Part Time Optum Utilization Review Jobs in Nebraska

Business: Boys Town National Research Hospital
Job Summary:
In a career as a Medical Social Worker, you join us in providing life-changing care to patients from across the region. In this role, you will address financial and social concerns impacting care of Boys Town National Research Hospital and Clinic patients.
Schedule: Part-Time, 10:00 AM-2:00 PM Monday-Friday
Location: Pacific Street

• MAJOR RESPONSIBILITIES & DUTIES:
• Facilitates care for the patient through referral to appropriate resources in the community or within the Boys Town system.
• Provides leadership in the identification and acquisition of resources (local, state, and federal) for patients and their families.
• Coordinates activities/follow-up to meet identified needs of select patients to facilitate necessary care, specialty consultation and/or surgery.
• Serves as a resource for BTNRH physicians, nurses and staff.
• Participates in multi-disciplinary teams as requested.
• Maintains complete, accurate, and timely documents of completed work, patient files and office files.
• Complies with all applicable statutes, rules, regulations, policies and procedures.
• Maintains working knowledge of relevant medical/legal issues that impact patient care.
• Participates in quality improvement activities through staff meetings, committees, continuing educational and professional activities.
• Participates in Utilization Review Committee and activities.
• Assumes the duties of the discharge planning coordinator. Will provide oversight of the discharge planning process. A daily review of the active patient discharge plans will be completed as needed.
• Reassess the discharge planning process on an on-going basis (i.e., at least quarterly), review discharge plans in closed medical record review to determine staff responsiveness to the patient's post-discharge needs and review re-admissions for trends.

REQUIRED QUALIFICATIONS:

• Bachelor's degree in Social Work required.
• Certification, Licensure, or Provisional Licensure as a Social Worker in the State of NE required.

Care and respect for others is more than a commitment at Boys Town - it is the foundation of who we are and what we do.

At Boys Town, we cultivate a culture of belonging for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team - one that makes better decisions, drives innovation, and delivers better business results.

About Boys Town:

Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference.

Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities. A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life.

This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.