Utilization review nurse jobs in Bellevue, NE - 110 jobs

Find your joy here, at Marquis Place of Elkhorn, a Sonida Senior Living community! We offer a comprehensive benefit package to include competitive wage/salary, health and dental insurance, 401k with company match & much more! Marquis Place of Elkhorn, a premier retirement community in Elkhorn, NE, provides quality care to residents in an assisted living and memory care community. What we offer you: Flexible scheduling Cutting edge technology to enhance the lives of our residents and make your job easier and more effective. SafelyYou - AI video technology that detects and prevent falls Advanced EHR Technologies - automated care assessments eliminating busy work, helping you deliver better care Sage - Improve call light response time and improvement to service and care Microsoft Power BI - one stop for all data needs Company support for educational and learning opportunities Paid referral programs for Team Member and Resident referrals Medical, dental, vision, and life/disability insurances* 401k retirement savings offering a discretionary match determined each year based on company performance Employee Assistance Program Dependent Care and FSA saving accounts PTO available day one Paid Training Benefit eligibility dependent on employment status Eligibility based on location Medication Aide Responsibilities include: You will be responsible for setting up and administering resident medications as ordered by physicians and per professional standards of medication administration, and may supervise CNAs as directed Provides patients' personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assisting with travel to the bathroom; helping with showers and baths Provides for activities of daily living by assisting with serving meals, feeding patients as necessary; ambulating, turning, and positioning patients; providing fresh water and nourishment between meals Maintains patient stability by checking vital signs and weight; testing urine; recording intake and output information Qualifications: * [Must be licensed in [STATE] as a [Medication Aide], and must maintain current and unencumbered licensure]

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care. Key Responsibilities Conduct prospective, concurrent, and retrospective drug utilization reviews. Evaluate prescribing patterns against clinical guidelines and formulary criteria. Identify potential drug interactions, duplications, and inappropriate therapy. Prepare recommendations for prescribers to optimize therapy and reduce risk. Document reviews and ensure compliance with state, federal, and health plan requirements. Contribute to quality improvement initiatives and pharmacy program development. What You'll Bring Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. Licensure: Active and unrestricted pharmacist license in the U.S. Experience: Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply. Skills: Analytical mindset, detail-oriented, and excellent written and verbal communication. Why This Role? Impact: Shape prescribing decisions that affect thousands of patients. Growth: Build expertise in managed care and population health pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations. Apply Today Advance your career in managed care pharmacy - apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes.

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

Job Description Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: In-home Clinical Assessments Travel to members' homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Omaha, Nebraska Requirements Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members' homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology

The Nurse Case Manager (NCM) is responsible for managing patients with chronic diseases such as diabetes mellitus, hypertension, asthma, and obesity. The NCM will promote effective education, self-management support and timely healthcare delivery to achieve optimal quality and financial outcomes. Responsibilities include coordinating patient care to improve quality of care through the efficient use of resources and thereby enhancing quality, cost-effective outcomes. The NCM works in collaboration and continuous partnership with the patient and their family/caregiver(s), clinic providers and community resources in a team approach to minimize fragmentation of healthcare delivery systems, while increasing the patient's ability for self-management and shared decision making. This position is committed to the constant pursuit of excellence in improving the health status of the community. POSITION-SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES Case Management: Collaborate with Providers and practice staff in identifying appropriate patients for case management, utilizing established case management criteria. Oversee systems for identifying high risk patients through the EHR, referrals, and registries from health insurance payers. Identifies patients with chronic disease who are due for services and coordinates efforts to contact them to schedule needed services. Formulates and implements a case management plan that addresses the patient's identified needs, issues, resources, and care goals. Establish a case management plan that is mutually agreed upon by the health care team and the patient/family. Plans will include specific mutual self-management goals (SMG), objectives and interventions. Promotes patient self-management and empowers patients/families to achieve maximum levels of wellness and independence. Performs follow-up calls for patients recently discharged from acute hospitalizations and are considered high risk for readmission. Maintains EHR databases on case managed population. Maintain accurate and timely documentation in the case management template. Direct Patient Care: Provide direct nursing care as indicated and/or provide nursing back-up in the event of staff shortage, including nurse triage and provider assistance and support. Follow-up with patients within 24 hours on inpatient discharge and within 48 hours of ED visit notification. Develop care plans to prevent disease exacerbation. Ongoing evaluation and documentation of patient progress in EHR; communicate with care teams. Provide patient/family education regarding chronic disease, medications, self-management goals, etc., within the clinic setting, as needed Patient-Centered Medical Home: Proactively support Primary Care Medical Home initiatives related to care coordination. Participate in Quality Improvement Committee activities and trainings. Participate in care team huddles. Participates in community preventative health activities. Works collaboratively with leadership team to improve and enhance care delivery through the evaluation, development and enhancement of policy and procedures. Develops data-informed interventions to improve organizational performance in quality of care and cost of care metrics related to chronic disease Develops and conducts staff training as appropriate and necessary. Oversee educational literature for patients and for staff. Performs other duties as assigned Qualifications POSITION REQUIREMENTS Education: Completion of Nursing Program required, Bachelor's Degree in Nursing strongly preferred. LPN or RN license required. Experience: 1+ years in ambulatory health care Experience in disease management, population health efforts, case management or quality improvement preferred Expertise: Strong interpersonal and organizational skills Proficient verbal, written and reporting skills Microsoft applications (experience with Excel required), internet, email Good record keeping methods Ability to achieve measurable outcomes Ability to handle multiple tasks Knowledge of medical terminology Language: English fluency Work Hours: 40 hrs/wk Travel: Minimal Exposure: While performing the essential functions of this job, the employee occasionally is exposed to fumes or airborne particles and toxic or caustic chemicals. Additionally, the employee may occasionally be exposed to blood borne and other hazardous chemicals. Finally, the noise level in the work environment can occasionally be quite loud. In all cases, personal protective equipment will be provided to the employee in combination with adequate ventilation and other engineering controls to minimize the risk of exposure or other hazardous occurrence. Physical: Reasonable accommodation may be made for individuals with special challenges to perform these essential functions

BHI helps you manage your TDD patients. And your practice. Today's targeted drug delivery and infusion needs require confident coordination among physicians, provider staff, and patients. BHI helps connect all three to allow doctors to extend care beyond the office, provider staff to centralize management for greater efficiency, and patients to receive TDD right in their own home with experienced nurses. BHI helps bring physicians, provider staff, and patients together for Better Home Infusion. Basic Home Infusion is hiring for a Home Infusion Nurse in the Omaha, NE area. This role involves providing high-quality, patient-centered care to individuals receiving intrathecal pain or spasticity management therapy in the comfort of their homes, or in a clinic setting. You will have the ability to maintain your own schedule while traveling within the area (up to, but not limited to 180-miles). This is a part-time position that operates 2 days a week in a clinic setting. Key Responsibilities · Administer and manage intrathecal pump therapy for patients with chronic pain or spasticity. · Perform pump refills, reprogramming, and troubleshooting in coordination with prescribing providers. · Educate patients and caregivers on medication regimens, pump function, and signs of adverse reactions or infection. · Collaborate with physicians, pharmacists, and other healthcare team members to ensure continuity and quality of care. · Document all care activities, assessments, and communications accurately and in a timely manner in electronic medical records. Qualifications Registered Nurse (RN) with an active, unencumbered license in the state of practice. Additional licensure or compact status preferred Minimum 2 years of nursing experience with at least 1 year in home infusion or pain management. Home health experience preferred Current BLS certification (ACLS preferred). Current TB Skin test or QuantiFERON blood test (within the past 12 months) Excellent clinical judgment, problem-solving, and communication skills. Comfortable working independently in a home setting and managing a mobile work schedule. Valid driver's license and reliable transportation What We Offer: 7 weeks paid, comprehensive training Classroom training in our newly built Simulation Lab and field training with an assigned Preceptor Competitive salary and mileage reimbursement. Comprehensive benefits package (for full-time employees). Supportive and collaborative clinical team environment. 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. Ability to perform one-person CPR continuously, according to American Heart/Red Cross standards. The employee is frequently required to travel via car, train or plane, stand, sit, walk, see, hear; use hands and fingers regularly, handle, or feel objects, tools, or controls, reach with hands and arms, bend at the knees and waist - such as to access supplies, equipment and patients and administer medications with precision (e.g. using syringes) The employee must frequently lift and/or move, push and pull equipment, up to 5 pounds and occasionally lift and/or move up to 40 pounds. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. At Basic Home Infusion, we are deeply committed to promoting diversity, equity, and inclusion in our provision of intrathecal infusion pain management services. We recognize that these core values are essential for achieving optimal patient outcomes and creating a supportive and inclusive environment for our team members.

Schedule: M-F 8 AM-5 PM NO HOLIDAYS NO WEEKENDS At Children's, the region's only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team-and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Maintains a central role in coordination, communication, education, and care management for timely, efficient, and cost-effective care across multiple healthcare settings (providers, departmental leaders, etc.). Acts as the point of contact for patients and families, guiding them through the health care system to promote a positive patient and family experience. Leads program development through process improvement to ensure the delivery of high quality, evidence-based patient care practice in workflow design, protocol and pathway development, and educational material related to disease process. Essential Functions Patient Care and Coordination • Actively engages with the patient/family and medical team utilizing evidence-based practice to assess needs as it relates to diagnoses, care coordination, follow up, and to establish expectations of care delivery with family • Reassesses needs and provides appropriate interventions. Monitors and evaluates patient status • Maintains up to date information regarding the patient-specific plan of care and status • Leads and participates in multidisciplinary conferences ensuring communication amongst all team members and families to access appropriate healthcare resources • Communication between inpatient, outpatient and home setting including internal and external healthcare providers, personnel, and/or community agencies to coordinate services and assist with continuity of care • Completes follow up on patients/families post medical care and as needed to decrease re-admissions, ED utilization, and adherence to medical care • Understands, communicates, and collaborates with team members regarding reimbursement strategies as necessary to coordinate care relating to regulatory requirements and benefits management (Utilization management, authorizations team etc) • Identifies and implements plans for high-risk patients who are not meeting goals or are high risk for not meeting goals. • Acts as clinic RN for patient population Education • Leads in area of expertise, patient support groups, community resources, programs, events, and activities for families to participate in and receive additional support from in the community. • Works in conjunction with the care team to provide education to patients and families to meet goals of care • Acts as the family liaison to ensure understanding of plan of care and to provide support in the decision-making process by empowering parents to learn and care for their child at home • Responsible for developing and maintaining patient-family education resources related to the patient population • Serves as a resource for the clinical care team. Program Development, Accreditation and Leadership • Serves as the subject matter expert for the patient population • Identifies and implements best practices, innovations, research, relevant trends, and performance improvement opportunities. Must complete one performance improvement project annually • Participates in development, translation, and implementation of patient population specific activities to achieve optimum service delivery/systems/care processes • Responsible for evidence-based care and participating in creating new policies, protocols, and educational resources • Monitors and meets patient population specific metrics (registry, dashboard, and KPIs) • Reports metrics quarterly to division leadership and establishes goals to meet and improve outcomes • Ensures program meets or exceeds requirements that are defined by accreditation, US News and World Report, and/or other relevant metrics (i.e. DHHS, TJC, CMS, etc.). • Responsible for leading accreditation process and meeting requirements • Executes educational opportunities via newsletter article, annual conference, CME/CNE opportunities • Participates in community outreach or marketing projects to develop a strong relationship with community and referring physicians • Collaborates with leadership and key stakeholders to develop, implement, and evaluate clinical services with an emphasis on coordination across the continuum of care and a goal of aligning healthcare services around the needs of the patient population Performs other duties as assigned including covering additional clinic needs as identified by department leadership Perform physical requirements as described in the Physical Requirements section Education Qualifications Bachelor's Degree from an accredited college or university in Nursing Required Experience Qualifications Minimum 5 years in nursing, preferably in pediatric setting Required Skills and Abilities Demonstrated written and verbal communication skills. Ability to apply the nursing process to acute patient care to achieve outcomes. Current knowledge of the healthcare environment, including community resources and financial systems. Working knowledge of basic computer programs such as word, excel. Knowledge of smart phone use. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the State of Nebraska Required and Health Services\BCLS - Basic Life Support through the American Heart Association Required Children's is the very best for kids and the very best for your career! At Children's, we put YOU first so together, we can improve the life of every child! INDNUR

Hillcrest Health & Living is currently seeking RNs & LPNs for Hillcrest Health & Rehab in Bellevue! Pay: LPN Starting at $31.50+ per hour based upon experience RN Starting at $38.00+ per hour based upon experience Our goal at Hillcrest is to inspire people to live their best lives. We are committed to providing a career that lets you thrive and grow. What does Hillcrest have to offer? Multiple health care plans to choose from! Vision, dental and life insurance. Professional development opportunities (tuition reimbursement, student loan repayment for nurses, certifications and more). Choose when you get paid with Dayforce Wallet! Gym membership reimbursement and partner discounts. What are my responsibilities? Implements quality nursing and clinical measures to maintain/increase elders' physical/mental wellbeing. Responsible for knowing the skin care policy and ensuring preventative measures are used to maintain the skin integrity of all elders. Monitors guests for changes in condition and coordinates care with physicians. Reviews care plan of each resident, making changes as the resident's condition or plan of care changes and completes an admission care plan in a timely manner. Completes prescribed treatments and ensures medication is administered timely, in private, and per facility procedure. What do I need to be considered? STAR mentality (Selfless, Tough, Accountable, Respectful). An active RN/LPN license in the state of Nebraska (or compact state). Focus on resident care, team player. About Hillcrest: As a local organization, we offer a tight-knit, friendly environment with the benefits and options of a large company!

Where You'll Work CHI Health Immanuel, located in North Omaha just off of I-680 on 72nd Street, offers a full-service hospital, cancer center, rehabilitation center, specialty spine hospital and more. For well over a century, our commitment to serve our community inspires our staff to provide the highest quality of care to all who we have the privilege to serve. Job Summary and Responsibilities You may be elgible to receive up to a $10,000 sign on bonus and up to $10,000 in Educational Assistance! This is an excellent role for someone who likes routine and wants to keep their skills sharp. Your day-to-day nursing tasks will depend on the tailored needs of your patients. In addition to clinical skills, you'll educate patients and their families about the disease processes contributing to impairments/disabilities and teach nursing techniques to help them develop the self-care skills necessary to move toward wellness on the illness-wellness continuum. Collaborate with physicians, therapists and nursing team to develop and implement individualized care plans for patients. Coordinate care for various speech, physical, occupational or respiratory therapies they have scheduled each day. Prepare patients and their families for future self-management and decision-making responsibilities by fostering patients' independence and goal achievement. Identify comprehensive care plans based on patient goals and maximum potential. Participate in the interdisciplinary team process at team conferences and offer input into team decision making. Job Requirements Current Registered Nurse (RN) license that allows you to practice in our state Graduate of an accredited nursing program Basic Life Support (BLS) from the American Heart Association required upon hire While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more!

Job Description: Concierge Nurse for Mobile IV Medics Are you a healthcare practitioner (RN) who is a go-getter with an entrepreneurial spirit and a passion for making a meaningful impact? Do you thrive on independence and have a knack for finding and nurturing new clientele? If so, Mobile IV Medics is looking for you! *** We are looking for practitioners in the Omaha area with Daytime availability! About Us: Mobile IV Medics is a physician-owned and operated company dedicated to providing top-notch, personalized care to our patients in the comfort of their own homes. We help individuals find relief from a variety of ailments, including cold/flu symptoms, migraines, fatigue, and hangovers. Our mission is to create positive change by delivering exceptional care and enhancing our patients' well-being. The Role: As a Mobile IV Medics Nurse, you will be at the forefront of our mission, traveling to client locations and providing life-changing care. This position is perfect for those who are not only skilled in IV administration but also have an entrepreneurial drive to seek out and engage new clients. You will operate as an independent contractor (1099/W9), giving you the freedom to manage your schedule and earnings. Key Responsibilities: - Client Acquisition & Service: Mobile IV Medics actively markets for each of our locations, ensuring there are incoming client calls for our nurse contractors. This role also allows you to proactively seek out new clientele and expand your reach in your area. Use your networking skills to build relationships, promote services, and increase profits. - Patient Care: Administer IV treatments and provide exceptional care tailored to individual needs. Use your expertise to handle a variety of conditions and ensure a positive patient experience. - Independent Operation: Manage your own schedule and work autonomously. Ensure you are available on your chosen "on-call days" and provide customized treatments based on patient needs. - Financial Management: As an independent contractor, you will manage your own supplies and expenses, benefiting from tax write-offs and other self-employment advantages. We provide access to industry-best pricing for medical supplies. What We Offer: - Unlimited Earning Potential: Earn between $3,400 and $10,000 per month, with additional income from tips. - Flexible Schedule: Enjoy the autonomy to set your own hours and maintain a great work-life balance. - Training & Resources: Receive comprehensive training and ongoing support to ensure you provide the highest level of care. - Autonomy & Freedom: Take control of your professional life with the flexibility to balance work and personal commitments. - Diverse Clientele: Build a diverse client base and expand your professional network. Interact with a wide range of patients, each with unique needs, which can enhance your skills and experience. Qualifications: - Preferred Experience: 2 years as an RN with experience in one of the following fields: Emergency Medicine, ICU/Critical Care, PCU Step Down Units (cardiac or neuro), PEDS ICU/NICU, L&D, or Flight/Transport Nursing. RNs with more than 3 years of experience but not in these fields will be considered on a case-by-case basis. - License: Active, unencumbered RN license. BLS Unexpired Drivers License Ready to Make a Difference? If youre a motivated nurse with an entrepreneurial mindset and a desire to help others while enjoying a lucrative and flexible career, we want to hear from you! Explore more about us on our social media pages @mobileivmedics and our website at ********************** Apply today and join a team where your initiative and passion will drive your success and make a real difference in our community. Job Types: Full-time, Part-time, Contract Benefits: Flexible schedule Work Location: On the road

Job Description Our licensed nurses are vital to providing Quality Care for our residents through ensuring medications and treatments are issued as ordered and updating providers as needed. They are also essential to our residents' Quality Life through ensuring individualized care is provided by our CNAs and that our residents and their families are aware of the care they are receiving. This is a full time night shift position. Days are Sunday - Thursday. No weekend requirement. Our night shift is 10:00 PM-6:30 AM. Night shift differential starts at $3/hour. Candidates must be licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Nebraska and have an active CPR Certification. They will possess high personal integrity and have passion for providing exceptional care to older adults. Our nurses stay active on their feet while caring for our residents. Benefits include the following: Student Loan Reimbursement (up to $30,000!) Earned Wage Access - receive your pay the same day! Medical - including options to receive medication for free and an option to have 100% health coverage if you have access to an alternative medical plan! Vision Free individual dental EAP with free counselling services 401K with employer matching Flexible Spending Accounts for medical and dependent care And more! We would love for you to join our excellent team in providing Quality Care to our residents! Sumner Place is a Certified Great Place to Work , has a 4-Star CMS rating, and is an AHCA Silver Award Recipient! #hc217307

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care. Key Responsibilities Conduct prospective, concurrent, and retrospective drug utilization reviews. Evaluate prescribing patterns against clinical guidelines and formulary criteria. Identify potential drug interactions, duplications, and inappropriate therapy. Prepare recommendations for prescribers to optimize therapy and reduce risk. Document reviews and ensure compliance with state, federal, and health plan requirements. Contribute to quality improvement initiatives and pharmacy program development. What You'll Bring Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. Licensure: Active and unrestricted pharmacist license in the U.S. Experience: Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply. Skills: Analytical mindset, detail-oriented, and excellent written and verbal communication. Why This Role? Impact: Shape prescribing decisions that affect thousands of patients. Growth: Build expertise in managed care and population health pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations. Apply Today Advance your career in managed care pharmacy - apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes.

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: In-home Clinical Assessments Travel to members' homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Omaha, Nebraska Requirements Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members' homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology

The Nurse Case Manager (NCM) is responsible for managing patients with chronic diseases such as diabetes mellitus, hypertension, asthma, and obesity. The NCM will promote effective education, self-management support and timely healthcare delivery to achieve optimal quality and financial outcomes. Responsibilities include coordinating patient care to improve quality of care through the efficient use of resources and thereby enhancing quality, cost-effective outcomes. The NCM works in collaboration and continuous partnership with the patient and their family/caregiver(s), clinic providers and community resources in a team approach to minimize fragmentation of healthcare delivery systems, while increasing the patient's ability for self-management and shared decision making. This position is committed to the constant pursuit of excellence in improving the health status of the community. POSITION-SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES Case Management: Collaborate with Providers and practice staff in identifying appropriate patients for case management, utilizing established case management criteria. Oversee systems for identifying high risk patients through the EHR, referrals, and registries from health insurance payers. Identifies patients with chronic disease who are due for services and coordinates efforts to contact them to schedule needed services. Formulates and implements a case management plan that addresses the patient's identified needs, issues, resources, and care goals. Establish a case management plan that is mutually agreed upon by the health care team and the patient/family. Plans will include specific mutual self-management goals (SMG), objectives and interventions. Promotes patient self-management and empowers patients/families to achieve maximum levels of wellness and independence. Performs follow-up calls for patients recently discharged from acute hospitalizations and are considered high risk for readmission. Maintains EHR databases on case managed population. Maintain accurate and timely documentation in the case management template. Direct Patient Care: Provide direct nursing care as indicated and/or provide nursing back-up in the event of staff shortage, including nurse triage and provider assistance and support. Follow-up with patients within 24 hours on inpatient discharge and within 48 hours of ED visit notification. Develop care plans to prevent disease exacerbation. Ongoing evaluation and documentation of patient progress in EHR; communicate with care teams. Provide patient/family education regarding chronic disease, medications, self-management goals, etc., within the clinic setting, as needed Patient-Centered Medical Home: Proactively support Primary Care Medical Home initiatives related to care coordination. Participate in Quality Improvement Committee activities and trainings. Participate in care team huddles. Participates in community preventative health activities. Works collaboratively with leadership team to improve and enhance care delivery through the evaluation, development and enhancement of policy and procedures. Develops data-informed interventions to improve organizational performance in quality of care and cost of care metrics related to chronic disease Develops and conducts staff training as appropriate and necessary. Oversee educational literature for patients and for staff. Performs other duties as assigned POSITION REQUIREMENTS Education: Completion of Nursing Program required, Bachelor's Degree in Nursing strongly preferred. LPN or RN license required. Experience: 1+ years in ambulatory health care Experience in disease management, population health efforts, case management or quality improvement preferred Expertise: Strong interpersonal and organizational skills Proficient verbal, written and reporting skills Microsoft applications (experience with Excel required), internet, email Good record keeping methods Ability to achieve measurable outcomes Ability to handle multiple tasks Knowledge of medical terminology Language: English fluency Work Hours: 40 hrs/wk Travel: Minimal Exposure: While performing the essential functions of this job, the employee occasionally is exposed to fumes or airborne particles and toxic or caustic chemicals. Additionally, the employee may occasionally be exposed to blood borne and other hazardous chemicals. Finally, the noise level in the work environment can occasionally be quite loud. In all cases, personal protective equipment will be provided to the employee in combination with adequate ventilation and other engineering controls to minimize the risk of exposure or other hazardous occurrence. Physical: Reasonable accommodation may be made for individuals with special challenges to perform these essential functions

Hillcrest Health & Living is currently seeking RNs & LPNs for Hillcrest Country Estates the Cottages in Papillion! Pay: LPN Starting at $31.50+ per hour based upon experience RN Starting at $38.00+ per hour based upon experience Our goal at Hillcrest is to inspire people to live their best lives. We are committed to providing a career that lets you thrive and grow. What does Hillcrest have to offer? Multiple health care plans to choose from! Vision, dental and life insurance. Professional development opportunities (tuition reimbursement, student loan repayment for nurses, certifications and more). Choose when you get paid with Dayforce Wallet! Gym membership reimbursement and partner discounts. What are my responsibilities? Implements quality nursing and clinical measures to maintain/increase elders' physical/mental wellbeing. Responsible for knowing the skin care policy and ensuring preventative measures are used to maintain the skin integrity of all elders. Monitors guests for changes in condition and coordinates care with physicians. Reviews care plan of each resident, making changes as the resident's condition or plan of care changes and completes an admission care plan in a timely manner. Completes prescribed treatments and ensures medication is administered timely, in private, and per facility procedure. What do I need to be considered? STAR mentality (Selfless, Tough, Accountable, Respectful). An active RN/LPN license in the state of Nebraska (or compact state). Focus on resident care, team player. About Hillcrest: As a local organization, we offer a tight-knit, friendly environment with the benefits and options of a large company!

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: In-home Clinical Assessments Travel to members' homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Lincoln, Nebraska Requirements Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members' homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology

Hillcrest Health & Living is currently seeking LPNs or Licensed Practical Nurses for our Senior Care Communities in the Omaha metro area. COMPETITIVE NEW WAGES AVAILABLE! Hillcrest Millard Hillcrest Shadow Lake Hillcrest Country Estates the Cottages Hillcrest Health & Rehab Pay: $31.50-$38.25 per hour. Additional certifications/education could qualify for a higher wage. Schedule: Full-Time, Part-Time or PRN options available. 6am-6pm OR 6pm-6am Our goal at Hillcrest is to inspire people to live their best lives. We are committed to providing a career that lets you thrive and grow. What does Hillcrest have to offer? Multiple health care plans to choose from! Vision, dental and life insurance. Professional development opportunities (tuition reimbursement, student loan repayment for nurses, certifications and more). Choose when you get paid with Dayforce Wallet! Gym membership reimbursement and partner discounts. Eligible for semi-annual retention bonuses. What are my responsibilities? Implements quality nursing and clinical measures to maintain/increase elders' physical/mental wellbeing. Responsible for knowing the skin care policy and ensuring preventative measures are used to maintain the skin integrity of all elders. Monitors guests for changes in condition and coordinates care with physicians. Reviews care plan of each resident, making changes as the resident's condition or plan of care changes and completes an admission care plan in a timely manner. Completes prescribed treatments and ensures medication is administered timely, in private, and per facility procedure. What do I need to be considered? STAR mentality (Selfless, Tough, Accountable, Respectful). An active RN/LPN license in the state of Nebraska (or compact state). Focus on resident care, team player. About Hillcrest: As a local organization, we offer a tight-knit, friendly environment with the benefits and options of a large company! #INDRedChip