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utilization review specialist jobs near Omaha, NE

Nebraska Families Collaborative - Omaha, NE

Utilization Management Specialist. Familiarity with utilization review or case management highly desired. The ideal candidate will have utilization review and...

IMMANUEL - Omaha, NE

Certified Coding Specialist - Physician–Based (CCS-P). Maintain admission utilization for quality department. Complete on-site visits for medical record reviews...

Optum Operations - Omaha, NE

The Recovery & Resiliency Manager will have overall responsibility for the successful functioning of the Recovery and Resiliency unit (R&R unit) and will serve...

UnitedHealth Group - Omaha, NE

Participate in quality review processes. Coordinate outreach to specific populations to ensure access to, engagement with, and utilization of needed services....

Department Of Veterans Affairs - Omaha, NE

Plans, develops and completes documentation/paperwork/form to applicable Institutional Review Boards (IRB) for human subject research;...

WellCare - Omaha, NE

Conducts site visits to service providers, resolves issues, educates staff/providers on policies, collects credentialing information, and reviews HEDIS...

Blue Cross and Blue Shield of Nebraska (BCBSNE) - Omaha, NE

Medical Review Specialist are accountable for performing pre-authorization medical review to ensure correct dispositions according to all contracts, related...

WellCare - Omaha, NE

Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret treatment plans Ability to create,...

NorthStar Financial Services Group, LLC - Omaha, NE

Internal Training Specialist. Reviews all online training material on a regular basis making appropriate updates as needed....

WellCare - Omaha, NE

Reviews all programs assigned and continuously ensures they meet the rigorous standards that are set forth by WellCare ....