Top 8 Utilization review nurse Jobs in Lincoln, Ne

RN Care Manager
P3 Health Partners —Lincoln, NE
- $85,000 - $105,000 a year
- Hybrid work
- CPR Certification
- Nursing
- RN License
Quick Apply
Care Coordinator RN
CHI Health Saint Elizabeth —Lincoln, NE
- $32.70 - $48.65 an hour
- Full-time
- Nursing
- RN License
- Hospital
5d
Utilization Management RN- Weekender
Bryan Health —Lincoln, NE
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Health Advocate - PRN
Lincoln Surgical Hospital —Lincoln, NE
- PRN
- RN License
- Hospital
- BLS Certification
Quick Apply
Nursing Supervisor
Lincoln Medical Education Partnership —Lincoln, NE
- Full-time
- Nursing
- RN License
- BLS Certification
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Referral Management Coordinator
Live On Nebraska —Omaha, NE
Ability to obtain and maintain an ACLS, PALS, and BLS certification. Donor Assessment: Review electronic medical records (EMR) and collaborate with the on-site…
$28.43 - $35.56 an hour
14d
HSS Clinical Coordinator, RN - Omaha or Lincoln, NE - Remote
UnitedHealthcare —Omaha, NE
Unrestricted and independent RN license in the state of Nebraska. Valid driver's license, access to reliable transportation and the ability to travel up to 25%…
$29 - $52 an hour
8d

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Check out jobs in cities near your current location, Columbus

Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Director of Nursing
North Central Correctional Complex —Marion, OH
Valid driver’s license in the state of Ohio with an acceptable driving record required, unless waived by management. Must possess current CPR certification.
$115,000 a year
11d

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RN Care Manager

P3 Health Partners -
Lincoln, NE

Quick Apply

Job Details

$85,000 - $105,000 a year

Qualifications

Customer communication
RN License
Computer skills

Full Job Description

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a RN Care Manager. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, Nevada, then you should consider joining our team.

Work Location & Schedule

This role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.

Overall Purpose:

This position is responsible for ensuring that assigned patient population(s) receive continuous, comprehensive and coordinated care throughout the continuum. Through case finding, data and other tools, high risk patients will be identified and guided to enhance the achievement of the Quadruple Aim: improved outcomes, improved experience of care for patients and providers and lower healthcare costs.

The Care Manager will utilize the nursing process of assessment, planning, implementation and evaluation as well as clinical judgment. Interventions with patients and / or stakeholders may be face to face or telephonic. The Care Manager may be responsible for activities overlapping with utilization review and quality management programs.

Essential Job Functions:

Promote the mission, vision and values of P3 Health Partners
Responsible for comprehensive patient assessments through medical records, clinician and patient interviews, telephonic and / or face to face
Develops, implements and evaluates patient care plans
Collaborates with Medical Management teams regarding care plans and patient’s progress
Identifies care needs and barriers to care. Develops plans to improve
Prepares documentation, as per timelines and policy
Coordinates care for assigned high risk patient population
Works with patients, families and care-givers to promote self- management and meet care plan goals
Builds relationships with PCPs, internal and external customers
Addresses gaps in care

Experience:

Strong clinical judgment and problem -solving skills required
Experience in Care Management preferred
Experience with Special Needs Programs [SNPs] preferred
Managed care experience preferred
Utilization review and discharge planning experience preferred
Excellent communication skills with patients, providers, internal and external customers required
Must have excellent computer skills
Must have excellent organizational skills and ability to work independently, with minimal supervision

Licensure / Certification:

Ability to obtain and maintain current registration to practice as a Registered Nurse in Nevada, Arizona, Oregon, and California
Certification in case management or ability to obtain within two years of employment
CPR certified or ability to obtain within 60 days of employment

Education:

Graduate from an Accredited School of Nursing or other applicable clinical role. Bachelor’s degree in Nursing preferred.

Pay range: $85,000-105,000 depending on experience

Education

Preferred

Bachelors or better

Licenses & Certifications

Required

RN License

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

utilization review nurse jobs in lincoln, ne

RN Care Manager

Care Coordinator RN

Utilization Management RN- Weekender

Health Advocate - PRN

Nursing Supervisor

Utilization Management Reviewer

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