Project Manager Expert ( (Healthcare/Child) Shiftcode Analytics, IncProject Manager Expert ( (Healthcare/Child)Lincoln, NEThe Senior Project Manager coordinates multidisciplinary, matrixed teams; manages relationships with state agency clients and federal partners; and ensures implementation activities are delivered on time, within scope, and in full compliance with applicable federal and state requirements. The Senior Project Manager leads the planning, execution, and delivery of complex health and human services program implementations driven by federal and state policy, regulatory change, and program reform.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTELincoln, NERemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
- Director of Healthcare Services Registered Nurse RN- Career Growth Interim HealthCare Inc- Director of Healthcare Services Registered Nurse RN- Career GrowthLincoln, NEAs a Director of Healthcare Services/RN for Interim HealthCare, you'll join an RN owned organization and team of clinicians with shared goals of delivering exceptional care and service. For 60 years nationally and more than 35 years locally, Interim HealthCare has been an employer of choice to healthcare professionals seeking a more fulfilling career.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareLincoln, NE$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska Molina Healthcare IncAuditor, Healthcare Services (RN) (Remote) Must Live In NebraskaLincoln, NERemotePerforms audits in care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. At least 2 years health care experience, with at least 1 year experience in care management, and/or managed care, or equivalent combination of relevant education and experience.
Specialist, Care Management ArchWell Health LLCSpecialist, Care ManagementLincoln, NEWorks collaboratively with Nurse Care Managers, Chronic Disease Managers, healthcare providers, and center teams to provide patient support and address non-clinical needs. Job Summary: Reporting to the Care Management Team Lead, the Care Management Specialist is responsible for assisting Nurse Care Managers and Chronic Disease Managers in coordinating and delivering high-quality care to patients.
Utilization Management Manager BryanLGH Medical CenterUtilization Management ManagerLincoln, NEEnsures that staff advocates for proper placement within the scope of the role of the UM by arranging for, or directly reaching out to, Primary Care Providers (PCPs), specialists, hospitals, local mental health services, the managed care behavioral health organization (MCBHO), local care management programs, and community agencies to maximize UM's outcomes. GENERAL SUMMARY: Leads and shapes the Utilization Management (UM) Strategy for Bryan Medical Center (BMC) while providing management oversight in implementing, directing, and monitoring the Utilization Management Department functions, including prior authorizations, concurrent review, medical claims review, and appeals and grievances.
NewUtilization Management Administration Coordinator - SNF HumanaUtilization Management Administration Coordinator - SNFLincoln, NERemote$40,000–$52,300 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Administrative Fellowship BryanLGH Medical CenterAdministrative FellowshipLincoln, NEEDUCATION AND EXPERIENCE: Master's degree in healthcare administration, public health, business administration with a healthcare focus, or a related field within the past year or current enrollment in a master's program with completion expected by the start of the fellowship from an accredited program (e.g., Commission on Accreditation of Healthcare Management Education (CAHME), Association to Advance Collegiate Schools of Business (AACSB), or Council on Education for Public Health (CEPH)) required. Based on assigned project(s), establishes goals/priorities, extracts, analyzes and presents data/information; plans and coordinates meetings; follows through on action items; evaluates outcomes and assists in change management activities as appropriate.
Quality Outcomes Specialist RN BryanLGH Medical CenterQuality Outcomes Specialist RNLincoln, NECollaborates with leaders at all levels, providers, staff, and quality improvement teams to utilize nursing clinical expertise, data insights, and evidence-based practice to improve care processes and achieve patient-centered outcomes. Consults to align effective measures and contribute to teams and projects improving clinical workflows, clinical documentation, regulatory compliance, and patient-centered outcomes.
Clinical Quality Analyst BryanLGH Medical CenterClinical Quality AnalystLincoln, NEPerforms data analysis using multiple methods to identify trends, gaps, and opportunities for improvement; prepares accurate, clear, and actionable reports, dashboards, and visualizations for clinical and operational stakeholders. *Collects, abstracts, validates, and submits clinical quality data for regulatory, accreditation, payer, and internal reporting programs in accordance with defined measure specifications and timelines.