- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Molina Healthcare (Omaha, NE)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …application. Responsibilities This Psychologist is actively involved in providing behavioral health interventions and psychological assessment services through ... outpatient Mental Health Clinic known as the Behavioral Health Integrated Program (BHIP) level of...Health System of care in each of the Medical Centers. This is an approach to healthcare that… more
- Omaha Children's Hospital (Omaha, NE)
- **Now hiring for the region's first-of-its-kind Behavioral Health & Wellness Center. A place where innovation meets compassion.** **Positions are anticipated to ... holistic care to our patients and families-from primary and specialty care to behavioral health services and everything in between. Dedicated to a People… more
- Omaha Children's Hospital (Omaha, NE)
- …a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of ... CPG/ND's, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (Plan of Care includes current and anticipated… more
- Highmark Health (Lincoln, NE)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Lincoln, NE)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CVS Health (NE)
- …reports and visualizations, providing strategic recommendations based on data insights. Provide Behavioral Health medical cost and utilization analysis ... + Provide program performance support including developing cost/staffing models for Behavioral Health Programs - Utilization Management (Intake & Concurrent… more
- Highmark Health (Lincoln, NE)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- American Express Global Business Travel (Lincoln, NE)
- …offer an inclusive and collaborative culture where your voice is valued. The Director of GTM Analytics is a strategic, high-visibility leader responsible for driving ... across Marketing, Commercial and Decision Analytics to translate segmentation and behavioral insights into actionable targeting strategies across the full bowtie… more
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