health (Bellevue, NE)
- …Supervisor or Manager **Preferred Qualifications:** + Completion of the CVS Pharmacy Manager Emerging Leader (PM-EL) program + 3-5 years of related work ... genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team that provides exceptional patient care… more
- Genesis Healthcare (Sidney, IA)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- Molina Healthcare (Bellevue, NE)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Genesis Healthcare (Sidney, IA)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- Molina Healthcare (Bellevue, NE)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Bellevue, NE)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Bellevue, NE)
- …Duties** * Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality ... and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is present at all… more
- Molina Healthcare (Bellevue, NE)
- …quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key ... **Job Duties** + Acts as a lead specialist to provide project, program , and/or initiative related direction and guidance for other specialists within the… more
- Advanced Correctional Healthcare (Papillion, NE)
- …Travel Percentage None Category Nursing/Nursing Support Description BENEFITS: + Referral program + 401(k) w/employer match + Health insurance + Vision insurance ... Disability Insurance SUMMARY: Our associates deliver a higher standard of business services to support medical care and behavioral health care. We maintain… more
- Walgreens (Bellevue, NE)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more
- Walgreens (Bellevue, NE)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Nebraska Public Power District (Plattsmouth, NE)
- …and integration. Maintains efficient and effective management of vendor contract service relationships pertaining to technical services . Provide 24/7 system ... reliable and resilient, but our reputation for excellence extends beyond our customer service to our employee satisfaction. Many of our team members have built… more
- Omaha Children's Hospital (Plattsmouth, NE)
- Monday, Thursday, Friday with rotating Saturday mornings. At Children's, the region's only full- service pediatric healthcare center, our people make us the very ... Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for...of the office and the direction of the office manager or physicians. * Demonstrates proficiency and use of… more