Utilization Manager Jobs in Nebraska
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Search Results - Utilization Manager Jobs in Nebraska
Humana-Lincoln
skills.
7. Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient...
thecareerwallet.us -
Molina Healthcare Inc.-Omaha
JOB DESCRIPTION Job Summary Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated...
jobvertise.com -
Conviva-Lincoln
board demonstrating advanced training in transitions of care, quality assurance, utilization management and care coordination.
A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required...
thecareerwallet.us -
Omaha
Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM...
enlyte.com -
Highmark Health-Lincoln
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical...
thecareerwallet.us -
Omaha
promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations. The position’s emphasis will be on care coordination, communication and collaboration with utilization management...
icims.com -
Evolent Health-Lincoln
are core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
As a Field Medical Director, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference...
thecareerwallet.us -
6 similar jobs: Montgomery, Trenton, Hartford, Salem, Jackson...
Evolent Health-Lincoln
are core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
As a Field Medical Director, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference...
thecareerwallet.us -
Humana-Lincoln
experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.
Preferred Qualifications
1. Knowledge of the managed...
thecareerwallet.us -
Humana-Lincoln
and able to pass credentialing requirements.
Excellent verbal and written communication skills.
Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case...
thecareerwallet.us -
Humana-Lincoln
other healthcare providers, clinical group practice management.
2. Prefer Medical Oncology or Surgery specialties.
3. Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid...
thecareerwallet.us -
Humana-Lincoln
in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation).
Preferred Qualifications
1. Knowledge of the managed care industry including...
thecareerwallet.us -
Evolent Health-Lincoln
are core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
As a Field Medical Director, Genetic Testing, you will be a key member of the utilization management team. We can offer you a meaningful way to make...
thecareerwallet.us -
Humana-Lincoln
care industry including Medicare, Medicaid and/or Commercial products
6. Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health...
thecareerwallet.us -
UnitedHealth Group-Lincoln
utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomes.
2. Serve as a subject matter expert in evidence-based oncology guidelines, especially those produced by the National...
thecareerwallet.us -
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