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Utilization Case Manager Jobs in Nebraska (NOW HIRING)

Case Manager

Lincoln, NE · On-site

$16 - $19/hr

Providing case management for the emergency assistance department. Works with clients and other ... Administrative skills to include utilization of standard office equipment, data entry, 10-key ...

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 ...

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

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

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 ...

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 insurance companies and healthcare providers. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and requiring strong communication skills.

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 4000 a week without a degree?

Utilization Case Managers typically do not earn $4,000 weekly without relevant experience or certifications; most roles in healthcare or social services pay less. High-paying jobs that can reach this level without a degree are rare and often involve specialized skills, sales, or entrepreneurship. Generally, achieving such income without a degree requires significant experience, licensing, or working in high-demand fields like real estate or certain trades.

What is the highest paid case manager?

The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Utilization Review Managers, can earn salaries exceeding $80,000 to $100,000 annually. Compensation varies based on location, industry, and level of responsibility.

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 and clinical skills. It provides experience with medical records, patient communication, and office procedures, which can serve as a foundation for advancing in healthcare careers. However, the job's suitability depends on individual career goals and the specific workplace environment.

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 cities in Nebraska are hiring for Utilization Case Manager jobs? Cities in Nebraska with the most Utilization Case Manager job openings:
Case Manager

$16 - $19/hr

Part-time

Posted 18 days ago


Salvation Army rating

6.1

Company rating: 6.1 out of 10

Based on 356 frontline employees who took The Breakroom Quiz

512th of 716 rated non-profit organizations


Job description

*** Part- Time 29 Hours per week, Pay Range: $16.00-$19.00 per hour depending on experience***

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: Providing case management for the emergency assistance department. Works with clients and other agencies to provide needed services.

Essential Duties and Responsibilities:

  • Conducts all client interviews regarding needs for assistance.
  • Network with other community agencies and know what they provide (and to prevent duplication of services).
  • Maintain adequate supplies within the food pantry so as to be able to provide emergency food assistance to clients who come for assistance.
  • Maintain and prepare reports and statistics required by The Salvation Army.
  • Maintain an organized filing system of confidential client records, including backups of computerized data and entry of required documentation in the SIMS system.
  • Facilitate the disbursement of funds to clients for emergency assistance throughout the year.
  • Plan and execute the process of providing Christmas Assistance to clients during the holidays including Thanksgiving.
  • Operates multiline telephone system to answer incoming calls and direct callers to the appropriate personnel. This includes providing information on available services to callers and taking messages when appropriate personnel are unavailable.
  • Pathway of Hope (POH) responsibilities include developing and collaboration of partnerships within community and actively recruits families that may benefit from POH initiatives.
  • Responsible for case management with POH participants to ensure comprehensive assessments, goals and action plans are monitored.
  • Forwards correspondence related to mail appeal to Divisional Headquarters, Direct Mail office.
  • Attends relevant training sessions as directed by Corps Officer.
  • Present a professional and positive manner when representing The Salvation Army.
  • Assist with pantry coordination as needed.
  • Attends weekly & monthly staff meetings.
  • Driving is an essential function of the role.
  • Other duties as assigned.

Supervisory Responsibilities: Volunteers.

Education and/or Experience: High School diploma or equivalent, with a minimum of two years' prior case work or related experience. College coursework in human services preferred.

Qualifications: The requirements listed below are representative of the minimal knowledge, skill, and/or ability required for this position.

  • Ability to be flexible, prioritize and work on multiple projects or tasks simultaneously.
  • Intermediate Microsoft Word and Excel skills, and the ability to access data systems via a web-based system.
  • Administrative skills to include utilization of standard office equipment, data entry, 10-key, attention to details and filing.
  • Good communication skills both written and spoken, and ability to maintain effective working relationships.
  • Mathematical skills to include add, subtract, multiply, divide, use of common fractions and decimals.
  • Demonstrated ability to handle confidential matters
  • Attention to detail and creative problem-solving skills.
  • Strong independent judgement.

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.

Certificates, Licenses, Registrations: None.

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. Physical requirements include: good speaking, hearing and vision ability and excellent manual dexterity. Ability to stand, bend and reach for extended periods of time, dexterity of hands and fingers to operate office equipment. May need to climb, balance. Kneel, crouch or crawl. This position will required the ability to lift and/or move more than 50 pounds occasionally.

Working Conditions: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job - an office environment and while performing the duties of this job, the employee is occasionally exposed to outside 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.


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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