- CenterWell (Madison, WI)
- …caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking ... make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage… more
- Aveanna Healthcare (Richland Center, WI)
- Home Health Registered Nurse Full Time 10K Sign On ApplyRefer a FriendBack Job Details Requisition #: 206084 Location: Richland Center, WI 53581 Category: Nursing ... Difference-One Patient at a Time Now Hiring Full-Time: Registered Nurse (RN), Home Health JoinAveanna's Home Healthteam and deliver...med surge, ER or hospice As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Molina Healthcare (Green Bay, WI)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- BrightSpring Health Services (Brookfield, WI)
- …week - or 1 admit and 2 visits in a day Are you a Registered Nurse looking for a new opportunity? Allay Hospice is seeking a passionate, dedicated Hospice Admissions ... comprehensive clinical assessments to determine eligibility for hospice based on Medicare /insurance guidelines + Coordinate the start of services (nursing, aides,… more
- CenterWell (West Allis, WI)
- …for home bath visits. Milwaukee County patients. A **Home Health Aide - Certified Nurse Assistant ( CNA ) -** + Provides direct patient care to patient under ... the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as… more
- BrightSpring Health Services (Fond Du Lac, WI)
- …Lac, WI Coverage area: Fond du Lac, Appleton Are you a Registered Nurse looking for a new opportunity?Generations Hospice is seeking a passionate, dedicated Hospice ... comprehensive clinical assessments to determine eligibility for hospice based on Medicare /insurance guidelines + Coordinate the start of services (nursing, aides,… more
- Marshfield Clinic (Marshfield, WI)
- …support the most exciting missions in the world!** **Job Title:** Nurse Practitioner or Physician Assistant - Neurosurgery **Cost Center:** 301351196 ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- CenterWell (Madison, WI)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... LTAC, DME or Home Health. + Bilingual **Use your skills to make an impact** **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required,… more
- CenterWell (Madison, WI)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life… more
- Humana (Madison, WI)
- …help us put health first** The Behavioral Health Care Manager, Telephonic Nurse , in a telephonic environment, assesses and evaluates members' needs and requirements ... for the care and wellbeing of members. The Care Manager, Telephonic Nurse work assignments are varied and frequently require interpretation and independent… more