- Marshfield Clinic (Minocqua, WI)
- …detail (United States of America) **Job Description:** **JOB SUMMARY** The Registered Nurse - Oncology utilizes the nursing process to assess, plan, implement and ... education and triage; and serves as a resource referral for patients. The nurse interacts with physicians, pharmacy, Clinic personnel, to provide optimal care to the… more
- Marshfield Clinic (Beaver Dam, WI)
- …specialties and subspecialties as well as over 13,000 employees in 65 clinical locations in 45 communities serving Wisconsin and Michigan's Upper Peninsula, ... MCHS centers on occasion. Coverage at non-primary sites consists of clinical situations similar to primary practice site. **JOB QUALIFICATIONS** **EDUCATION** _For… more
- Marshfield Clinic (Minocqua, WI)
- …at other MCHS centers on occasion. Coverage at non-primary sites consists of clinical situations similar to primary practice site. Employed W2 position. Hourly rate ... Accreditation._ **Minimum Required:** Graduate of an accredited school for nurse anesthetists. **Preferred/Optional:** None **EXPERIENCE** **Minimum Required:** None **Preferred/Optional:**… more
- Molina Healthcare (Milwaukee, WI)
- …member benefits, and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ... Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review . + Communicate and participate in meetings… more
- Marshfield Clinic (Columbus, WI)
- …functions as an important member of the healthcare team by providing basic clinical , clerical, and technical support to assist providers in planning for patients' ... within the department 4. Assists in policy and procedure development and review 5. May participate in interviews **Position will float to various clinics**… more
- Molina Healthcare (Green Bay, WI)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
- Oracle (Madison, WI)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
- Molina Healthcare (Racine, WI)
- …the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more
- Marshfield Clinic (Eau Claire, WI)
- …functions as an important member of the healthcare team by providing basic clinical , clerical, and technical support to assist providers in planning for patients' ... are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._ **Minimum… more
- Highmark Health (Madison, WI)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a ...- 5 years of related, progressive experience in a clinical setting **Preferred** + 1-3 years of experience in… more