- Molina Healthcare (Madison, WI)
- …with a consistent focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject matter expert to colleagues ... with less experience, providing ongoing support to collaboratively resolve Payment Integrity Review issues of moderate to high complexity. + Independently owns and… more
- Centers for Independence (Milwaukee, WI)
- …Percentage** Minimal; Less than 10% **Job Shift** Day **Description** **Job Purpose:** The clinical manager is responsible for organizing and directing the daily ... operations of the Pediatric Skilled Nursing program , including supervising the clinical professional and...the performance of all staff who report to the clinical manager including formal reviews and performance… more
- St Croix Hospice (Fond Du Lac, WI)
- Manager of Clinical Services Job Details Level Management Job Location Fond du Lac WI - Fond du Lac, WI Education Level 2 Year Degree Job Shift Day Job Category ... Management Description The Manager of Clinical Services is responsible for...variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and… more
- Fresenius Medical Center (Brookfield, WI)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career...+ Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home… more
- Cardinal Health (Madison, WI)
- **_What Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...EVP Provider Solutions. This is a position for a clinical expert that will lead our Rheum program… more
- St Croix Hospice (Frederic, WI)
- Manager of Clinical Services Job Details Level Management Job Location Frederic WI - Frederic, WI Education Level 2 Year Degree Job Shift Day Job Category ... Management Description The Manager of Clinical Services is responsible for...variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and… more
- Prime Therapeutics (Madison, WI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews...specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service… more
- Molina Healthcare (Green Bay, WI)
- …responsible and assures timely completion. + Actively participates in the Department auditing program to review and communicate findings with staff and identify ... illness and the site of service. The Lead, HCS ( Clinical ) functions as clinical staff lead in... HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal… more
- Marshfield Clinic (Marshfield, WI)
- …an acute care setting or completion of a focused internship or fellowship program . **Preferred/Optional:** Two years' experience in clinical dietetics within an ... support the most exciting missions in the world!** **Job Title:** Clinical Nutrition Specialist-Pediatrics **Cost Center:** 301351055 MfdHos- Clinical Nutrition… more