Utilization Review Jobs in Nebraska
1 - 6 of 6
Search Results - Utilization Review Jobs in Nebraska
Humana Inc-Lincoln-appcast.io-
and Physicians with Inpatient or Utilization Review Experience
Role Overview
• Provide expert clinical review of inpatient medical records and determine medical necessity based on national guidelines, CMS requirements, Humana policies, and clinical standards...
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CenterWell Home Health-Lincoln-
of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education.
• Analyze situations, identifies problems, evaluate alternative courses...
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Humana Inc-Lincoln-appcast.io-
A healthcare organization is seeking a Medical Director to provide expert clinical review of inpatient medical records. You will engage with external providers and work within a collaborative team ensuring guideline-aligned inpatient care.
Required...
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Omaha-icims.com-
expectations in completing quality projects on-time and on budget.
• Work with team members on project performance.
• Work with Business Manager for PM meetings. Review At-Risk projects.
• Manage / optimize utilization – review / discuss and resolve any...
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Humana Inc-Lincoln-appcast.io-
A leading healthcare company is seeking a Medical Director to ensure quality inpatient care through expert clinical reviews and collaboration with physicians. Candidates should hold an MD or DO with over 5 years of post-residency experience, possess...
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1 similar job: Augusta
Humana Inc-Lincoln-appcast.io-
Medicine, or those experienced in Utilization Review are encouraged to apply.
Role Overview
• Perform expert clinical review of inpatient medical records, assessing medical necessity based on national guidelines, CMS regulations, Humana policies...
Read more
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