- CenterWell (Madison, WI)
- …**Required Experience/Skills:** + Bachelor's Degree preferred + A minimum of five years healthcare related authorization experience + At least three years in a ... first** As the **Authorizations Manager** , you will: + Manage medical insurance authorizations and develop strategies to maximize profits and minimize loss. +… more
- Molina Healthcare (WI)
- …Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to ... services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes… more
- Molina Healthcare (Whitewater, WI)
- **IRIS SDPC (RN) ( HOME BASED, NO WEEKENDS/NO AFTER HOURS)** ** Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab** **No weekends, No ... about the IRIS program here (https://dhs.wisconsin.gov/iris/index.htm) . While this role is home -based, you will have regularly scheduled visits with people in their… more
- Mayo Clinic (Eau Claire, WI)
- …Able to help patients with product selection, set up and training of home medical equipment in accordance with provider prescriptions. Gathers registration and ... insurance information accurately and efficiently, and processes information for...HME equipment or supplies as needed typically in a home setting. Perform basic preventive vehicle maintenance checks. Assists… more
- CenterWell (Madison, WI)
- …us put health first** Reports To: Market Executive - Director, Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 Hours **Position ... and company policy. **This is not a remote or work-from- home position. This position requires you to sit on-site...+ Active and unrestricted Registered Nurse (RN) license with authorization to practice in the state of Georgia. **Required… more
- Molina Healthcare (Madison, WI)
- …and others as directed by the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent ... care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency and continuity of care. * Ensures… more
- CenterWell (Madison, WI)
- …Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to shaping how ... customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You will serve as the voice of the customer, working across… more
- BrightStar Care (Pewaukee, WI)
- …Three (3) years of clinical experience, including at least one (1) year in a home health agency or healthcare facility * Current CPR certification and negative ... to $115,000 * Weekly pay with direct deposit * Medical, Dental, Vision, and Life Insurance * 401(k) with Employer Match (Traditional or Roth) * Paid Time Off (PTO) &… more
- Humana (Madison, WI)
- …telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Work-At- Home ... first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the… more
- Humana (Madison, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the ... benefits manager (PBM) activities, including the establishment of prior authorization , clinical appropriateness of use; consultations and clinical guidance for… more