- CenterWell (Madison, WI)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Molina Healthcare (Green Bay, WI)
- …and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to… more
- Humana (Madison, WI)
- … management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and value-based payment programs. The ... BH services + Oversees, monitors, and assists with the management of psychopharmacology pharmacy benefits manager (PBM)...Management (QM) program; and work closely with the Utilization Management (UM) of services and associated… more
- Molina Healthcare (Montello, WI)
- …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... or more of the following areas: utilization management , care management , care transitions, behavioral...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
- Elevance Health (Black River Falls, WI)
- …and face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... **LTSS Service Coordinator - RN Clinician (RN Case Manager )** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La… more
- Elevance Health (Arcadia, WI)
- **Title** : Manager II GBD Special Programs - LTSS Care/Service Coordination **Location: We are currently seeking people in the following counties:** Durand, ... an accommodation is granted as required by law. The ** Manager II GBD Special Programs** will be responsible for...in which members' needs are identified, including physical health, behavioral health, social services for Wisconsin Family Care, a… more
- Molina Healthcare (Green Bay, WI)
- …more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent combination ... navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Green Bay, WI)
- …more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent combination ... navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Owens & Minor (Marshfield, WI)
- …+ Strong problem solving skills + Time management skills + Change management skills + Behavioral interviewing + Ability to adjust quickly to business ... + Employee stock purchase plan + Tuition reimbursement **JOB SUMMARY** The General Manager (GM) is responsible for supporting sales efforts and will visit with… more
- ISC2 (Madison, WI)
- …our successes. Learn more. **Position Summary** The Customer Success Account Manager is responsible for driving customer satisfaction, retention, and growth across ... accounts. You will ensure seamless delivery of services, proactive account management , and measurable customer outcomes. You will also combine strong organizational… more