Top 963 Clinical documentation Jobs in Omaha, Ne

Utilization Review Specialist
Berkshire Hathaway Homestate Companies —Omaha, NE
- Hybrid work
- Basic math
- Research
- Office
Quick Apply
Mental Health Practitioner (LIMHP, LMHP, or PLMHP) - Casual
Children's Nebraska —Omaha, NE
- Part-time
- Adults
- Mid-level
- Outpatient experience
Mental Health Practitioner (LIMHP) - Cardiology / General Outpatient
Children's Nebraska —Omaha, NE
- Part-time
- Hospital
- Adults
- Mid-level
Psychologist Pediatrics and Training
Children's Nebraska —Omaha, NE
- Full-time
- Management
- Hospital
- Adults
Psychologist Pediatrics and Training - Cardiology / General Outpatient
Children's Nebraska —Omaha, NE
- Part-time
- Management
- Hospital
- Adults
CT/X-Ray Technologist PRN Nights
Nebraska Hospital —Omaha, NE
- From $40 an hour
- Full-time
- BLS Certification
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Therapist
Child Saving Institute —Omaha, NE
- From $73,000 a year
- Weekends as needed
- Basic math
- Mid-level
- Office
- Health insurance
- Dental insurance
Therapist
Child Saving Institute —Omaha, NE
- Weekends as needed
- Basic math
- Mid-level
- Office
Mental Health Practitioner (LIMHP, LMHP, PLMHP) Crisis Assessment Casual
Children's Nebraska —Omaha, NE
- Part-time
- Hospital
- BLS Certification
- Adults
Licensed Practical Nurse (LPN) – Pediatric Unit
Ambassador Health of Omaha —Omaha, NE
- Weekends only
- CPR Certification
- Hospital
- BLS Certification
- Paid training
- Paid holidays
Quick Apply
Supervisor of Clinical Therapy - Crisis Assessment Center - Nights
Children's Nebraska —Omaha, NE
- Full-time
- Writing skills
- BLS Certification
- Mid-level
Radiology Tech Part Time Nebraska Methodist Health System
Methodist Health System —Omaha, NE
- From $29.43 an hour
- Part-time
- Background check
- BLS Certification
- Urgent Care
- Health insurance
- Dental insurance
Quick Apply
Licensed Practical Nurse
Way to Stay Homecare, LLC —Omaha, NE
- $28 - $32 an hour
- Full-time
- Background check
- Nursing
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
Lead Coder
UroHealth Partners —Omaha, NE
- Full-time
- Mid-level
- High school diploma or GED
- Team management
- Health savings account
- Health insurance
Quick Apply
Registered Nurse (RN) - Omaha, NE
Planned Parenthood North Central States —Omaha, NE
- $29.80 - $39.00 an hour
- Full-time
- Bilingual
- RN License
- BLS Certification
- Paid training
- Continuing education credits
Quick Apply
Quality and Patient Experience Leader Inpatient Respiratory Therapist
Children's Nebraska —Omaha, NE
- 12 hour shift
- Computer literacy
- BLS Certification
- Inpatient
Licensed Practical Nurse (LPN) – LTC/Acute Rehab
Ambassador Health of Omaha —Omaha, NE
- Weekends only
- CPR Certification
- Hospital
- BLS Certification
- Paid training
- Paid holidays
Quick Apply
Licensed Practical Nurse (LPN) – Pulmonary Unit
Ambassador Health of Omaha —Omaha, NE
- Weekends only
- CPR Certification
- Hospital
- BLS Certification
- Paid training
- Paid holidays
Quick Apply
Dental Hygienist
Waterford Dental Bennington —Bennington, NE
- $40 - $52 an hour
- Part-time
- CPR Certification
- Dental office
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Lead Clinical Therapy (LIMHP) Crisis Assessment Center - 24-hrs per week
Children's Nebraska —Omaha, NE
- Part-time
- Writing skills
- BLS Certification
- Mid-level

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clinical documentation jobs near omaha, ne

Utilization Review Specialist

Berkshire Hathaway Homestate Companies -
Omaha, NE

Quick Apply

Job Details

Qualifications

Basic math
Employee relationship building
Productivity software
Technical Proficiency

Full Job Description

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The individual ensures that medical treatment requests from providers are medically appropriate and reviewed in compliance with State laws and Company policies.

ESSENTIAL RESPONSIBILITIES

Triages and manages intake coordination of requests for authorization and independent medical review requests.
Reviews authorization requests for approval in accordance with evidence-based medical treatment guidelines.
Researches claim files in relation to the requested medical treatment, interprets medical reports while utilizing critical thinking, and applies appropriate established guidelines to requested treatment.
Advocates for the injured worker and Claims department, ensuring proposed treatment requests are appropriate for the diagnosis.
Escalates treatment requests outside of authorization authority for review by a Utilization Review Specialist 2 or Utilization Review Nurse.
Ensures that utilization review processes are performed in accordance with the time limits and other requirements set by State law and Company policy.
Routinely contacts providers to clarify treatment requests and examination findings, as well as to obtain additional medical information as needed.
Gains and Maintains a thorough understanding of Company policies regarding the review of authorization requests by Utilization Review Specialists.
Establishes and maintains a close, positive communicative relationship and working partnership with Medical Bill Review staff to ensure effective and efficient integrated medical management of treatment provided to injured workers.
Fosters a positive and close working relationship with other Company staff, including adjusting staff, other Medical Management staff, Special Investigations Unit, Legal, Liens, Customer Care, and Client Services.
Maintains patient confidentiality and safeguards protected health information in accordance with State and Federal laws and Company policies.
Enters clear, concise, and accurate documentation of requested medical treatments, to include clinical findings, treatment guidelines, and determinations.
Ensures that appropriate notices are forwarded to medical providers, injured workers, Claims staff, and attorneys.
Provides general office or administrative support throughout the department.

QUALIFICATIONS

EDUCATION: Bachelor's or Associate's degree in a medical field from an accredited college or technical school required.
EXPERIENCE: Minimum of 6 months of relevant experience and/or training in a medical field, or equivalent combination of education and experience, required.
TECHNICAL SKILLS: Able to effectively use Microsoft Office/365 applications and able to become proficient in proprietary and vendor software applications.
LANGUAGE ABILITY: Able to read and understand basic documents, including statutes, regulations, medical records, medical bills, medical resource materials, claim notes, and claim data fields. Able to write clear, concise reports accurately conveying complex and nuanced information, as well as correspondence on medical and legal points. Able to effectively present information and respond to questions with adjusting staff, Management, and others.
MATH AND REASONING ABILITY: Able to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Able to interpret a variety of instructions furnished in written, oral, diagram, graph, or schedule form. Able to apply concepts such as addition, subtraction, multiplication, division, fractions, percentages, ratios, and proportions to practical situations. Ability to derive appropriate conclusions and apply on the job.

CORE COMPETENCIES

ATTENTION TO DETAIL

Double-checks the accuracy of information and work product to provide accurate and consistent work.
Completes all work according to procedures and standards.
Works in a conscientious, consistent, and thorough manner.

COMMUNICATION

Communicates and articulates clearly; is informative and appropriately concise.
Asks questions freely to broaden knowledge and skills.
Prepares clear and concise e-mails and other basic required written communications.

PROBLEM SOLVING & DECISION MAKING

Is objective; is able to evaluate facts apart from personal bias.
Identifies key decisions within area of responsibility and escalates tasks to appropriate authority as needed.
Effectively uses appropriate decision-making techniques.

Quick Apply

Refine Your Search

clinical documentation jobs in omaha, ne

Utilization Review Specialist

Mental Health Practitioner (LIMHP, LMHP, or PLMHP) - Casual

Mental Health Practitioner (LIMHP) - Cardiology / General Outpatient

Psychologist Pediatrics and Training

Psychologist Pediatrics and Training - Cardiology / General Outpatient

CT/X-Ray Technologist PRN Nights

Therapist

Therapist

Mental Health Practitioner (LIMHP, LMHP, PLMHP) Crisis Assessment Casual

Licensed Practical Nurse (LPN) – Pediatric Unit

Supervisor of Clinical Therapy - Crisis Assessment Center - Nights

Radiology Tech Part Time Nebraska Methodist Health System

Licensed Practical Nurse

Lead Coder

Registered Nurse (RN) - Omaha, NE

Quality and Patient Experience Leader Inpatient Respiratory Therapist

Licensed Practical Nurse (LPN) – LTC/Acute Rehab

Licensed Practical Nurse (LPN) – Pulmonary Unit

Dental Hygienist

Lead Clinical Therapy (LIMHP) Crisis Assessment Center - 24-hrs per week

I want to receive the latest job alert for clinical documentation in omaha, ne

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