- Highmark Health (Lincoln, NE)
- …management approach to manage members' conditions (Motivational interviewing; Develop plans of care ; Establish a plan for contact to review progress/assess ... :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides telephonic integrated behavioral and physical health case and condition management services… more
- Prime Therapeutics (Lincoln, NE)
- …every decision we make. **Job Posting Title** Pharmacy Credentialing Analyst - Remote **Job Description** The Credentialing Analyst is responsible for improving the ... as a point of escalation for pharmacy provider inquiries. **Responsibilities** + Review and approve all recommended decisions to ensure adherence to regulatory &… more
- Marriott (Lincoln, NE)
- …management to meet jurisdictional needs. **Utilization Review ** + Provide initial clinical review in order to certify care and services for injured workers. ... **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action...The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if necessary, as required… more