Utilization review nurse [h1.location_city]
[job_alerts.create_a_job]
Utilization review nurse • omaha ne
[last_updated.last_updated_variable_hours]
A company is looking for a Clinical Care Manager- Utilization Review Nurse.Key Responsibilities Conduct timely reviews of healthcare services and document clinical findings in compliance with reg...[show_more][last_updated.last_updated_variable_days]
As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquis...[show_more][last_updated.last_updated_variable_hours]
A leading healthcare provider in Omaha is seeking a skilled individual for a customer service role in health information management.
The successful candidate will be responsible for answering calls ...[show_more][last_updated.last_updated_variable_days]
Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medical...[show_more][last_updated.last_updated_variable_hours]
Acquisition Utilization Specialist.As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and ...[show_more][last_updated.last_updated_variable_days]
The Visiting Nurse Association is currently seeking a detail oriented, self-motivated RN who enjoys making a difference in the lives of others for our Public Health Nurse -Shelter Homeless Review T...[show_more][last_updated.last_updated_variable_days]
If you are a current FIB employee, please apply through the Career Worklet in the Employee Portal.This position may be located at First Interstate Bank's offices in Colorado, Idaho, Iowa, Missouri,...[show_more][last_updated.last_updated_variable_days]
Lead Trust Review Operations Analyst.At LinkedIn, our approach to flexible work is centered on trust and optimized for culture, connection, clarity, and the evolving needs of our business.The work ...[show_more][last_updated.last_updated_variable_days]
AgCountry Farm Credit Services (AgCountry), Farm Credit Services of America (FCSAmerica) and Frontier Farm Credit are financial cooperatives that operate under shared management across eight states...[show_more][last_updated.last_updated_variable_hours]
Acquisition Utilization Specialist.As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and ...[show_more][last_updated.last_updated_variable_days]
Supervisory Acquisition & Utilization Specialist.The Supervisory Acquisition Utilization Specialist renders expert contract pre-award and post award expertise to all Administrative and Clinical Ser...[show_more][last_updated.last_updated_variable_days]
Supervisory Acquisition Utilization Specialist.The Supervisory Acquisition Utilization Specialist renders expert contract pre-award and post award expertise to all Administrative and Clinical Servi...[show_more][last_updated.last_updated_variable_days]
Beacon Hill Legal is one of the country's largest legal staffing agencies.We are privately owned and part of Beacon Hill Staffing Group, LLC.
Beacon Hill Legal seeks US barred attorneys in the Louis...[show_more][last_updated.last_updated_30]
Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz.
No experience needed – just a willingness to try out differ...[show_more][last_updated.last_updated_variable_days]
The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review.This is a hybrid...[show_more][last_updated.last_updated_30]
As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services product acquisi...[show_more][last_updated.last_updated_variable_days]
A leading health care organization is looking for a Utilization Management Assistant based in Omaha, Nebraska.This full-time position involves processing payer communications, following up on accou...[show_more][last_updated.last_updated_variable_hours]
If you are a current FIB employee, please apply through the Career Worklet in the.This position may be located at First Interstate Bank's offices in Colorado, Idaho, Iowa, Missouri, Montana, Nebras...[show_more][last_updated.last_updated_variable_days]
- [promoted]
Illinois Licensed Utilization Review Nurse
VirtualVocationsOmaha, Nebraska, United States[job_card.full_time]
- [promoted]
- [new]
Acquisition Utilization Specialist
VETERANS HEALTH ADMINISTRATIONOmaha, NE, United States[job_card.full_time] +2
- [promoted]
Senior HIM Records Review & Release Specialist
Nebraska MedicineOmaha, NE, United States[job_card.full_time]
- [new]
Medical Review Nurse (RN)
Molina HealthcareOmaha, NE, US[job_card.full_time]
- [promoted]
Acquisition Utilization Specialist
Nebraska StaffingOmaha, NE, US[job_card.full_time]
- [promoted]
PUBLIC HEALTH NURSE HOMELESS REVIEW TEAM
The Visiting Nurse Health ServicesOmaha, NE, US[job_card.full_time]
Credit Review Officer III
First InterstateOmaha, NE, United States[job_card.full_time]
- [promoted]
Lead Trust Review Operations Analyst
LinkedInOmaha, NE, US[job_card.full_time]
- [new]
Credit Review Officer
Farm Credit Services of AmericaOmaha, NE, US[job_card.full_time]
- [promoted]
Acquisition Utilization Specialist
Omaha StaffingOmaha, NE, US[job_card.full_time]
- [promoted]
Supervisory Acquisition & Utilization Specialist
US Department of Veterans AffairsOmaha, NE, US[job_card.part_time] +1
- [promoted]
Supervisory Acquisition & Utilization Specialist
US Government JobsOmaha, NE, US[job_card.full_time]
Admitted Attorney Document Review Projects
Beacon HillOmaha, Nebraska[job_card.full_time]
- [promoted]
Flexible Online Opportunity - Discover & Review Work-from-Home Gigs
Finance BuzzPapillion, Nebraska, US[filters.remote]
[job_card.temporary]
- [promoted]
Utilization Review Assistant (Workers Compensation)
Berkshire Hathaway Homestate CompaniesOmaha, NE, United States[job_card.full_time]
- [promoted]
Acquisition Utilization Specialist
Veterans Health AdministrationOmaha, Nebraska, USA[job_card.full_time] +2
- [new]
Utilization Management Assistant : Payer Docs & Denial Support
ChiOmaha, NE, United States[job_card.full_time]
Credit Review Officer III
First Interstate BankOmaha, NE[job_card.full_time]
Illinois Licensed Utilization Review Nurse
VirtualVocationsOmaha, Nebraska, United States[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Clinical Care Manager- Utilization Review Nurse.
Key Responsibilities
Conduct timely reviews of healthcare services and document clinical findings in compliance with regulations
Collaborate with medical professionals for evaluations of medical necessity and treatment appropriateness
Coordinate care and support for members, including referrals to disease management programs
Required Qualifications
Active, unrestricted Registered Nurse (RN) license in Illinois
5+ years of experience in various healthcare settings
Knowledge of utilization review and managed care processes
Meets Illinois CE requirement of 20 hours per 2-year RN license renewal cycle
Strong proficiency in Microsoft 365 applications