- Molina Healthcare (Kenosha, WI)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… 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 ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (WI)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Madison, WI)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **_Wisconsin RN license required_** JOB DESCRIPTION Job SummaryProvides support...JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are… more
- Molina Healthcare (Madison, WI)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- 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 ... Degree **Travel Percentage** None **Job Shift** 2nd Shift **Job Category** Health Care **Description** **Job Purpose:** This is a professional position that is… more
- Highmark Health (Madison, WI)
- …of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes… more
- Datavant (Madison, WI)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… 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 ... a career, it's a calling.** WI-St. Agnes Hospital Home Care & Hospice **Worker Type:** Regular **Job Summary:** Provides...Record - Motor Vehicle Report (MVR) + And + Registered Nurse ( RN ) Issued by… more
- Marshfield Clinic (Marshfield, WI)
- …are substantially related to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse Compact License, Certified ... Nurse Midwife is a member of the health care team who provides primary health care ...three months of hire. **Preferred/Optional:** Current State of Wisconsin Registered Nurse license or Nurse … more