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Utilization Case Manager Jobs in Nebraska (NOW HIRING)

The Salvation Army

Case Manager

Omaha, NE

$20 - $20.70/hr

Case Managers assist residents with services, housing search and provide the support of residents ... Administrative skills to include utilization of standard office equipment, data entry, 10-key ...

CVS Health

Case Manager, Registered Nurse

Lincoln, NE · On-site

$54K - $155K/yr

Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...

Gphealth

Case Manager RN

North Platte, NE · On-site

Case Management The Clinical Case Manager RN proactively consults with the interdisciplinary team ... Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects ...

Gphealth

Case Manager RN

North Platte, NE · On-site

Case Management The Clinical Case Manager RN proactively consults with the interdisciplinary team ... Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects ...

Great Plains Health

Case Manager RN

North Platte, NE · On-site

Case Management The Clinical Case Manager RN proactively consults with the interdisciplinary team ... utilization reviews per InterQual criteria and national guidelines. Collaborates with the ...

Gphealth

Case Manager - BSW/Bachelors

North Platte, NE

$21 - $27.50/hr

Job Title: Case Manager - BSW/Bachelors Cost Center: Case Management This position provides ... and documents the utilization of resources and progress of the patient through their care ...

Corvel

Telephonic Case Manager I

Omaha, NE · Remote

$62K - $93K/yr

The Case Manager communicates directly with treating physicians to evaluate and recommend ... Strong cost containment background, such as utilization review or managed care helpful

Corvel

Telephonic Case Manager I

Omaha, NE · Remote

$63K - $95K/yr

The Case Manager communicates directly with treating physicians to evaluate and recommend ... Strong cost containment background, such as utilization review or managed care helpful

The Salvation Army

VA Case Manager

Omaha, NE · On-site

$22/hr

Perform services and case management activities in conjunction with the Veterans Administration ... Administrative skills to include utilization of standard office equipment, data entry, attention to ...

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Utilization Case Manager information

What is a Utilization Case Manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

What does a utilization case manager do?

A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with medical providers and insurance companies. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and clinical knowledge. Their goal is to optimize resource use while maintaining quality patient care.

What jobs pay 10,000 a month without a degree?

Utilization Case Managers typically do not earn $10,000 a month without specialized experience or certifications; most roles in this field pay lower salaries. High-paying jobs that can reach this level without a degree include sales, real estate, or entrepreneurship, often requiring strong skills, networking, and industry knowledge. Some trades, like certain construction or technical roles, may also offer high earnings with experience and certifications rather than formal degrees.

How does a Utilization Case Manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What jobs pay 2000 a day?

Utilization Case Managers typically do not earn $2,000 a day; such high daily earnings are more common in specialized roles like senior executives, certain consulting positions, or high-level medical professionals. Most jobs with high daily pay require advanced skills, certifications, or extensive experience, and earnings can vary based on industry, location, and workload.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative skills, familiarity with medical terminology, and sometimes certification. It provides experience in healthcare settings and can serve as a stepping stone to more advanced medical roles, but it may have limited responsibilities compared to specialized positions.

What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

What is the difference between Utilization Case Manager vs Utilization Review Nurse?

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Case Manager jobs in Nebraska? For Utilization Case Manager jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Nebraska look for? The top searched job categories for Utilization Case Manager jobs in Nebraska are:
What cities in Nebraska are hiring for Utilization Case Manager jobs? Cities in Nebraska with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you
Case Manager

Case Manager

The Salvation Army Central Territory

Omaha, NE • On-site

$20 - $20.70/hr

Full-time

Posted 24 days ago

Salvation Army rating

6.2

Company rating: 6.2 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

482nd of 690 rated non-profit organizations

Job description

*** Full- Time Monday- Friday 9:00 A.M.- 4:30 P.M., Pay Range: $20.00-$20.70 Per Hour***
The Salvation Army Mission: The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.
Summary/Primary Purpose: The Renaissance Village is a transitional housing program, located at The Salvation Army Heritage Place. It offers short-term housing for men, women, couples and families. It is a 33-unit site based short term, 6 months, housing program. Case Managers assist residents with services, housing search and provide the support of residents to gain the skills and knowledge they need to thrive independently and to locate permanent housing. Most services provided occur on location, but Case Managers additionally may transport residents to community services. Hours have flexibility since clients reside onsite.
Essential Duties and Responsibilities:
  • Complete all required documentation and maintain client files including intake, skills inventories and resources, individual service plans, and ongoing case management.
  • Educate clients about available community resources and entitlements and refer clients to appropriate community resources as needed.
  • Act as an advocate for the client with interdisciplinary team members.
  • Meet with clients in their homes and monitor progress related to their goals.
  • Provide aftercare services after successful completion of the program.
  • Follow The Salvation Army and program policies, procedures and emergency procedures.
  • Maintain and update client documentation including the required Homeless Management Information System.
  • Participate in assigned community meetings and task force meetings.
  • Provide on call support as scheduled on a rotating basis.
  • Driving is an essential aspect of the position.
  • All other duties as assigned.

Supervisory Responsibilities: N/A
Education and/or Experience: High school diploma or equivalent required with at least one of the following: two years lived experience; two years direct care experience in a human services field; two years of training in a human services field; or, a bachelor's degree in a human services field.
Qualifications: The requirements listed below are representative of the minimal knowledge, skill, and/or ability required for this position.
  • Ability to be flexible and able to work on multiple projects or tasks simultaneously
  • The ability to access payroll, timekeeping and personal data via a web-based system.
  • Administrative skills to include utilization of standard office equipment, data entry, 10-key, attention to detail and filing.
  • Good communication skills both written and spoken, and ability to maintain effective working relationships.
  • Demonstrated ability to handle confidential matters.
  • Sensitivity to the service population's cultural and socioeconomic characteristics.

Other Qualifications: Must pass all applicable background checks. Must possess a valid driver's license from the state in which you reside. Must be approved through The Salvation Army Fleet Safety Program to drive either a Salvation Army or personal vehicle on Salvation Army business. Must successfully complete Safe from Harm training within 90 days of hire, as established by The Salvation Army.
Certificates, Licenses, Registrations: Must complete CPR/First Aid training upon hire and maintain active certification for the duration of employment. Must complete Non-violent Crisis Intervention (CPI) training upon hire and maintain certification for the duration of employment. These trainings and any others required for employment will be provided by the employer. Must secure 12 in-service hours annually.
Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employee may often be required to engage in rigorous activities. Limited amount of physical effort required associated with walking, standing, lifting and carrying objects (50 lbs.)
Working Conditions: This position may require working in outdoor weather conditions. The noise level in the work environment is usually moderate.
All employees recognize that The Salvation Army is a church and agree that they will do nothing as an employee of The Salvation Army to undermine its religious mission.
The Salvation Army is an equal opportunity employer. Candidates who are back-to-work, US Veterans, people with disabilities, people who have been impacted by the justice system, and/or people without a college degree are encouraged to apply.

What Salvation Army employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Salvation Army

Sourced by ZipRecruiter

The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.

Industry

Non-profits, retail, amusement, gambling, and recreation and religious organizations

Company size

5,001 - 10,000 Employees

Headquarters location

Alexandria, VA, US

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