American National Red CrossClinical Services Nurse Specialist American National Red CrossClinical Services Nurse SpecialistOmaha, NEPerform all phases of therapeutic apheresis procedures (plasma exchange, red cell exchange, platelet, and white cell reduction, photopheresis, and hematopoietic progenitor cell collection), to ensure safe and appropriate care of the patient and explain, as needed, the procedures for patients and their family and other attending healthcare professionals. AmeriCorps, the federal agency that brings people together through service, and its partners — the Peace Corps, AmeriCorps Alums, National Peace Corps Association, and the Service Year Alliance — launched Employers of National Service to connect national service alumni with opportunities in the workforce.
Fusion Medical StaffingNewTravel ER RN Fusion Medical StaffingTravel ER RNOmaha, NE$1,992–$2,119This role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. Collaborate effectively with interdisciplinary teams including physicians, specialists, paramedics, social workers and other support staff to ensure comprehensive care .
SevitaNewRegistered Nurse SevitaRegistered NurseShelby, IAThe Registered Nurse is responsible for providing nursing services, training, and support to address the medical or psychiatric needs of individuals with developmental disabilities, acquired brain injuries, substance abuse issues and/or emotional or behavioral challenges. Develops training flow charts specific to each individual receiving services, provides and documents medical skills training to clients, mentors, respite providers, staff, and where appropriate, the biological family .
Signature Performance, Inc.Prior Authorization Specialist - Remote/Nationwide Signature Performance, Inc.Prior Authorization Specialist - Remote/NationwideOmaha, NERemote$22–$25 / hourFull timeYou are a person who is passionate about working closely with Patient, Patient Access, Payers, and Providers' office to validate insurance plans, eligibility, and orders to procure required prior authorizations. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself.
Cedarhurst Senior LivingNurse Specialist Cedarhurst Senior LivingNurse SpecialistOmaha, NEThis role partners with Executive Directors, Directors of Nursing/Memory Care Directors and interdisciplinary teams to promote quality care, regulatory compliance, and best practices across assisted living and memory care settings. The Regional Nurse Specialist regularly travels to communities to assess clinical systems, mentor nursing leaders, support surveys, and drive continuous improvement initiatives.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Omaha, NERemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
ImmanuelClinical Documentation Integrity Specialist Nurse ImmanuelClinical Documentation Integrity Specialist NurseOmaha, NebraskaCollaborate and provide on-going education and training with providers and interdisciplinary team members to clarify documentation and improve coding accuracy and the importance of complete, accurate chart documentation to support reimbursement. Immanuel Pathways PACE® is seeking a Clinical Documentation Integrity Specialist Nurse to join our team at our Home Office, located at 1044 North 115th Street in Omaha, NE.
Nebraska MedicineNurse Practitioner - Poison Center Specialist Nebraska MedicineNurse Practitioner - Poison Center SpecialistOmaha, NEDoctor of Pharmacy (PharmD), Nurse Practitioner, or Physician Assistant degree required OR Bachelor's degree in nursing or Associate's degree in nursing (ADN) with 25 years of nursing experience OR pharmacy degree with national certification as a specialist in poison information (CSPI) and a minimum of five years of recent poison center specialist experience required. This role includes conducting comprehensive exposure evaluations, determining severity and appropriate level of care, guiding emergency and inpatient management, and collaborating closely with physicians, emergency departments, and other healthcare providers to ensure optimal patient outcomes.
Suncrest HospiceHospice Field Admissions Specialist - Registered Nurse (RN) Suncrest HospiceHospice Field Admissions Specialist - Registered Nurse (RN)Omaha, NebraskaDetails: The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
Suncrest Hospice LLCNewHospice Field Admissions Specialist Registered Nurse (RN) Suncrest Hospice LLCHospice Field Admissions Specialist Registered Nurse (RN)Omaha, NEThe Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
Nebraska Department of EducationCertified Specialist - School Nurse - Papillion La Vista Community Schools Nebraska Department of EducationCertified Specialist - School Nurse - Papillion La Vista Community SchoolsPapillion, NEYou can learn more about Papillion La Vista Community Schools on our district website: https://www.plcschools.org/ or follow us on any of our social media platforms. Contact Information Papillion La Vista Community Schools 420 South Washington Street Papillion, NE 68046 https://www.plcschools.org
ComplexCare SolutionsNewNurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Council Bluffs, Iowa$2,400–$10,000 / yearAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Science 37NewPer Diem Clinical Research Nurse - Home Visits Science 37Per Diem Clinical Research Nurse - Home VisitsOmaha, NE$50–$55 / hourWith interest/expertise in Science 37's decentralized model of care delivery, the Mobile Research Nurse will perform delivery of care to participants as well as collaborate with brick and mortar sites, if indicated, for shared clinical trial implementation. Science 37's Nursing Solutions Group brings together expert nurses who share a passion for organizing, planning and implementing mobile clinical nurse services to participants in clinical trials.
Forefront DermatologyNurse - Clinical Assistant Forefront DermatologyNurse - Clinical AssistantOmaha, NebraskaThe RN will play a key role in delivering high-quality patient care by assisting providers with dermatologic procedures, performing clinical assessments, educating patients on skin health and treatment plans, and supporting efficient clinic operations. The ideal candidate is a patient-focused professional with strong clinical judgment, excellent communication skills, and the ability to work in a fast-paced outpatient dermatology environment.
University of Nebraska Medical CenterAdvanced Surgical Simulation Specialist I University of Nebraska Medical CenterAdvanced Surgical Simulation Specialist IOmaha, NE$51,000–$76,500 / yearPosting Category Healthcare Working Title Advanced Surgical Simulation Specialist I Job Title Health Care Specialist Salary Grade HC22S Appointment Type B1 - REG MGR PROF SALARY Salary Range $51,000 - $76,500/annual Job Requisition Begin Date 05/21/2026 Application Review Date 05/28/2026 Review Date Information: Initial application review will begin on the date provided in the field above. Preferred Computer Applications: Not Applicable Preferred Other Computer Applications: Simulation software (i.e. CAE, Gaumard, Laerdal, etc) Preferred Additional Knowledge, Skills and Abilities: Demonstrated knowledge and application of instructional design principles, learning theory, online learning strategies, and technology integration.
Father Flanagan's Boys' HomeAccreditation/Regulatory Specialist Hospital Services Father Flanagan's Boys' HomeAccreditation/Regulatory Specialist Hospital ServicesOmaha, NEWork collaboratively with Boys Town National Research Hospital leadership to build effective programs for the achievement of ongoing readiness for accrediting/regulatory reviews for the Surgery Center and the Inpatient Units. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference.
Quipt Home Medical CorpRespiratory Clinical Sales Specialist Quipt Home Medical CorpRespiratory Clinical Sales Specialistomaha, NEResponsible for product and clinical application presentations to customers and physicians to increase customer's knowledge base on all respiratory/ventilation product lines and the latest information available on pulmonary disease management. A strong well-rounded Respiratory Therapist who has therapy solutions for all patients transiting home with respiratory conditions and can provide support, education, and interventions to keep them there.
Syneos - Commercial - ProdGastroenterology/IBD Advanced Practice Provider Specialist Syneos - Commercial - ProdGastroenterology/IBD Advanced Practice Provider SpecialistOmaha, NEThe APP Specialist, Gastroenterology is responsible for proactively& compliantly engaging with HCPs at a local level to identify marketplace needs, provide disease state and product education, and to support HCPs in appropriate utilization of our client’s access and fulfilment resources. Advanced Practice Providers (Nurse Practitioners /Physician Assistants) are a growing and critical segment of healthcare providers (HCPs) delivering patient care.
Monogram HealthNurse Practitioner/Physician Assistant Monogram HealthNurse Practitioner/Physician AssistantCouncil Bluffs, IAMonogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth.
Nebraska MedicineNPD Specialist Cath Lab/IR Nebraska MedicineNPD Specialist Cath Lab/IROmaha, NEJob Summary: Develop, coordinate, implement, and evaluate processes to meet the educational, development and competency need of nursing and nursing support staff through effective use of a variety of learning activities. Basic Life Support (BLS) certification required, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later).
University of Nebraska Medical CenterPediatric Research Nurse Coordinator I University of Nebraska Medical CenterPediatric Research Nurse Coordinator IOmaha, NE$64,300–$96,500 / yearPosting Category Healthcare Working Title Pediatric Research Nurse Coordinator I Job Title Health Care Specialist Salary Grade HC24S Appointment Type B1 - REG MGR PROF SALARY Salary Range $64,300 - $96,500/annual Job Requisition Begin Date 12/22/2025 Application Review Date 01/22/2026 Review Date Information: Initial application review will begin on the date provided in the field above. Assure performance of behaviors that meet the requirements of the UNMC culture including: demonstrates behavior that fosters a positive team environment, demonstrates behaviors that promote diversity, applies continuous quality improvement principles, seeks the customers requirements and strives to meet them, and designs personal action plan for personal and professional development.
Molina Healthcare IncSpecialist, Clinical Implementations Molina Healthcare IncSpecialist, Clinical ImplementationsOmaha, NEActs as a liaison between clinical, technical, and administrative teams, focused on planning and executing implementations that fit existing workflows while supporting patient care and operational efficiency. Provides subject matter expertise and leads the deployment and integration of clinical programs, technologies, and workflows, ensuring alignment with regulatory requirements and organizational goals.
Cardinal Health IncRegion Director Sales, Nursing Care Products Cardinal Health IncRegion Director Sales, Nursing Care ProductsOmaha, NE$193,000–$241,000 / yearThe Region Director Sales, Nursing Care Products, is responsible for leading a team of sales specialists who are responsible for advancing the Cardinal Health Nursing Care product portfolio by utilizing solution-based concept selling skills to the Acute Care Hospital marketplace within their assigned territory. Responsibilities: Drive Regional Growth: Lead strategic sales execution across the region to achieve and exceed territory and customer-specific revenue objectives, supporting both existing accounts and new business development.
HealthfirstAppeals and Grievances Clinical Specialist HealthfirstAppeals and Grievances Clinical SpecialistNE$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case.
ImmanuelClinical Nurse Consultant (Community Based Senior Settings) ImmanuelClinical Nurse Consultant (Community Based Senior Settings)Omaha, NebraskaIn this role, you’ll serve as a clinical expert and strategic partner—leading quality initiatives, supporting regulatory compliance, and coaching clinical teams to deliver exceptional resident care. Provides a diverse range of clinical expertise, tools and specialized consulting to nurses and staff, ensuring they are empowered and accountable for high quality, evidence-based care.
Bristol Myers SquibbSenior Therapeutic Area Specialist, Oncology- Omaha, NE Bristol Myers SquibbSenior Therapeutic Area Specialist, Oncology- Omaha, NEOmaha, NE$144,500–$175,100 / yearAs this position requires the operation of a Company-provided vehicle, offers of employment are contingent upon the candidate meeting the requirements of “Qualified Driver,” as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver’s license in good standing issued by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
CommonSpirit HealthNeonatal Nurse Practitioner CommonSpirit HealthNeonatal Nurse PractitionerOmaha, NE$73.96–$86.28 / hourThe Neonatal Nurse Practitioner (NNP) is responsible for providing direct clinical care in a Neonatal ICU inpatient setting and conducts medical histories, performs complete physical examinations, initiates appropriate lab, radiology tests and other special tests required for evaluation. Catholic Health Initiatives (CHI) is a member of CommonSpirit Health, a nonprofit, Catholic health system committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happenboth inside our hospitals and out in the community.
CommonSpirit HealthInfusion RN CommonSpirit HealthInfusion RNOmaha, NEProvides direct patient care, evaluates outcomes, collaborate with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care. Our level I trauma center and academic medical center campus is designed to heal the body, mind, and spirit of every person in a more comfortable, less stressful hospital environment.
Nebraska Methodist Health SystemNewPre-Access Specialist I Nebraska Methodist Health SystemPre-Access Specialist IOmaha, NEIt's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility.
Nebraska Methodist Health SystemNewNeonatal Feeding Specialist - 32 Hours/Week - Days Nebraska Methodist Health SystemNeonatal Feeding Specialist - 32 Hours/Week - DaysOmaha, NEIt's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. Provide a variety of services to premature and medically complex infants in the Neonatal Intensive Care Unit (NICU) or Newborn Nursery related to feeding difficulties.
ArchWell Health LLCSpecialist, Care Management ArchWell Health LLCSpecialist, Care ManagementOmaha, NEWorks collaboratively with Nurse Care Managers, Chronic Disease Managers, healthcare providers, and center teams to provide patient support and address non-clinical needs. Job Summary: Reporting to the Care Management Team Lead, the Care Management Specialist is responsible for assisting Nurse Care Managers and Chronic Disease Managers in coordinating and delivering high-quality care to patients.
DaVita IncNewEngagement Specialist - Omaha, NE DaVita IncEngagement Specialist - Omaha, NEOmaha, NERemote$17–$23 / hourPerform outbound calls to patients, caregivers, and clinics for CHE scheduling, reminders, and rescheduling; schedule telehealth CHEs for patients unable to attend in person. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.
Monogram Health Professional ServicesNurse Practitioner/Physician Assistant Monogram Health Professional ServicesNurse Practitioner/Physician AssistantCouncil Bluffs, IAPart timeMonogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high‑quality in‑home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs.
ChanceLight IncBehavior Specialist ChanceLight IncBehavior SpecialistLa Vista, NEThis position always focuses first on proactive strategies when working with challenging behaviors and is immediately available to respond to crisis situations with the ability to de-escalate students using CPI strategies, behavioral contracts and interventions documented in student's behavioral intervention plan, if applicable. ChanceLight Behavioral Health, Therapy, & Education, a growing, dynamic organization with a social mission to offer hope, is seeking a Behavior Specialist to join our award-winning Special Education team and perform meaningful work in a culture that welcomes innovation, encourages creative expression and offers limitless potential for personal and professional satisfaction!
Think Whole Person HealthcareNurse Practitioner-Family Medicine Think Whole Person HealthcareNurse Practitioner-Family MedicineOmaha, NEAdvanced Practice Provider (APP) who has completed the necessary education for certification and unrestricted licensure as a Physician Assistant or Nurse Practitioner required. Consult and collaborate with supervising or collaborating physicians regarding abnormal findings, complex conditions, or cases outside scope of practice.
TriWest Healthcare AllianceClinical Education Training Specialist TriWest Healthcare AllianceClinical Education Training SpecialistOmaha, NERemoteFull timeAssist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.
Nebraska MedicineClinic Nurse - Part Time - Executive Wellness at Village Pointe Nebraska MedicineClinic Nurse - Part Time - Executive Wellness at Village PointeOmaha, NEYou'll help provide one of the most comprehensive annual physical experiences available, supporting executives with personalized guidance, seamless coordination, and a level of attention that empowers them to take charge of their health with confidence. Leading Health Network Work with the region's top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
Army National Guard of the United StatesNew68W Health Care Specialist Army National Guard of the United States68W Health Care SpecialistCouncil Bluffs, IA$200–$250 / weekYou will address the health care needs of civilians after natural disasters or civil emergencies; treat injuries and illnesses suffered by Soldiers through the administration of immediate emergency care and ongoing care; and support and manage medical readiness, supplies, and equipment. Through your training, you will develop the skills and experience to enjoy a civilian career with civilian hospitals, clinics, nursing homes, or rehabilitation centers.
CommonSpirit HealthCardiac Rehab RN CommonSpirit HealthCardiac Rehab RNOmaha, NEEvery day, you will expertly assess complex cardiac conditions, meticulously monitor patient progress, and collaborate seamlessly with our multidisciplinary team to optimize healing and long-term wellness plans, ensuring no two days are alike. Administers nursing care to inpatient and outpatient cardiopulmonary rehabilitation participants; includes assessment, planning, implementation, and evaluation of the patient's plan of care in coordination with the physician.
Clarkson CollegeHIM Senior Specialist Clarkson CollegeHIM Senior SpecialistOmaha, NEHIM Spec Sr will be responsible for function(s) (as assigned by HIM Leadership to include not limited to, prepping, scanning and/or QX/Indexing) within Document Imaging to ensure records are prepped, scanned and QC/Indexed into the Document Management Solution/EMR in a timely manner. Document Chart Analysis (Records/Hr by patient type): Analyze medical records for completion; assign and reassign provider deficiencies as needed in accordance with regulatory guidelines and in compliance with facility timely completion policy (as assigned by HIM Leadership).
Bristol-Myers Squibb CoNewSenior Therapeutic Area Specialist, Oncology - Omaha, NE Bristol-Myers Squibb CoSenior Therapeutic Area Specialist, Oncology - Omaha, NEOmaha, NERemote$144,500–$175,100 / yearAs this position requires the operation of a Company-provided vehicle, offers of employment are contingent upon the candidate meeting the requirements of "Qualified Driver," as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver's license in good standing issued by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Taylor Strategy PartnersTherapeutic Sales Specialist Taylor Strategy PartnersTherapeutic Sales SpecialistOmaha, NERemoteEffectively articulate features of the client’s portfolio of products, including approved uses, benefits, safety, and efficacy, with an emphasis on which products are best suited for particular patient profiles or circumstances. As a Therapeutic Sales Specialist, you’ll represent the client within an assigned territory, with the goal of maximizing product sales through transferring a strong value proposition for our dermatology portfolio to stakeholders.
Regeneron Pharmaceuticals IncMedical Specialist I-(Gastro)-Omaha, NE Regeneron Pharmaceuticals IncMedical Specialist I-(Gastro)-Omaha, NEOmaha, NE$143,500–$187,500 / yearA typical day may include the following: A core responsibility of the MS will be to collaborate with their district colleagues, alliance counterparts, as well as other field-based and home office personnel teams to proactively address customer needs, market dynamics and trends and develop strategies which support brand and corporate objectives within their assigned geography. The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterology, and be responsible for engaging Gastroenterologists and other key customers within an assigned geographical universe, presenting clinically focused selling messages to create and grow revenue, and consistently delivering product goals.
CommonSpirit HealthNeurosurgeon - Spine CommonSpirit HealthNeurosurgeon - SpineOmaha, NE$800,000–$900,000 / yearThe Neuroscience Institute integrates leading medical experts in the subspecialties of neurology, neuroradiology, neuro-critical care, radiation oncology and neurosurgery to offer highly advanced care for patients with the most complex neurological disorders. CHI Health Clinic and Creighton University School of Medicine is seeking a quality-driven, patient-centered BE/BC General Neurosurgeon with a Spine Focus to join our progressive and rapidly expanding Neuroscience Institute in Omaha, Nebraska.
TriWest Healthcare AllianceClinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerOmaha, NERemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.