- Centers for Independence (Milwaukee, WI)
- **FT Registered Nurse Clinician - CRC North** **Job Details** **Job Location** CRC North - Milwaukee, WI **Position Type** Full Time - Union **Education Level** ... relation to psychiatric emergencies. + Ensure consumer medications are secured, and RN observes self-administration of medication. + Educate consumers and new team… more
- Elevance Health (Waukesha, WI)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Evolent (Madison, WI)
- …mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States. Acts… more
- Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
- …available and until positions are filled. Responsibilities The Advanced Practice Nurse /Certified Nurse Anesthesiologist (APN/CNA) is a CRNA who administers ... duties, as assigned VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- CVS Health (Madison, WI)
- …however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating ... - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...**Required Qualifications** Must have an active, current and unrestricted RN licensure in the state of residence and be… more
- Dove Healthcare (Chippewa Falls, WI)
- Position: RN Nurse Manager Shift: Days Status:...Current licensure in the state of Wisconsin as a Registered Nurse + Degree from an accredited ... overseeing the care of your residents, the role of RN Nurse Manager may be your next...services provided to each resident using clinical competence + Review and audit compliance with the resident's plan of… more
- Molina Healthcare (Green Bay, WI)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term services and… more
- SSM Health (Fond Du Lac, WI)
- …License - State of Issuance + And + Driving Record - Motor Vehicle Report (MVR) + And + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... and manages through established channels. + Performs ongoing chart review on case load with attention to: a) Accurateness...Record - Motor Vehicle Report (MVR) + And + Registered Nurse ( RN ) Issued by… more
- SSM Health (Madison, WI)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... demonstrated. + Not patient facing position. Job Responsibilities: + Review patient procedure charts to determine: + Sedation needs...Or + Registered Nurse ( RN ) Issued by… more
- 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 ... (Team will work on set schedule) Looking for a RN with experience with appeals, claims review ,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more