- Adecco US, Inc. (Sheboygan, WI)
- **Now Hiring: Full-Time Registered Nurse (RN) - Sheboygan, Wisconsin** Up to $43.89/hr, 5x8s Schedule, Weekend rotation, Sign-On Bonus! Ready to leave behind the ... Take and document vitals with accuracy and care * Review all intake documentation for completeness * Provide clear,...License That's it - bring your heart and your clinical skill, and we'll provide the rest. **Why You'll… more
- Marshfield Clinic (Rice Lake, WI)
- …most exciting missions in the world!** **Job Title:** Physician Assistant or Nurse Practitioner - Walk-in **Cost Center:** 451561324 Rice Lake-Walk In Care ... are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._ **Minimum… more
- CVS Health (Madison, WI)
- …enhance a member's overall wellness through integration. - Through the use of clinical tools and information/data review , conducts an evaluation of member's ... as smooth transition to programs and plans. - Applies clinical judgment to the incorporation of strategies designed to...holistic approach to assess the need for referral to clinical resources for assistance. - Consults with supervisor and… more
- CenterWell (Madison, WI)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience… more
- Molina Healthcare (Montello, WI)
- … Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family ... of one or more of the following activities: care review , care management, utilization management (prior authorizations, inpatient/outpatient medical necessity,… more
- St Croix Hospice (River Falls, WI)
- Manager of Clinical Services Job Details Level Management Job Location River Falls WI - RIVER FALLS , WI Education Level 2 Year Degree Job Shift Day Job Category ... Management Description The Manager of Clinical Services is responsible for ensuring that patient care...variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and… more
- Humana (Madison, WI)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- Molina Healthcare (WI)
- …review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is...that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members… more
- Ascension Health (Franklin, WI)
- …Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database. + Initiate and maintain extensive interactions with ... prior to patient's discharge. + Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts...prior to hire date or job transfer date. + Clinical Documentation Prof. credentialed from the Association of … more
- Molina Healthcare (Kenosha, WI)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for ... verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired… more