- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Molina Healthcare (Madison, WI)
- … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… more
- Veterans Affairs, Veterans Health Administration (Appleton, WI)
- …in the Appleton and Green Bay areas. Responsibilities The function of the HUD/VASH Registered Nurse is to provide direct care, and supervise the delivery of ... diverse veteran population of varying complexity in the HUD/VASH Program. The Registered Nurse is responsible for a clinical program providing treatment… more
- Fresenius Medical Center (Sheboygan, WI)
- …at; 2925 Saemann Ave. Sheboygan, WI 53081 **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- CVS Health (WI)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Fresenius Medical Center (Madison, WI)
- …care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques ... adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
- Select Medical (Madison, WI)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- Meriter-UnityPoint Health (Madison, WI)
- …the hospital to the community. The RN CM collaborates with the Enterprise Utilization Management (UM) RNs and Coordinators to communicate the plan for ... Per Diem, 0-40 hours per week, Day Shift. The RN Case Manager (CM) collaborates with the...years of hospital experience in general Medical/Surgical practice + Registered Nurse in State of WI +… more
- Select Medical (Madison, WI)
- **Overview** **Position:** Nurse Manager - Registered Nurse ( RN ) **Location:** Madison, Wisconsin **Schedule:** Monday-Friday Day shift, 40 hours per ... vulnerable, painful moments of their lives - and the Nurse Manager plays a central role in...cost containment for areas of responsibility. + Maintaining effective utilization of manpower, equipment and supplies. + Assessing the… more
- Marshfield Clinic (Marshfield, WI)
- …are substantially related to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse Compact License. Basic Life ... together to support the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:** 301351004 MfdHos-Case Mgmt-Soc Svcs… more