- Molina Healthcare (Baraboo, WI)
- **JOB DESCRIPTION** **Family Care with My Choice Wisconsin** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...resources and recommendations to peers as needed + Local travel of up to 40% may be required, depending… more
- Molina Healthcare (Milwaukee, WI)
- **JOB DESCRIPTION** **Family Care with My Choice Wisconsin** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Barron, WI)
- **JOB DESCRIPTION** **Family Care with My Choice Wisconsin** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Humana (Viroqua, WI)
- …a part of our caring community and help us put health first** Humana is seeking a Field Care Manager RN to serve members in the Wisconsin Family Care ... program. As a Field Care Manager RN, you will be responsible for partnering with...**Work Location:** Viroqua/Prairie du Chein and surrounding area. + ** Travel :** up to 40% throughout Vernon and Crawford Counties… more
- Molina Healthcare (Green Bay, WI)
- …for enrolled members in health plan products to coordinate a medical plan of care and capture diagnoses for Medicare risk adjustment. The NP/PA will utilize advanced ... various health plan products identified due to medical complexity, increased utilization, palliative care needs, or care team support. The NP/PA will conduct… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... patient cases, including patient support services and enrollment + Collaborate with Field Sales, Specialty Pharmacy Accounts, and other matrix partners + Manage… more
- Molina Healthcare (WI)
- …position requires field work doing assessments with members face to face in homes. TRAVEL in the field to do member visits in the surrounding areas will be ... (Medicaid Medicare Population) that is part of the Personal Care team. This position will have a case load...required: (Detroit, Gross Pointe) - Wayne County Travel will be up to 50% of the time… more
- Molina Healthcare (WI)
- …face to face in homes. Home office with internet connectivity of high speed required. TRAVEL in the field to do member visits in the surrounding areas will ... for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills...be required: East Detroit MI Area Travel will be up to 50% of the time… more
- Molina Healthcare (WI)
- …position requires field work doing assessments with members face to face in homes. TRAVEL in the field to do member visits in the surrounding areas will be ... We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Highmark Health (Madison, WI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... **utilization management** strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource… more