Utilization Management RN: Care Coordination Pro

Heart Failure Nurse PractitionerResponsible for the provision and oversight of professional nursing care and medical care prescribed by the Licensed Healthcare Provider (Physician, APRN, or PA). Has oversight of the Compass Rose website monitoring of enrolled Heart Failure patients. Works side by side with our Heart Failure Team in our ambulatory clinic....

Job TitleConducts day-to-day activities for the clinical, financial and utilization coordination of the patient's hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient's hospital stay meets medical necessity and...

Job TitleConducts day-to-day activities for the clinical, financial and utilization coordination of the patient's hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient's hospital stay meets medical necessity and...

Bryan Health in Lincoln, NE seeks an experienced Registered Nurse to lead utilization coordination across the patient hospital stay. You will collaborate with the interdisciplinary team to ensure medical necessity and timely insurance authorizations, supporting both patient care and hospital financial performance. The ideal candidate has Nebraska RN...

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations. You will report to the Manager of Utilization Management on the One Home/Home Solutions Utilization Management team supporting post-acute care services including SNF, Home Health,...

JOB TITLE: Oncology Nurse Coordinator (RN)REPORTS TO: Director of Provider ServicesJOB SUMMARY:The Oncology Nurse Coordinator serves as the primary clinical and care coordination resource for an assigned physician and advanced practice provider (APP) team. This role collaborates with providers, patients, families, and interdisciplinary team members to...

Job DescriptionJob DescriptionUtility Worker Job Description Bauer Infrastructure is seeking a hardworking and reliable Utility Worker to support daily field operations across our construction and underground utility projects in Martell, NE, 15 miles southwest of Lincoln. The ideal candidate brings a strong work ethic, a willingness to learn, and the ability...

Highmark Health is seeking a Case Manager to provide comprehensive management for members with complex health needs. You will assess, plan, coordinate, and monitor care to promote quality, cost-effective outcomes. Strong clinical and advocacy skills are essential to partner with physicians and health teams. Requirements include RN licensure (state or eNLC)...