Care Manager Utilization Management Jobs in Omaha

DIRECTOR-CRITICAL CARE','Full-time','Director/Manager/Supervisor','Days','Days','80','80','None','None','NEBRASKA-OMAHA-LAKESIDE','','!*!CHI Health is a regional health ... The incumbent works collaboratively with management to achieve system objectives. The ... payors, agencies, vendors, other health care organizations and other interested..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... schedules and goals. Responsibilities The..

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... delivery process. The Associate Director,..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Omaha ... Nebraska Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... and monitoring of the Autism..

Description The Director of Product Management for Clinical Pharmacy Products develops ... As the Director of Product Management for Clinical Pharmacy Products, you ... Humana's Pharmacy-based product strategies, product management..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Omaha Nebraska Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..

Description The Utilization Management Behavioral Health Nurse 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work ... courses of action. Responsibilities The Utilization Management..

Description The Utilization Management Nurse 2 utilizes clinical nursing ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

Job Information Humana Lead Product Manager - Healthcare API in Omaha ... Nebraska Description The Lead Product Manager - Healthcare API (SME) as ... enrollment2. Provider data management3. Clinical care..

... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly arise ... arise from inpatient or..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... in Omaha Nebraska Description The Care Manager, Telephonic Behavioral Health 2, in ... with resources appropriate for the care..

... Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Omaha ... Omaha Nebraska Description The Risk Management Professional 2 identifies and analyzes .....

Description The Care Manager, Telephonic Behavioral Health 2, in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..

... any field Minimum 1 year Utilization Management such as, FER, Concurrent, Prior ... Prior Authorization Minimum 1 year Care Management and/or Care Coordination Exposure to Behavioral Health ... Work..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... and monitoring of the Autism Care Demonstration (ACD) including coordination of ... and clinical compliance, and case management. Serve..

... Information Humana Nationwide Associate Director, Utilization Management Nursing in Omaha Nebraska Description ... Nebraska Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... courses of action. Responsibilities The Utilization Management..

Job Information Humana Manager, Utilization Management RN - Remote in Omaha ... in Omaha Nebraska Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...

Description The Transplant Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Transplant Care Manager,..

Description The Utilization Management Behavioral Health Professional 2 utilizes ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... courses of action. Responsibilities The Utilization Management..