- Humana (Madison, WI)
- …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker**… more
- Marshfield Clinic (Weston, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... support the most exciting missions in the world!** **Job Title:** Nurse Manager - Hospital, Labor & Delivery **Cost Center:** 301691326 WesHos-Womens Health… more
- Wolters Kluwer (Madison, WI)
- …information and policy data sources (CMS, FDA, etc.) covering drug control/ compliance programs, covered programs ( Medicare /Medicaid) and other government ... **Lead Technology Product Manager ** - Commercial Drug Information This role follows...**Wolters Kluwer Health team** , the **Lead Technology Product Manager for Medi-Span** plays a critical role in advancing… more
- Humana (Eau Claire, WI)
- …our caring community and help us put health first** Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the ... to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care management...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Madison, WI)
- …of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical nursing ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines and… more
- Humana (Sparta, WI)
- …our caring community and help us put health first** Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the ... to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care management...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Park Falls, WI)
- …you more time for what matters most. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program. In ... a Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Menasha, WI)
- …caring community and help us put health first** Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the ... the member. Key Responsibilities include: + Partner with a social services care manager (also referred to as a Community Resource Coordinator) and collaborate on an… more
- Molina Healthcare (Madison, WI)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more
- SSM Health (Fond Du Lac, WI)
- …Agnes Hospital **Worker Type:** Regular **Job Summary:** Coordinates regulatory compliance activities. Works collaboratively with leaders, clinicians and other staff ... meet regulatory requirements. Ensures implementation of an integrated regulatory compliance and accreditation program. **Job Responsibilities and Requirements:** PRIMARY… more