- 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 ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Madison, WI)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Madison, WI)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Madison, WI)
- … - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting - A Registered Nurse that holds an active, unrestricted… more
- CenterWell (Madison, WI)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... Registered Nurse or Physical Therapist. + 5 years of professional experience in Home Care , 2 years of which are in an administrative, supervisory, quality… more
- Humana (Kenosha, WI)
- **Become a part of our caring community and help us put health first** Humana/iCare is seeking an RN Care Manager to join the team in the Family Care ... provide services to members in Racine/Kenosha counties. The FCP RN Care Manager provides case...make an impact** **Required Qualifications** + Must be a Registered Nurse , licensed in the State of… more
- Humana (Viroqua, WI)
- …is seeking a RN Case Manager to serve members in the Wisconsin Family Care (FC) program. As an RN Case Manager , you will be responsible for ... your fellow colleagues to provide top quality coordination of care to our members. They are looking to you...+ Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of… more
- Public Consulting Group (Madison, WI)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... financial, regulatory, and operational challenges of today's changing health care landscape, so they can provide the best ...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Sharecare (Madison, WI)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more