Clinical Review Nurse
4 weeks ago
As a Clinical Review Nurse - Utilization Management, you will play a crucial role in ensuring the medical necessity of care provided to claimants. This involves reviewing clinical information, utilizing evidence-based guidelines, and coordinating care across the continuum. You will interact with physicians, providers, claimants, and peer reviewers to ensure that care is aligned with established criteria.
Key Responsibilities
- Review clinical information to determine medical necessity of care
- Utilize evidence-based guidelines to inform decision-making
- Coordinate care across the continuum, ensuring seamless transitions
- Interact with physicians, providers, claimants, and peer reviewers to ensure alignment with established criteria
Requirements
- Current and unrestricted RN license in the state of Nebraska or a compact state
- At least 5 years of clinical experience
- Familiarity with utilization review process, case management, and/or discharge planning
- Proficiency in Microsoft Windows, including Word, Excel, Outlook, and ability to create PDFs
Company Benefits
- Fully-paid employee Medical Insurance, Dental Insurance, and Vision Insurance
- Fully-vested employer match 401(k)
- Section 125 - Flexible Spending Account
- In-house pharmacy providing employees significant savings and convenience
- Tuition Reimbursement
-
Clinical Review Nurse
4 weeks ago
Omaha, Nebraska, United States Applied Underwriters Full timeJob SummaryAs a Clinical Review Nurse - Utilization Management, you will play a critical role in ensuring the medical necessity of care at all levels. You will utilize evidence-based guidelines to coordinate care across the continuum, interacting with physicians, providers, claimants, and peer reviewers. This position requires a current and unrestricted RN...
-
Nurse Auditor
4 weeks ago
Omaha, Nebraska, United States Omaha Children's Hospital Full timeJob SummaryOmaha Children's Hospital is seeking a skilled Nurse Auditor to join our team. As a key member of our Revenue Cycle department, you will play a critical role in ensuring the accuracy and compliance of our clinical documentation and billing processes.Key Responsibilities Conduct concurrent reviews of patient discharges to reconcile billed charges...
-
Trusted Telemetry Nurse for Clinical Excellence
4 weeks ago
Omaha, Nebraska, United States Travel Nurse Source Full timeAbout the PositionWe are seeking a skilled Telemetry RN to join our team at a renowned healthcare facility in Omaha, Nebraska. This is a fantastic opportunity for a dedicated and compassionate nurse to make a real difference in the lives of our patients.Job SummaryThis full-time position involves working 12-hour shifts in a dynamic Telemetry unit. As a...
-
Clinical Nursing Educator
4 weeks ago
Omaha, Nebraska, United States Catholic Health Initiatives Full timeClinical Nursing Educator Opportunity at Catholic Health InitiativesJob SummaryCatholic Health Initiatives is seeking a Clinical Nursing Educator to join our team. This role will be responsible for promoting excellence in clinical nursing care and contributing to the professional growth and development of nursing staff through clinical education and...
-
Supervising Clinical Nurse
4 weeks ago
Omaha, Nebraska, United States Omaha Children's Hospital Full timeJob SummaryWe are seeking a highly skilled Supervising Clinical Nurse to join our team at Omaha Children's Hospital. As a key member of our pediatric nursing staff, you will be responsible for leading and coordinating the daily clinical operational activities of the unit, ensuring the delivery of quality patient care, and promoting a culture of excellence...
-
Clinical Nurse
3 weeks ago
Omaha, Nebraska, United States Chi Full timeWe are seeking a PRN Clinic RN (Nurse) to join our Urogynecology Clinic team at the CHI Health CUMC-Bergan campus. This is a PRN - As Needed / Flexible position.Clinic Hours: Monday-Friday 8a-5p, No weekends, No holidays & No callResponsibilities:Support our healthcare teams by ensuring they have everything they need to care for our patients.Play a huge role...
-
Supervising Clinical Nurse
4 weeks ago
Omaha, Nebraska, United States Omaha Children's Hospital Full timeJob SummaryWe are seeking a highly skilled and experienced Clinical Nursing Supervisor to join our team at Omaha Children's Hospital. As a Clinical Nursing Supervisor, you will be responsible for leading and coordinating the daily clinical operational activities of the unit, ensuring the delivery of quality patient care, and supervising nursing staff.Key...
-
Clinical Utilization Management Specialist
4 weeks ago
Omaha, Nebraska, United States Actalent Full timeJob Title: Utilization Management NurseWe are seeking a dedicated and detail-oriented Utilization Management Nurse to fill this role. The ideal candidate will be responsible for ensuring compliance with State and Federal regulations, as well as internal mandates related to claims and preauthorization processing.This role involves accurate and timely medical...
-
Neurology Clinic Nurse
4 weeks ago
Omaha, Nebraska, United States Unavailable Full timeWe are seeking a skilled and compassionate Clinical Nurse Specialist to join our Neurology Clinic team. As a key member of our healthcare team, you will play a vital role in delivering high-quality patient care and enhancing the overall patient experience.Responsibilities:Provide general nursing care to patients by following established clinic...
-
Nurse Educator
4 weeks ago
Omaha, Nebraska, United States Chi Full timeOverviewAt Chi, we are committed to building healthy communities and advocating for those who are poor and vulnerable. Our nursing team plays a vital role in this mission, and we are seeking a skilled Nurse Educator to join our team.ResponsibilitiesAs a Nurse Educator, you will be responsible for promoting excellence in clinical nursing care and contributing...
-
Neurology Clinic Nurse
1 month ago
Omaha, Nebraska, United States Catholic Health Initiatives Full timeJob SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our Neurology Clinic team at Catholic Health Initiatives. As a key member of our healthcare team, you will provide exceptional patient care and support our clinicians in delivering high-quality services.ResponsibilitiesProvide general nursing care to patients, adhering to...
-
Nursing Clinical Specialist
4 weeks ago
Omaha, Nebraska, United States Unavailable Full timeJob SummaryUnavailable is seeking a skilled Nursing Clinical Specialist to join our team. As a Staff Nurse in a leadership role, you will be responsible for implementing and maintaining programs, adhering to policies, and patient care delivery standards of care in assigned departments.Key ResponsibilitiesLeads the delivery of patient care services on the...
-
Travel Nurse Position
4 weeks ago
Omaha, Nebraska, United States Jackson Nurse Professionals Full timeTravel Nurse RN Oncology Job OpportunityAt Jackson Nurse Professionals, we're seeking a skilled travel nurse RN to fill a critical need in patient care at a hospital in Omaha, Nebraska. This travel nursing job offers a cost-effective staffing solution for our clients, and we're committed to providing our nurses with the career they deserve.Job Details:•...
-
Intensive Care Unit Nurse
4 weeks ago
Omaha, Nebraska, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in a reputable area hospital.Specialty: ICU - Intensive Care Unit Job Details: • 13 week contract• Nights shift• Travel nursing jobRequirements: • 12 months MICU experience in an acute care setting within the last 3 years• Medical...
-
Clinical Supervisor
4 weeks ago
Omaha, Nebraska, United States Oasis Virtual Care Full timeJob Title: Clinical SupervisorAt Oasis Virtual Care, we are seeking a dedicated and dynamic Clinical Supervisor to lead our team of virtual nurses and observation assistants. This role is crucial in delivering exceptional healthcare services to remote inpatients in hospital settings.Key Responsibilities:Lead a team of virtual nurses and observation...
-
Orthopedic Clinic Nurse
4 weeks ago
Omaha, Nebraska, United States Unavailable Full timeJob SummaryCHI Health is seeking a skilled Registered Nurse to join our Orthopedic Clinic team. As a key member of our healthcare team, you will provide high-quality patient care and support our healthcare professionals in delivering exceptional patient experiences.ResponsibilitiesPerform general nursing care to patients by following established clinic...
-
Clinical Nurse Specialist
4 weeks ago
Omaha, Nebraska, United States Unavailable Full timeOverviewAt CHI Health, we're committed to delivering high-quality patient care and improving health outcomes. As a Clinical Nurse Specialist, you'll play a vital role in achieving this mission.We're excited to introduce our newly created Regional Float position, which allows us to expedite our responsiveness to facilities with the greatest staffing needs....
-
Gastrointestinal Clinic Nurse
4 weeks ago
Omaha, Nebraska, United States Catholic Health Initiatives Full timeWe are seeking a skilled and compassionate Registered Nurse to join our Gastrointestinal Clinic team at Catholic Health Initiatives. As a key member of our healthcare team, you will provide high-quality patient care and support our healthcare professionals in delivering exceptional patient experiences.Responsibilities:Perform general nursing care to patients...
-
Hybrid GI Clinic Nurse
4 weeks ago
Omaha, Nebraska, United States Catholic Health Initiatives Full timeWe are seeking a skilled and compassionate Registered Nurse to join our Gastro-Intestinal Clinic team at Catholic Health Initiatives. As a Hybrid Clinic RN, you will play a vital role in delivering high-quality patient care and supporting our healthcare teams.Key Responsibilities:Provide general nursing care to patients, following established clinic...
-
Clinical Nursing Supervisor
4 weeks ago
Omaha, Nebraska, United States Catholic Health Initiatives Full timeJob Summary:The Clinic RN Supervisor is responsible for assisting the Clinic Administrator/Practice Manager with the general supervision, direction, and support of the daily operations of the clinic in accordance with established policies, procedures, and standards.Key Responsibilities:Interview, hire, orient, terminate, promote, train, and conduct...