- Evolent (Madison, WI)
- …staff and Field Medical Directors. **What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not pass the ... for the culture. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a...record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities… more
- Evolent (Madison, WI)
- …staff and Field Medical Directors. **What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not pass the ... company behind it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a...record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities… more
- Molina Healthcare (Green Bay, WI)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service… more
- Wolters Kluwer (Madison, WI)
- …on the posting) **OVERVIEW** We are seeking a strategic and results-driven Manager, Clinical Content - Nursing to lead a high-performing team of Integration Nurse ... and client success. This role will report to the Associate Director, Clinical Content. **RESPONSIBILITIES** + Lead and manage a team to integrate Lippincott… more
- Fresenius Medical Center (Green Bay, WI)
- …provided with support and extensive leadership training. **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient ... care is delivered while maintaining clinical operations. As the facility leader, you will be...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Molina Healthcare (Milwaukee, WI)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... in consistent and efficient manner. + Makes appropriate referrals to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care… more
- Wolters Kluwer (Madison, WI)
- … Content Specialist - Nursing, you will work closely with the PreView & ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX ... person. + Run evaluations, send to facilitator PreView & ReView Content Management Consultant/Senior Clinical Content Specialist...the platform for new products. + Collaborate with the nurse educator team to evaluate practices and processes in… more
- Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
- Summary The Quality, Safety and Value Nurse Manger supports functions led by the QSV Department including: Infection Control, Performance Improvement, Quality ... Management, Accreditation, External Review , Patient Safety, High Reliability, Risk Management, Utilization Management and (admin) support staff. The QSV NM directs… more
- Marshfield Clinic (Marshfield, WI)
- …Two years hospital nursing experience Those inpatient facilities participating in the Clinical Nurse Advancement Portfolio (CNAP) clinical ladder, refer ... Repayment Program. To learn more about program eligibility, application process and expectations please review the Nurse Corp Loan Repayment page: Apply to the … more
- Marshfield Clinic (Marshfield, WI)
- …Two years' hospital nursing experience. Those inpatient facilities participating in the Clinical Nurse Advancement Portfolio (CNAP) clinical ladder, refer ... Repayment Program. To learn more about program eligibility, application process and expectations please review the Nurse Corp Loan Repayment page: Apply to the … more