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Utilization review nurse jobs in Nebraska - 177 jobs

  • Nursing QMA

    Sonida Senior Living Inc. 4.4company rating

    Utilization review nurse job in Omaha, NE

    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]
    $35k-49k yearly est. 7d ago
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  • Utilization Management Nurse

    Centerwell

    Utilization review nurse job in Lincoln, NE

    **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 *************************************************************
    $71.1k-97.8k yearly 3d ago
  • Skilled Nursing RN Staff Nurse

    Zenex Partners 4.2company rating

    Utilization review nurse job in Kearney, NE

    This position provides care to assigned residents in a caring, safe and efficient manner and is responsible to perform the following according to Essential Duties & Responsibilities Assesses plans, implements and coordinates a plan of care for residents in pertinent areas. Assures medications and treatments are administered to assigned residents. Make changes on plan of care as needed. Safeguards residents' property. Maintains residents' self-esteem, privacy and confidentiality of personal information. Provides residents with opportunities for independence and choice consistent with their care plans. Assures and assists to maintain safe, pleasant, orderly resident living areas. Assures physicians' orders are processed and physicians notified in a timely manner. Observes residents; directs and documents care provided to residents; receives and shares information; observes and reports residents' conditions to appropriate staff. Responds promptly to resident call lights. Directs and assists with resident, family/significant other education. Uses the EMR accurately. Uses transfer equipment (gait belt, mechanical lifts, slide boards, lift/slip, etc.) and handling techniques in a manner that makes residents feel safe. Demonstrates knowledge of department - specific safety, fire and disaster plans. Basic Responsibilities: This position will be held accountable for complying with all related laws, regulations, company policies and procedures pertaining to his or her position and for fulfilling his or her obligations under the organization's corporate compliance program. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Qualifications Education Experience Licensure Certification: Graduate of an accredited school of nursing. RN licensure for state of practice is required. BLS Skills/Abilities: Basic ability to communicate and comprehend; ability to measure and comprehend certain quantities; knowledge of basic nursing skills; knowledge and familiarity with the therapeutic effects and side effects of all medications administered. Knowledge: Physical/Mental 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. While performing the duties of this job, the employee will operate/activate/use/prepare/inspect/place/detect/position objects, tools, or controls. The employee will frequently communicate/express oneself/exchange/observe/assess/detect information relative to this position. The employee is required to maintain a stationary position/move/position self in response to job tasks. Must be able to effectively communicate in English, both orally and in writing. Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work Environment: The noise level in the work environment is usually moderate. Frequency of travel may vary based on business need. Weight Lifting Requirement: 35 lbs.
    $50k-82k yearly est. 7d ago
  • Utilization Management Nurse

    Nebraskablue

    Utilization review nurse job in Omaha, NE

    At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community. Candidates applying to this remote nursing position can live in one of the following states: Florida, Iowa, Kansas, Missouri, Nebraska, North Dakota, and Texas. This position works collaboratively with health care providers and other team members, including Medical Directors and Pharmacists, to ensure members receive high quality, medically necessary care in a timely fashion in a setting that maximizes benefit coverage and health outcomes in accordance with company policies and procedures. What you'll do: Conduct prospective, concurrent, retrospective, and post-service clinical claim certification and authorization reviews to assess the medical necessity of medical and/or behavioral health inpatient admissions, outpatient services, out-of-network services, and appropriateness of treatment setting by utilizing and accurately interpreting applicable medical policy, evidence based clinical criteria, standards of care, contract language, benefits, and member eligibility. Educate providers about member benefits, coverage, and provider networks, as well as utilization management processes and procedures. Facilitate appropriate and timely transitions of care utilizing member's contract language and clinical criteria coordinates discharge planning with providers for the appropriate level of care (SNF, ARU, LTAC, hospice) or discharge to home. Identify members appropriate for care management programs and make referrals to care management nurses, including but not limited to discharge follow-up for potentially preventable readmissions, member outreach initiatives, and complex case management. Collaborate and consult with healthcare providers, internal team or utilization management specialists, nurses, physicians, medical directors, and pharmacists to ensu8re medically appropriate, high-quality cost-effective care, promote positive member outcomes, effective use of resources, optimize member benefits, and support business initiatives. Collaborate with the Medical Director by referring events not meeting clinical criteria or events needing additional review. Attends weekly rounds to discuss possible high-cost claimants, discharging plans, and concerns for appropriate care or member safety. Act as a resource within the department and to other departments regarding medical management issues and activities. Maintain compliance by knowing, understanding, and adhering to Medicare Advantage, URAC accreditation standards and other regulatory requirements. Responsible for maintaining professional licensure and practicing within the scope of licensure. Responsible for completion of special projects; examples may include training new hires, provider outreach, project work, peer mentor, new system implementation and system training. To be considered for this position, you must have: Associate's degree in nursing Three (3) years' clinical practice experience in a health care setting Must hold a current, unrestricted Registered Nurse license from the state of Nebraska or a state in the consortium in which Nebraska participates. Must have demonstrated previous experience working in Medicare Advantage and Managed Care organizations. Must have relevant experience aligned with the role: Medicare or Commercial Insurance Experience in discharge planning, utilization management, case management, or disease management. Based on area of assignment, must be able to work rotating weekend/holiday shifts as needed An equivalent combination of education and experience may be substituted for this requirement. The ability to meet or exceed the attendance and timeliness requirements of their departments. The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. The strongest candidates for this position will also possess: Bachelor's degree in healthcare field Clinical experience in multiple levels of care Knowledge of accreditation standards and regulatory requirements Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers. We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.
    $50k-65k yearly est. Auto-Apply 8d ago
  • Drug Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Utilization review nurse job in Lincoln, NE

    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.
    $53k-62k yearly est. 60d+ ago
  • Nurse Navigator - Dialysis

    Children International 4.7company rating

    Utilization review nurse job in Omaha, NE

    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
    $46k-59k yearly est. Auto-Apply 5d ago
  • Nurse Case Manager

    Charles Drew Health Center, Inc. 4.0company rating

    Utilization review nurse job in Omaha, NE

    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
    $56k-67k yearly est. 53d ago
  • Temporary Flight Nurse

    Air Methods 4.7company rating

    Utilization review nurse job in Columbus, NE

    Join us in the enchanting town of Columbus, for an extraordinary career as a Flight Nurse with Air Methods. Nestled amidst the majestic landscapes of Columbus, NE offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic Nebraska landscape, enhancing the experience of your daily work. Join us in Columbus, where every flight underscores our commitment to excellence and safety in medical transport. Experience the thrill of flight while making a significant impact on the well-being of those in need in this dynamic and culturally rich community. Responsibilities Job Summary Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities include the following: • Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. • Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. • Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests. • Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed. • Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). • Participates in patient and referring institution follow-up and in planned outreach marketing and education activities • Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives. • Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities). • Other Duties as assigned. Additional Job Requirements • Regularly scheduled attendance • Indicate the percentage of time spent traveling: 5% •Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities •This position has no supervisory responsibilities. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions. Education & Experience • Graduate of an accredited School of Nursing • Bachelor's degree in a health-related field preferred but not required • Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations • Pre-hospital experience preferred • Flight experience is not required but is a plus! Operation and Safety Requirements: · As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards • Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels • Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task • Ability to work a flexible schedule, including overtime and 24/7 on-call rotation • Dependable and self-motivated while working in a frequently changing environment • Excellent communication and presentation skills, both written and verbal Computer Skills • Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations • Current RN license(s) for states of practice • EMS or MICN certification/licensure as required by state regulations • Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required) • If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation Other certification requirements: • Specialty certification (CFRN or CEN) are required within 24 months of hire • Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training • NRP certification before completion of the third-rider orientation • NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training Benefits Air Methods is proud to offer a comprehensive benefits package created with the diverse needs of our teammates in mind: · Health, Dental and Vision · Competitive 401(k) Retirement Plan · Flexible Spending Account Benefit Plans · Tuition Reimbursement · Full Company-Paid Life Insurance · AD&D Insurance · Short-Term and Long-Term Disability Insurance · Business Travel Accident Insurance · Voluntary Legal · Relocation Assistance · Employee Assistance and Benefit Concierge Service Programs Minimum pay USD $77,750.40/Yr. Maximum Pay USD $95,022.72/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $77.8k-95k yearly Auto-Apply 60d+ ago
  • Nurse Liaison - Admissions

    Tiffany Square 3.9company rating

    Utilization review nurse job in Grand Island, NE

    Job Description Admissions Coordinator (Nursing Background Preferred) Bring Your Nursing Knowledge Beyond the Bedside-Without Losing the Impact. At Tiffany Square, our Admissions Coordinators play a vital role in shaping the first step of a resident's journey. This position is ideal for LPNs or RNs looking to leverage their clinical expertise in a fast-paced, influential role-while still remaining open to highly organized, detail-driven professionals without a nursing background. If you understand clinical appropriateness, can think critically under pressure, and enjoy coordinating care from the very beginning, this role allows you to make a meaningful difference without direct bedside care. Why Nurses Thrive in This Role: Apply your clinical knowledge to assess admission appropriateness and communicate effectively with care teams Collaborate closely with nursing leadership, physicians, hospitals, and referral sources Use your critical thinking skills to support safe, timely, and compliant admissions Enjoy a dynamic, fast-paced environment that values accuracy, organization, and strong communication What You'll Do: Manage a high-volume admissions process with confidence and professionalism Review and evaluate potential residents for clinical and financial eligibility Coordinate admission details from inquiry through arrival, ensuring a World Class experience Communicate clearly with residents, families, hospitals, and interdisciplinary teams Verify insurance, benefits, and required documentation Organize timelines, clinical information, and paperwork with exceptional attention to detail Ensure compliance with all regulatory and documentation requirements Participate in ongoing training, education, and occasional out-of-town sessions Preferred Qualifications: LPN or RN license strongly preferred Clinical experience in long-term care, skilled nursing, hospital, or post-acute settings is a plus Not a Nurse? You're Still Encouraged to Apply. Candidates with strong organizational skills, healthcare admissions experience, or a desire to learn healthcare eligibility and insurance processes will be fully supported with training. This Is More Than Admissions-It's Setting the Standard. Make a clinical impact from day one, shape first impressions, and deliver a World Class admissions experience at Tiffany Square. Some of Our Benefits Include: Low Health Care Premiums - Opportunities for FREE Prescription Drugs FREE Dental Insurance LOW Vision Insurance Rates FREE Life Insurance Earned Wage Access Short Term Disability Long Term Disability 100% Funded Health Savings Account for Individuals with Qualified Health Coverage Flexible Spending Accounts for Medical and Dependent Care Expenses Mileage Reimbursement FREE Employee Assistance Program with Continuum Employer Matched Retirement Savings Up to $30,000 in Education Benefits through Loan Repayment FREE On-Line Courses Paid Professional Continuing Education & License Paid Seminars and Training English as a Second Language (ESL) Education C.N.A. Training Reimbursement Paid Time Off and Sick Time Holiday Paid at Premium Rates Skill Expanding Learning Environment Amazing Work Environment Personal and Professional Growth Additional Voluntary Benefits Include: Accident Critical Illness Pet Insurance Legal Services Coverage Student Loan Consolidation Personal Loans Identity Theft Protection Auto and Home Insurance Access to Discount Program Admissions Coordinator (Nursing Background Preferred) Bring Your Nursing Knowledge Beyond the Bedside--Without Losing the Impact. At Tiffany Square, our Admissions Coordinators play a vital role in shaping the first step of a resident's journey. This position is ideal for LPNs or RNs looking to leverage their clinical expertise in a fast-paced, influential role--while still remaining open to highly organized, detail-driven professionals without a nursing background. If you understand clinical appropriateness, can think critically under pressure, and enjoy coordinating care from the very beginning, this role allows you to make a meaningful difference without direct bedside care. Why Nurses Thrive in This Role: Apply your clinical knowledge to assess admission appropriateness and communicate effectively with care teams Collaborate closely with nursing leadership, physicians, hospitals, and referral sources Use your critical thinking skills to support safe, timely, and compliant admissions Enjoy a dynamic, fast-paced environment that values accuracy, organization, and strong communication What You'll Do: Manage a high-volume admissions process with confidence and professionalism Review and evaluate potential residents for clinical and financial eligibility Coordinate admission details from inquiry through arrival, ensuring a World Class experience Communicate clearly with residents, families, hospitals, and interdisciplinary teams Verify insurance, benefits, and required documentation Organize timelines, clinical information, and paperwork with exceptional attention to detail Ensure compliance with all regulatory and documentation requirements Participate in ongoing training, education, and occasional out-of-town sessions Preferred Qualifications: LPN or RN license strongly preferred Clinical experience in long-term care, skilled nursing, hospital, or post-acute settings is a plus Not a Nurse? You're Still Encouraged to Apply. Candidates with strong organizational skills, healthcare admissions experience, or a desire to learn healthcare eligibility and insurance processes will be fully supported with training. This Is More Than Admissions--It's Setting the Standard. Make a clinical impact from day one, shape first impressions, and deliver a World Class admissions experience at Tiffany Square. Some of Our Benefits Include: Low Health Care Premiums -- Opportunities for FREE Prescription Drugs FREE Dental Insurance LOW Vision Insurance Rates FREE Life Insurance Earned Wage Access Short Term Disability Long Term Disability 100% Funded Health Savings Account for Individuals with Qualified Health Coverage Flexible Spending Accounts for Medical and Dependent Care Expenses Mileage Reimbursement FREE Employee Assistance Program with Continuum Employer Matched Retirement Savings Up to $30,000 in Education Benefits through Loan Repayment FREE On-Line Courses Paid Professional Continuing Education & License Paid Seminars and Training English as a Second Language (ESL) Education C.N.A. Training Reimbursement Paid Time Off and Sick Time Holiday Paid at Premium Rates Skill Expanding Learning Environment Amazing Work Environment Personal and Professional Growth Additional Voluntary Benefits Include: Accident Critical Illness Pet Insurance Legal Services Coverage Student Loan Consolidation Personal Loans Identity Theft Protection Auto and Home Insurance Access to Discount Program RequirementsQualified candidates will be passionate about customer service, friendly, high energy, detail oriented and have the ability to multi-task. They will possess high personal integrity, a caring attitude and portray a positive image. Computer skills are a plus!Admissions Coordinator (Nursing Background Preferred) Bring Your Nursing Knowledge Beyond the Bedside--Without Losing the Impact. At Tiffany Square, our Admissions Coordinators play a vital role in shaping the first step of a resident's journey. This position is ideal for LPNs or RNs looking to leverage their clinical expertise in a fast-paced, influential role--while still remaining open to highly organized, detail-driven professionals without a nursing background. If you understand clinical appropriateness, can think critically under pressure, and enjoy coordinating care from the very beginning, this role allows you to make a meaningful difference without direct bedside care. Why Nurses Thrive in This Role: Apply your clinical knowledge to assess admission appropriateness and communicate effectively with care teams Collaborate closely with nursing leadership, physicians, hospitals, and referral sources Use your critical thinking skills to support safe, timely, and compliant admissions Enjoy a dynamic, fast-paced environment that values accuracy, organization, and strong communication What You'll Do: Manage a high-volume admissions process with confidence and professionalism Review and evaluate potential residents for clinical and financial eligibility Coordinate admission details from inquiry through arrival, ensuring a World Class experience Communicate clearly with residents, families, hospitals, and interdisciplinary teams Verify insurance, benefits, and required documentation Organize timelines, clinical information, and paperwork with exceptional attention to detail Ensure compliance with all regulatory and documentation requirements Participate in ongoing training, education, and occasional out-of-town sessions Preferred Qualifications: LPN or RN license strongly preferred Clinical experience in long-term care, skilled nursing, hospital, or post-acute settings is a plus Not a Nurse? You're Still Encouraged to Apply. Candidates with strong organizational skills, healthcare admissions experience, or a desire to learn healthcare eligibility and insurance processes will be fully supported with training. This Is More Than Admissions--It's Setting the Standard. Make a clinical impact from day one, shape first impressions, and deliver a World Class admissions experience at Tiffany Square. Some of Our Benefits Include: Low Health Care Premiums -- Opportunities for FREE Prescription Drugs FREE Dental Insurance LOW Vision Insurance Rates FREE Life Insurance Earned Wage Access Short Term Disability Long Term Disability 100% Funded Health Savings Account for Individuals with Qualified Health Coverage Flexible Spending Accounts for Medical and Dependent Care Expenses Mileage Reimbursement FREE Employee Assistance Program with Continuum Employer Matched Retirement Savings Up to $30,000 in Education Benefits through Loan Repayment FREE On-Line Courses Paid Professional Continuing Education & License Paid Seminars and Training English as a Second Language (ESL) Education C.N.A. Training Reimbursement Paid Time Off and Sick Time Holiday Paid at Premium Rates Skill Expanding Learning Environment Amazing Work Environment Personal and Professional Growth Additional Voluntary Benefits Include: Accident Critical Illness Pet Insurance Legal Services Coverage Student Loan Consolidation Personal Loans Identity Theft Protection Auto and Home Insurance Access to Discount Program RequirementsQualified candidates will be passionate about customer service, friendly, high energy, detail oriented and have the ability to multi-task. They will possess high personal integrity, a caring attitude and portray a positive image. Computer skills are a plus! #hc213612
    $49k-59k yearly est. 5d ago
  • Nurse Liaison -Admissions

    Vetter Senior Living 3.9company rating

    Utilization review nurse job in Grand Island, NE

    Admissions Coordinator (Nursing Background Preferred) Bring Your Nursing Knowledge Beyond the Bedside--Without Losing the Impact. At Tiffany Square, our Admissions Coordinators play a vital role in shaping the first step of a resident's journey. This position is ideal for LPNs or RNs looking to leverage their clinical expertise in a fast-paced, influential role--while still remaining open to highly organized, detail-driven professionals without a nursing background. If you understand clinical appropriateness, can think critically under pressure, and enjoy coordinating care from the very beginning, this role allows you to make a meaningful difference without direct bedside care. Why Nurses Thrive in This Role: Apply your clinical knowledge to assess admission appropriateness and communicate effectively with care teams Collaborate closely with nursing leadership, physicians, hospitals, and referral sources Use your critical thinking skills to support safe, timely, and compliant admissions Enjoy a dynamic, fast-paced environment that values accuracy, organization, and strong communication What You'll Do: Manage a high-volume admissions process with confidence and professionalism Review and evaluate potential residents for clinical and financial eligibility Coordinate admission details from inquiry through arrival, ensuring a World Class experience Communicate clearly with residents, families, hospitals, and interdisciplinary teams Verify insurance, benefits, and required documentation Organize timelines, clinical information, and paperwork with exceptional attention to detail Ensure compliance with all regulatory and documentation requirements Participate in ongoing training, education, and occasional out-of-town sessions Preferred Qualifications: LPN or RN license strongly preferred Clinical experience in long-term care, skilled nursing, hospital, or post-acute settings is a plus Not a Nurse? You're Still Encouraged to Apply. Candidates with strong organizational skills, healthcare admissions experience, or a desire to learn healthcare eligibility and insurance processes will be fully supported with training. This Is More Than Admissions--It's Setting the Standard. Make a clinical impact from day one, shape first impressions, and deliver a World Class admissions experience at Tiffany Square. Some of Our Benefits Include: Low Health Care Premiums -- Opportunities for FREE Prescription Drugs FREE Dental Insurance LOW Vision Insurance Rates FREE Life Insurance Earned Wage Access Short Term Disability Long Term Disability 100% Funded Health Savings Account for Individuals with Qualified Health Coverage Flexible Spending Accounts for Medical and Dependent Care Expenses Mileage Reimbursement FREE Employee Assistance Program with Continuum Employer Matched Retirement Savings Up to $30,000 in Education Benefits through Loan Repayment FREE On-Line Courses Paid Professional Continuing Education & License Paid Seminars and Training English as a Second Language (ESL) Education C.N.A. Training Reimbursement Paid Time Off and Sick Time Holiday Paid at Premium Rates Skill Expanding Learning Environment Amazing Work Environment Personal and Professional Growth Additional Voluntary Benefits Include: Accident Critical Illness Pet Insurance Legal Services Coverage Student Loan Consolidation Personal Loans Identity Theft Protection Auto and Home Insurance Access to Discount Program
    $49k-62k yearly est. 2d ago
  • Hearthstone Nurse (LPN or RN) - Evening Shift

    York General 3.8company rating

    Utilization review nurse job in York, NE

    $15,000 Sign-On Bonus! We are looking for candidates who care. If you are innovative, compassionate, attentive, respectful, and want to achieve excellence, let's find your dream job at York General. Apply today to contribute to high quality patient care through all stages of life! Position Title: Long Term Care Licensed Practical Nurse (LPN) OR Registered Nurse (RN) - Full Time (FT) Department: LTC Nursing Reports to: Director of Nursing Services Nature of Work York General is looking for nurses who care about our residents and the families in our community! If you have a great bedside manner, want to build amazing relationships with our residents, and want to be a leader on the floor, this is an amazing opportunity for you! Highlights of the Position Excellent benefits package! Evening Shift - 8 hour shifts, 2:00pm - 10:30pm Employee-centered: York General was named Modern Healthcare's Best Place to Work for 12 years in a row! Resident-focused: Build rapport with residents and help them look and feel great! Be able to report changes in condition based on observations. Leadership opportunity: We want to help you grow in your career! This is a great chance to take the lead on the floor! What You Will Do Provide nursing care to residents including but not limited to the administration of medications and treatments, collecting information, reporting and documenting that information within an LPN scope of practice. Monitor and identify changes in conditions of residents with respect to medical condition, physical symptoms, behaviors, psycho-social needs, and moods. Initiate these conversations with Nurse Coordinators, House Supervisor, Physicians, and families/responsible parties. Provide supervision of nursing staff as assigned. Lead by example, provide education/direction, and monitoring of Medication Aides, Certified Nursing Assistants, Dining Assistants. Accept responsibility for supervising, directing and monitoring Medication Aides in their Med Aide responsibilities. Report accidents, incidents, and unusual occurrences to supervisor. Document as appropriate. Document and communicate professionally, thoroughly, timely, precisely and appropriately. Notify appropriate parties as indicated. Be a Team Leader. Serve as a liaison with Activity Director, Social Work, Dietary, Therapy, Environmental Services and other departments. Problem solve and address residents' concerns for quality-of-life issues, especially in the absence of the Nurse Coordinators. What You Need Leadership qualities, organizational skills, and good judgement abilities This position requires a graduation from an accredited school for Practical Nursing or its equivalent and hold a current license in the State of Nebraska. This position requires certification in BLS. Must provide care for and develop rapport with aged residents and demonstrate a genuine interest in nursing and a desire to attend the frail elderly. York General offers the following: $15,000 sign-on bonus for qualified candidates Attractive differentials for evening, night, and weekend shifts Loan forgiveness up to $30,000 Career advancement tuition assistance Excellent benefits packages LTC22
    $40k-55k yearly est. 60d+ ago
  • Post-Acute and LTC Nurse

    Hillcrest Health 3.7company rating

    Utilization review nurse job in Bellevue, NE

    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!
    $31.5-38 hourly 4d ago
  • ACT Nurse

    The Well Ne 4.1company rating

    Utilization review nurse job in Norfolk, NE

    Job Description ACT Nurse Reports to: ACT Team Leader FLSA Status: Full-Time Permanent, Non-exempt The ACT Nurse is a core member of The Well's Assertive Community Treatment (ACT) team, providing nursing care and integrated support to adults with serious mental illness (SMI). This role manages the medication system, administers and documents treatment, monitors health conditions and side effects, coordinates with outside providers, and promotes health education and prevention. The ACT Nurse also provides training to teammates on psychiatric symptoms and medications, and partners with clients to develop creative strategies for medication adherence. Because ACT is an interdisciplinary model, the Nurse must be highly collaborative, enjoying work alongside counselors, peer specialists, case managers, prescribers, and other staff. The ACT Nurse values the strengths of each discipline and sees the team itself as the treatment, ensuring that clients benefit from the full range of expertise the model offers. Until the ACT caseload grows to full fidelity, the Nurse may also assist with medication management for clients seeing The Well's psychiatric provider and support medication-related needs in residential programs. This is a full-time, in-person position based in Norfolk, NE, with frequent community travel to meet clients where they are. Core Values: · Show Up with Generosity: You are generous with your knowledge, sharing health education with the team and clients alike, and you approach each interaction with patience, empathy, and consistency. · Check the Ego: You embrace collaboration, welcome feedback, and share your expertise to support the whole team. · Embrace Diversity: You adapt your nursing care to respect each client's culture, identity, and lived experience and you value the diversity of your teammates' skills, recognizing that ACT works best when all voices contribute. · Grounded in Hope: You believe recovery is possible for every person, even in the face of serious challenges Qualifications Education & Credentials Licensed RN in Nebraska. At least one year working with adults with SMI. Clinical Skills Proficient in psychiatric nursing, medication administration, and side-effect monitoring. Familiar with screening tools and metabolic syndrome protocols. Knowledge of co-occurring conditions and trauma-informed, recovery-oriented care. Administrative Skills Accurate in eMAR and EHR documentation. Knowledge of HIPAA, 42 CFR Part 2, and ethical nursing standards. Professional Attributes Strong communication, teamwork, and problem-solving skills. Flexible, client-centered, and creative. Willing to adjust schedule for client needs. Key Responsibilities 1. Medication Management Manage all medication processes (ordering, refilling, packaging, storing, distributing). Administer oral and injectable medications; maintain injection schedules. Document services accurately and monitor for side effects. 2. Health Screening & Monitoring Perform assessments, vital signs, and lab tracking for metabolic syndrome. Monitor chronic conditions and preventive care needs. 3. Client Support & Education Develop individualized medication adherence strategies. Provide health education and support self-management. Accompany clients to appointments as needed. 4. Team Collaboration & Training Participate in daily meetings; share nursing insights. Train staff on medications and psychiatric symptoms. Coordinate care with internal and external providers. 5. Program Compliance & Quality Ensure documentation meets standards. Engage in quality improvement, maintain licensure, and complete required training. Support medication needs in other programs as assigned. Physical Requirements Frequent travel and community-based work. Regular sitting, standing, walking, and computer use. Occasionally lift up to 25 lbs. Must be adaptable to various environments.
    $44k-55k yearly est. 4d ago
  • Nursing - CCU

    Central 3.9company rating

    Utilization review nurse job in Omaha, NE

    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 ************
    $43k-52k yearly est. 4d ago
  • Nursing - 34306693

    Boone County Health Center 4.3company rating

    Utilization review nurse job in Albion, NE

    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 ************
    $50k-59k yearly est. 60d+ ago
  • Np - 20344814

    Faith Regional Health Services 4.7company rating

    Utilization review nurse job in Norfolk, NE

    The mission of Faith Regional Health Services is to serve Christ by providing all people with exemplary medical services in an environment of love and care. As a provider-led multispecialty healthcare team, Faith Regional Physician Services is committed to delivering high-quality, comprehensive services to the people of Northeast Nebraska. Job Summary: The FRPS Mid-Level provider (NP or PA) will be responsible for the comprehensive clinical evaluation of a wide variety of medical patients. The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization. Essential Organizational Duties and Responsibilities: • Promotes organizational mission, vision and values. Demonstrates respect and regard for dignity of all patients, families, visitors, and co-workers to ensure a professional, responsible and courteous environment. Maintains a high level of professional responsibility and performance outlined in Faith Regional Health Services Performance Standards. Promotes effective working relationships and works effectively as part of a department team (inter- and intradepartmental) to facilitate the department's/clinic's ability to meet its goals and objectives. • Maintains current knowledge/certification/licensure per organization policy. Pursues professional growth and development. o Practices within legal boundaries of nurse practice act and according to organization policy and procedures. o Attends continuing education programs in order to maintain licensure. Attends organization sponsored training programs as required. o Maintains certifications as determined by department/clinic policy. • Functions as role model for current and new staff. o Facilitates problem resolution among coworkers as observed by management and peers. o Demonstrates a constructive approach during all interactions with coworkers and management toward the organization. o Promotes the profession of healthcare workers in the community. o Presents neat appearance in proper attire and identification as required by the position, department and the organization. o Continuously displays a positive attitude within the department/clinic and across departmental lines to contribute to the overall customer service program. o Serves in committees and assist with programs of the hospital to constantly improve the quality of health care and promote good public relations. • Completes all required safety training programs and can describe his or her responsibilities related to general safety, department/service safety, and specific job-related hazards. • Understands and adheres to Faith Regional Health Services Corporate Compliance Plan, Personal Conduct Policy, Safe Environment policy, Grievance Process, Confidentiality, Safety & Security, Infection Control, HIPAA and other departmental and organizational policies, procedures and guidelines. • Must be able to remain awake and alert during working hours. Physical presence at facility is required during scheduled working hours to perform job functions. Work in a timely manner, within the time allotted for the shift per census count. • Performs other duties as assigned. • Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary. • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Job Requirements: • The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. EDUCATION (Minimum Requirements for Position): • Graduate of an accredited program of study, required EDUCATION FIELD OF STUDY (If Applicable): • Nurse Practitioner or Physician Assistant, required CERTIFICATES, LICENSES, REGISTRATIONS: Required • If Nurse Practitioner, current, valid Registered Nurse (RN) license and Advanced Practice Registered Nurse (APRN) license; or if Physician Assistant, current, valid Physician Assistant (PA) license • Basic Life Support (BLS) obtained within one full month from date of hire (Travelers - required upon hire) Previous Experience Requirements: EXPERIENCE: • 3 years of previous experience in field, preferred
    $45k-59k yearly est. 29d ago
  • Drug Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Utilization review nurse job in Omaha, NE

    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.
    $53k-62k yearly est. 60d+ ago
  • Temporary Flight Nurse

    Air Methods 4.7company rating

    Utilization review nurse job in Columbus, NE

    Join us in the enchanting town of Columbus, for an extraordinary career as a Flight Nurse with Air Methods. Nestled amidst the majestic landscapes of Columbus, NE offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic Nebraska landscape, enhancing the experience of your daily work. Join us in Columbus, where every flight underscores our commitment to excellence and safety in medical transport. Experience the thrill of flight while making a significant impact on the well-being of those in need in this dynamic and culturally rich community. Responsibilities Job Summary Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities include the following: * Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. * Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. * Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests. * Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed. * Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). * Participates in patient and referring institution follow-up and in planned outreach marketing and education activities * Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives. * Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities). * Other Duties as assigned. Additional Job Requirements * Regularly scheduled attendance * Indicate the percentage of time spent traveling: 5% * Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities * This position has no supervisory responsibilities. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions. Education & Experience * Graduate of an accredited School of Nursing * Bachelor's degree in a health-related field preferred but not required * Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations * Pre-hospital experience preferred * Flight experience is not required but is a plus! Operation and Safety Requirements: * As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards * Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels * Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task * Ability to work a flexible schedule, including overtime and 24/7 on-call rotation * Dependable and self-motivated while working in a frequently changing environment * Excellent communication and presentation skills, both written and verbal Computer Skills * Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations * Current RN license(s) for states of practice * EMS or MICN certification/licensure as required by state regulations * Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required) * If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation Other certification requirements: * Specialty certification (CFRN or CEN) are required within 24 months of hire * Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training * NRP certification before completion of the third-rider orientation * NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training Benefits Air Methods is proud to offer a comprehensive benefits package created with the diverse needs of our teammates in mind: * Health, Dental and Vision * Competitive 401(k) Retirement Plan * Flexible Spending Account Benefit Plans * Tuition Reimbursement * Full Company-Paid Life Insurance * AD&D Insurance * Short-Term and Long-Term Disability Insurance * Business Travel Accident Insurance * Voluntary Legal * Relocation Assistance * Employee Assistance and Benefit Concierge Service Programs Minimum pay USD $77,750.40/Yr. Maximum Pay USD $95,022.72/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $77.8k-95k yearly 60d+ ago
  • Hearthstone Nurse (LPN or RN) - Night Shift

    York General 3.8company rating

    Utilization review nurse job in York, NE

    $15,000 Sign-On Bonus! We are looking for candidates who care. If you are innovative, compassionate, attentive, respectful, and want to achieve excellence, let's find your dream job at York General. Apply today to contribute to high quality patient care through all stages of life! Position Title: Long Term Care Licensed Practical Nurse (LPN) OR Registered Nurse (RN) - Full Time (FT) Department: LTC Nursing Reports to: Director of Nursing Services Nature of Work York General is looking for nurses who care about our residents and the families in our community! If you have a great bedside manner, want to build amazing relationships with our residents, and want to be a leader on the floor, this is an amazing opportunity for you! Highlights of the Position Excellent benefits package! Night Shift - 8 hour shifts, 10:00pm - 6:30am Employee-centered: York General was named Modern Healthcare's Best Place to Work for 12 years in a row! Resident-focused: Build rapport with residents and help them look and feel great! Be able to report changes in condition based on observations. Leadership opportunity: We want to help you grow in your career! This is a great chance to take the lead on the floor! What You Will Do Provide nursing care to residents including but not limited to the administration of medications and treatments, collecting information, reporting and documenting that information within an LPN scope of practice. Monitor and identify changes in conditions of residents with respect to medical condition, physical symptoms, behaviors, psycho-social needs, and moods. Initiate these conversations with Nurse Coordinators, House Supervisor, Physicians, and families/responsible parties. Provide supervision of nursing staff as assigned. Lead by example, provide education/direction, and monitoring of Medication Aides, Certified Nursing Assistants, Dining Assistants. Accept responsibility for supervising, directing and monitoring Medication Aides in their Med Aide responsibilities. Report accidents, incidents, and unusual occurrences to supervisor. Document as appropriate. Document and communicate professionally, thoroughly, timely, precisely and appropriately. Notify appropriate parties as indicated. Be a Team Leader. Serve as a liaison with Activity Director, Social Work, Dietary, Therapy, Environmental Services and other departments. Problem solve and address residents' concerns for quality-of-life issues, especially in the absence of the Nurse Coordinators. What You Need Leadership qualities, organizational skills, and good judgement abilities This position requires a graduation from an accredited school for Practical Nursing or its equivalent and hold a current license in the State of Nebraska. This position requires certification in BLS. Must provide care for and develop rapport with aged residents and demonstrate a genuine interest in nursing and a desire to attend the frail elderly. York General offers the following: $15,000 sign-on bonus for qualified candidates Attractive differentials for evening, night, and weekend shifts Loan forgiveness up to $30,000 Career advancement tuition assistance Excellent benefits packages LTC22
    $40k-55k yearly est. 60d+ ago
  • Np - 15488466

    Faith Regional Health Services 4.7company rating

    Utilization review nurse job in Norfolk, NE

    The mission of Faith Regional Health Services is to serve Christ by providing all people with exemplary medical services in an environment of love and care. As a provider-led multispecialty healthcare team, Faith Regional Physician Services is committed to delivering high-quality, comprehensive services to the people of Northeast Nebraska. Summary: The Advanced Care Practitioner will be responsible for the comprehensive clinical evaluation of a wide variety of medical patients. Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    $45k-59k yearly est. 60d+ ago

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