• Senior Clinical Reimbursement Analyst - RN - Long…

    Good Samaritan (WI)
    …Education Accreditation (NLN CNEA). Minimum of three to five years previous MDS experience preferred . Working knowledge specifically in Medicare and Medicaid ... Hours:** 40.00 **Salary Range:** $27.50 - $44.00 **Department Details** Must have Registered Nurse (RN) license Preference to reside in the state of IA. May live… more
    Good Samaritan (01/14/26)
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  • Clinical Manager Registered Nurse - RN…

    Fresenius Medical Center (Sheboygan, WI)
    …Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs , DOs etc. that governs policies. **EDUCATION AND REQUIRED CREDENTIALS:** + ... nursing experience. + Successfully pass the Ishihara Color Blind Test. + Preferred but not required: + 3+ years supervisory or project/program management experience.… more
    Fresenius Medical Center (12/10/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Madison, WI)
    …caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
    Humana (12/12/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (WI)
    For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high ... requests within required timelines. * Refers appropriate cases to medical directors ( MDs ) and presents them in a consistent and efficient manner. * Requests… more
    Molina Healthcare (11/23/25)
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  • RN UM Care Review Clinician Remote

    Molina Healthcare (Green Bay, WI)
    …a RN licensure, Utilization Management knowledge and Medicare Appeals is strongly preferred . Work hours are Monday-Friday 8:00am- 5:00pm PST. This position included ... requests within required timelines. * Refers appropriate cases to medical directors ( MDs ) and presents them in a consistent and efficient manner. * Requests… more
    Molina Healthcare (01/14/26)
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  • Care Review Clinician (RN)

    Molina Healthcare (Racine, WI)
    …requests within required timelines. * Refers appropriate cases to medical directors ( MDs ) and presents them in a consistent and efficient manner. * Requests ... managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice.… more
    Molina Healthcare (01/17/26)
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  • Care Review Clinician (RN)

    Molina Healthcare (Milwaukee, WI)
    …requests within required timelines. * Refers appropriate cases to medical directors ( MDs ) and presents them in a consistent and efficient manner. * Requests ... managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice.… more
    Molina Healthcare (01/15/26)
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  • Physician - Family Medicine

    Ascension Health (Chilton, WI)
    …Wisconsin is looking for a Family Practice Physician to join our elite team (2 MDs and 5 Nurse Practitioners-fully staffed). Our clinic is located on the campus ... works in. Verified by local Credentialing Office. + Advanced Life Support preferred . American Heart Association or American Red Cross accepted. Education: + Doctor… more
    Ascension Health (01/14/26)
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