- Highmark Health (Madison, WI)
- …Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support compliance with ... Minimum + High School/GED + Current State of PA RN licensure OR Current multi-state licensure through the enhanced... licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) + 3 years working with… more
- St Croix Hospice (Platteville, WI)
- …direction of the Manager of Clinical Services in collaboration with the patient's RN Case Manager and according to the individualized Plan of Care. Essential ... support, anticipatory grief (patient and family), and interest in life legacy/ review interventions. + Utilizes interventions such as relaxation, imagery, lyric… more
- Parexel (Madison, WI)
- …sites + Supports processes to optimize country & site selection activities including review and assessment of the draft potential site list and provide site ... needed for site activation + Supports country specific ICF review and deployment up to Site Activation + Ensures...requirements in applicable countries **Education:** + Bachelor's degree or RN in a related field or equivalent combination of… more
- Sedgwick (Madison, WI)
- …: Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with ... support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received and applying… more
- Humana (Fort Atkinson, WI)
- …and support them in achieving it. + Partner with a Health and Wellness Coordinator ( RN ) and collaborate on an ongoing basis regarding the member and their plan. + ... face-to-face visits and monthly phone contacts. + Participate in the development and ongoing review and coordination of the member's plan of care. + Take the lead in… more
- Humana (Beaver Dam, WI)
- …restrictive environment in accordance with the MCP. + Collaborate continuously with a Field Care Nurse ( RN ) to review and update care plans and address ... members' evolving needs. + Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence. + Schedule, conduct, and document quarterly in-person visits and maintain monthly contact… more
- Aspirus Ironwood Hospital (Rhinelander, WI)
- …and documents ordered medications and injections with final documentation by CMA, RN , or Physician. + Review s appointment schedules, maintains timely ... flow of patients, greets patients, and prepares them for their examination based on Physician request. + Performs audiograms and visual testing. + Communicates with patients via telephone calls, answering questions, advising patients with instructions from… more
- Ascension Health (Glendale, WI)
- …knowledge of quality improvement and safety best practices through literature review , interaction with internal & external resources, and knowledge of evolving ... and RCA process Deep knowledge and understanding of CMS CoPs HRO experience RN License and advanced healthcare degree _required_ CPHQ or CPSP preferred Progressive… more
- Cardinal Health (Madison, WI)
- …goal of providing quality comprehensive urological care **Qualifications** + LPN or RN highly preferred + 2-4 years working experience, preferred + Bachelor's degree ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Humana (Eau Claire, WI)
- …restrictive environment in accordance with the MCP. + Collaborate continuously with a Field Care Nurse ( RN ) to review and update care plans and address ... members' evolving needs. + Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence. + Schedule, conduct, and document quarterly in-person visits and maintain monthly contact… more