- Marshfield Clinic (Park Falls, WI)
- …to support the most exciting missions in the world!** **Job Title:** Clinical Quality Nurse **Cost Center:** 301451016 MqaHos-Quality Improvement **Scheduled ... (United States of America) **Job Description:** **JOB SUMMARY** The Clinical Quality Nurse (CQN) in Quality and...for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to… more
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and… more
- Evolent (Madison, WI)
- …Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United ... mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance… more
- Cognizant (Madison, WI)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, ... determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with...have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical … more
- Elevance Health (Waukesha, WI)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… 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
- 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
- Marshfield Clinic (Marshfield, WI)
- …Two years' hospital nursing experience. Those inpatient facilities participating in the Clinical Nurse Advancement Portfolio (CNAP) clinical ladder, refer ... Program. To learn more about program eligibility, application process and expectations please review the Nurse Corp Loan Repayment page_** Apply to the … more