Top 9 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
1d
Utilization Specialist
Lutheran Family Services —Lincoln, NE
- Full-time
- Hybrid work
- Master of Social Work
- Nursing
- RN License
Quick Apply
Health Advocate - PRN
Lincoln Surgical Hospital —Lincoln, NE
- PRN
- RN License
- Hospital
- BLS Certification
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Nursing Supervisor
Lincoln Medical Education Partnership —Lincoln, NE
- Full-time
- Nursing
- RN License
- BLS Certification
21h

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Utilization Specialist
Lutheran Family Services —Lincoln, NE
Valid driver’s license, liability auto insurance, and ability to drive a personal vehicle for travel between office locations and/or program sites, as needed.
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Utilization Review Nurse
Berkshire Hathaway Homestate Companies —Omaha, NE
Must have an active state license and eligible to obtain additional state licenses. LICENSES/EXPERIENCE: A current RN license as well as 5+ years of recent,…
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Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
4d
Patient Support Nurse
Valeris, Inc. —Columbus, OH
Must have active RN licensure in current state of practice. 2-3 years of nursing experience with relevant disease state experience preferred.
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2d

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RN Care Manager

P3 Health Partners -
Lincoln, NE

Quick Apply

Job Details

$85,000 - $105,000 a year
1 day ago

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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utilization review nurse jobs in lincoln ne

RN Care Manager

Utilization Specialist

Health Advocate - PRN

Nursing Supervisor

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