Medicaid Review Nurse - Central Office

State of Nebraska Lincoln, NE 68522, US

$40 / hour

The work we do matters!

Hiring Agency:

Correctional Services - Agency 46

Location:

Lincoln, NE

Hiring Rate:

$40.000

Job Posting:

JR2026-00028692 Medicaid Review Nurse - Central Office (Open)

Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):

08-29-2026

Job Description:

We want you to join our team! IMMEDIATE OPENING
✨Starting wage $40.000/hour. Additional $3.00/hour facility differential for hours worked.
• 13 paid holidays
• Vacation and sick leave (24 days your first year, accruing immediately)
• Military leave
• 156% state-matched retirement
• Tuition reimbursement
• Employee assistance program
• 79% employer paid health insurance plans
• Dental and vision insurance plans
• Employer-paid $20,000 life insurance policy
• Public Service Loan Forgiveness Program (PSLF) eligible through the Federal
government
• Meaningful public service -- service with a purpose!
• Numerous training and development opportunities

The Nebraska Department of Correctional Services (NDCS) employs nearly 2,300 team members operating institutions statewide, which house approximately 5,800 inmates. The department's focus includes inmate programming and education, physical and behavioral health care, re-entry services, and community programs, and is accredited by the American Correctional Association (ACA). Candidates will model the NDCS values of integrity, respect, compassion, growth, and excellence as we accomplish our mission, "Keep people safe."

Information about the Department can be found at: www.corrections.nebraska.gov. For Americans with Disabilities Act (ADA) accommodations, please contact Megan Jones at megan.jones@nebraska.gov.

DUTIES:
*The Medicaid Review Nurse manages and processes all Medicaid applications for NDCS incarcerated individuals. This role also coordinates Medicaid eligibility, enrollment, authorizations, covered services, and continuity of care.
*Responsibilities include assisting with applications and renewals, supporting hospital and discharge planning, and addressing coverage issues.
*The Medicaid Review Nurse uses nursing knowledge to identify services eligible for Medicaid reimbursement, monitor utilization and expenditures, and support cost-saving strategies.
*In addition, the position performs quality control duties for internal and external medical services.
*Medicaid Nurse will need to adapt to changing priorities and assist with additional duties as needed.

Requirements / Qualifications:

Minimum Qualifications: A current license to practice as a Licensed Practical Nurse in Nebraska or authority based on the Nurse Licensure Compact to practice as a Licensed Practical Nurse in Nebraska is required.

Preferred:

Demonstrates proficiency in data entry, including accurate and timely entry of information into applicable systems, spreadsheets, and databases. Must possess strong keyboarding skills and the ability to maintain a high level of accuracy while processing information efficiently.
Prior experience working with Medicaid applications, eligibility determination, or Medicaid reimbursement processes.
Experience with utilization review, CQI processes, or peer review practices.
Experience using electronic health record, tracing systems, or medical claims databases.
Experience reviewing, processing, and tracking applications, medical records, or similar complex paperwork requiring attention to detail and accuracy.
Experience in correctional healthcare, public health, or working with justice-involved populations.

Other: Must possess a valid driver's license. Must be able to lift up to 50 lbs. with assistance. Will complete four to eight weeks of on-the-job training. Must submit to security background check. Applicants accepting a job offer must pass the pre-employment medical examination and a drug test. Once at the Staff Training Academy, must successfully complete the fully paid NDCS Pre-service Training Program.

If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/

Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

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