Talent.com
Texas Licensed Clinical Policy Manager

Texas Licensed Clinical Policy Manager

VirtualVocationsLincoln, Nebraska, United States
22 hours ago
Job type
  • Full-time
Job description

A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.

Key Responsibilities

Evaluate vendor policy sets to ensure compliance with internal and external medical standards

Identify affordability opportunities within vendor policy sets and align them with departmental and organizational goals

Streamline vendor policies and processes to adhere to departmental strategies and track deliverables to meet SLAs and TAT

Required Qualifications

Bachelor's degree in a relevant field (PA, NP, APRN, BSN, or RN)

Active, unrestricted clinical license

4+ years of experience in clinical policy development or evaluation, specifically in health insurance

4+ years of experience in utilization management and / or clinical operations

Working knowledge of medical coding (CPT, ICD-10, HCPCS) and claims

Create a job alert for this search

Policy Manager • Lincoln, Nebraska, United States

Related jobs
  • Promoted
ENDOSCOPY Clinical Specialist, ESD (Kansas City, Missouri)

ENDOSCOPY Clinical Specialist, ESD (Kansas City, Missouri)

FUJIFILM CorporationLincoln, NE, United States
Full-time
The purpose of this role is to provide customer support of Fujifilm ES equipment in the Endoscopy department and / or specified departments by managing all relevant equipment, providing basic trouble...Show moreLast updated: 8 days ago
  • Promoted
Treatment Center Director / Program Manager

Treatment Center Director / Program Manager

BayMark Health ServicesLincoln, NE, United States
Full-time
Treatment Center Director / Program Director.BAART Programs is looking for an accountable, process oriented and efficient leader of operations for our Opiate Treatment Program.A great Treatment Cente...Show moreLast updated: 20 days ago
  • Promoted
Regional Director

Regional Director

NRC HealthLincoln, NE, US
Full-time
At NRC Health, we promise to help our customers bring Human Understanding to healthcare for their patients and communities. Our associates are at the heart of delivering that promise, so we promise ...Show moreLast updated: 30+ days ago
  • Promoted
Travel Long Term Care RN

Travel Long Term Care RN

Fusion Medical StaffingCrete, NE, US
Full-time
Fusion Medical Staffing is seeking a skilled Long Term Care for a 13-week travel assignment in Crete, Nebraska.As a member of our team, you'll have the opportunity to make a positive impact on the ...Show moreLast updated: 30+ days ago
Clinical Improvement Consultant

Clinical Improvement Consultant

Bryan HealthLincoln, Nebraska, United States, 68506
Full-time
Clinical Improvement Consultant.Responsible for planning, development, implementation, and ongoing use of health care information programs and data technology which support clinical quality needs, ...Show moreLast updated: 9 days ago
  • Promoted
Treatment Center Director / Program Manager

Treatment Center Director / Program Manager

BayMark Health Services CareersLincoln, NE, United States
Full-time
Treatment Center Director / Program Director.BAART Programs is looking for an accountable, process oriented and efficient leader of operations for our Opiate Treatment Program.A great Treatment Cente...Show moreLast updated: 30+ days ago
  • Promoted
Travel - MRI Tech

Travel - MRI Tech

Titan Medical GroupCeresco, NE, United States
Full-time
WHEN YOU WORK FOR US, WE WORK FOR YOU.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment you...Show moreLast updated: 30+ days ago
RN Home Health Case Manager - Fulltime or PRN - $7000 hire-on bonus for FT

RN Home Health Case Manager - Fulltime or PRN - $7000 hire-on bonus for FT

Johnson County HospitalTecumseh, NE, USA
Full-time
Quick Apply
Johnson County Hospital, Tecumseh, NE.Performs duties under general medical / nursing supervision and direction of the patient's provider and Home Health Director. Performs Case Management duties as w...Show moreLast updated: 30+ days ago
  • Promoted
ENDOSCOPY Clinical Specialist, ESD (Des Moines / Iowa)

ENDOSCOPY Clinical Specialist, ESD (Des Moines / Iowa)

FUJIFILM CorporationLincoln, NE, United States
Full-time
The purpose of this role is to provide customer support of Fujifilm ES equipment in the Endoscopy department and / or specified departments by managing all relevant equipment, providing basic trouble...Show moreLast updated: 8 days ago
Director of Nursing

Director of Nursing

Wilber Care CenterWilber, NE, USA
Full-time
Quick Apply
Join Wilber Care Center as a Director of Nursing!.Are you ready to lead with excellence and integrity? Wilber Care Center is seeking a. This is more than a job-it's a career where you can inspire, m...Show moreLast updated: 28 days ago
  • Promoted
BSDC ICF / DD Manager

BSDC ICF / DD Manager

Nebraska GovernmentBeatrice, NE, US
Full-time
The Beatrice State Developmental Center is seeking an Internal Care Facility Manager to lead a dedicated team providing care for individuals with intellectual disabilities.In this role, you will ov...Show moreLast updated: 4 days ago
  • Promoted
Clinical Growth Manager Lincoln, NELincoln, NE

Clinical Growth Manager Lincoln, NELincoln, NE

FayLincoln, NE, US
Full-time
Clinical Growth Manager Lincoln, NE.As a Clinical Growth Manager, you'll lead efforts to grow our referral network of healthcare providersfrom primary care to specialistsensuring more patients acc...Show moreLast updated: 30+ days ago
  • Promoted
Associate Client Manager - Employee Health & Benefits

Associate Client Manager - Employee Health & Benefits

Marsh McLennanLincoln, NE, US
Full-time
Associate Client Manager Employee Health & Benefits.Award-winning, inclusive, top workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people.More than 9,000 of t...Show moreLast updated: 24 days ago
Licensed Physical Therapist

Licensed Physical Therapist

Johnson County HospitalTecumseh, NE, USA
Full-time
Quick Apply
Johnson County Hospital (Tecumseh, NE).As a Licensed Physical Therapist, you will organize, plan, and implement physical therapy programs, working with patients to aid recovery from physical disabi...Show moreLast updated: 30+ days ago
  • Promoted
Manager Practice Operations - Gretna Clinic

Manager Practice Operations - Gretna Clinic

Methodist Health SystemGretna, NE, US
Full-time
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to ...Show moreLast updated: 4 days ago
Fully Licensed Mental Health Clinician

Fully Licensed Mental Health Clinician

Catalyst Behavioral HealthLincoln, Nebraska, United States
Full-time
Quick Apply
Catalyst Behavioral Health in Lincoln NE has an open office we are looking to fill! We are seeking a LIMHP or a Ph.D psychologist to join our team. A year ago, we moved to a smaller but brighter off...Show moreLast updated: 30+ days ago
  • New!
Client Services Manager

Client Services Manager

SpecialtyRxLincoln, Nebraska, United States
Full-time
Quick Apply
SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. SpecialtyRx takes pride in delivering personalized care and q...Show moreLast updated: 22 hours ago
  • Promoted
Infection Prevention and Control Technical Specialist - Remote

Infection Prevention and Control Technical Specialist - Remote

TradeJobsWorkForce68310 Beatrice, NE, US
Remote
Full-time
Infection Prevention and Control Technical Specialst Job Duties : Consolidate, review and revise Americares existing technical materials related to disease outb...Show moreLast updated: 30+ days ago
  • Promoted
Travel Nurse RN - ICU

Travel Nurse RN - ICU

Titan Medical GroupEagle, NE, United States
Full-time
WHEN YOU WORK FOR US, WE WORK FOR YOU.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment you...Show moreLast updated: 16 days ago
  • Promoted
Public Health Director

Public Health Director

Nebraska GovernmentLincoln, NE, US
Full-time
The Nebraska Department of Health and Human Services is seeking a strategic, results-oriented leader to serve as the Public Health Director. This senior leadership role is responsible for overseeing...Show moreLast updated: 13 days ago