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Utilization Management Lead

Nebraska Medicine locationOmaha, NE
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225 positions
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Web Mktg Technology Specialist

Nebraska Medicine locationOmaha, NE
225 positions
info linkReport a probelm Originally Posted : April 03, 2021 | Expires : April 18, 2021

Details

Salary
Unspecified
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Job Location
Omaha, NE, United States

Description

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.

Please note that this position may require an assessment after completion of the application. Please plan for an additional 20 - 30 minutes to complete this.

Shift:

First Shift (United States of America)

Utilization Management Lead RN

Position Highlights:

This position is a work from home position however you need to be in the Omaha, NE area to qualify.

Please make sure to attach a resume for review.

Shift Details:

Monday -Friday | 1.0FTE

8:00AM - 5:00PM

Rotating Weekends

Exempt

Why Nebraska Medicine:

Our shared values reflect who we are and why we're here and include, Innovation, Teamwork, Excellence, Accountability, Courage and Healing.

  • Competitive Benefits including retirement match contribution, PTO accrual, tuition reimbursement
  • Lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care
  • Forbes Magazine recognizes us in their list of American's top employers and the best employer in Nebraska

Recruiter Contact

Kristy Hammer | khammer@nebraskamed.com


Use the utilization review process and identify clinically acceptable, cost-effective treatment strategies by identifying appropriate levels of care and ensure appropriate resource usage in order to achieve maximum clinical and financial outcomes.


Required Qualifications:

* Minimum of five years recent clinical experience in a health care setting required.

* Bachelor's degree in nursing (BSN) required unless candidate meets all of the factors to qualify for Exception A or Exception B*.


* Knowledge of health care finance environment and reimbursement systems required.

* Effective critical thinking/analytical skills required.

* Effective communication skills, both written and verbal, required.

* Ability to establish relationships and work collaboratively with an interdisciplinary team and administration required.

* Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required.

* Basic Life Support (BLS) certification required.


Preferred Qualifications:

* Master's of Science in Nursing (MSN) degree preferred.

* Experience with audiovisual equipment preferred.

* Experience with computer skills with Windows information systems/computer workstation preferred.

* Experience with telecommunication equipment and office equipment/supplies preferred.

*Exception details:

EXCEPTION A: Candidate must meet all of the following: (1) has current experience directly applicable to position; (2) is deemed the best candidate for the position; and (3) written approval to hire a candidate without a BSN is received from the appropriate levels of operational leadership, nursing professional practice leadership and the Chief Nursing Officer. If a candidate is hired without a BSN after meeting these criteria, the candidate must either have 30 years of experience directly applicable to the position or sign a written agreement consenting to obtain a BSN within four years from his/her hire date.



EXCEPTION B: Candidate must meet all of the following: (1) is currently employed by Nebraska Medicine, or is eligible for rehire into a benefit eligible employment status at Nebraska Medicine within 364 days of the previous termination date; (2) hired by Nebraska Medicine before November 21, 2014, or hired by an entity acquired by Nebraska Medicine if the employee was hired before the acquisition; (3) has experience directly applicable to position; and (4) currently hold a Registered Nursing License.

Working at Nebraska Medicine means you're committing to meaningful, impactful work that will elevate the success of your fellow colleagues and will help our patients and their families feel comfortable, confident and cared for.




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