- Humana (Lincoln, NE)
- …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** Utilization Management ( UM ) is a specialty area of Nursing Case Management (NCM) and is ... demonstrates the appropriate intensity of service for the severity of illness. UM includes retrospective and concurrent clinical reviews with third-party payors and… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** Utilization Management ( UM ) is a specialty area of Nursing Case Management (NCM) and is ... demonstrates the appropriate intensity of service for the severity of illness. UM includes retrospective and concurrent clinical reviews with third-party payors and… more
- Molina Healthcare (Lincoln, NE)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... this position we are hiring for a float team to support PEGA UM systems throughout multiple states.** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services… more
- Molina Healthcare (Kearney, NE)
- …candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health . Candidates with a Behavioral ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members...teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other… more
- Molina Healthcare (Lincoln, NE)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... teams to promote Molina Care Model + Adheres to UM policies and procedures. **JOB QUALIFICATIONS** **Required Education** Any...field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required… more
- Molina Healthcare (Grand Island, NE)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more