- Somatus (Oak Creek, WI)
- …work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their ... offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position...+ Works under the guidance of physicians and/or a nurse care manager . + Follow-up… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (Kenosha, WI)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates… 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 ... + 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)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... 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 with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (Milwaukee, WI)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
- Humana (Appleton, WI)
- …a part of our caring community and help us put health first** Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team ... Key Responsibilities include: + Partner with a social services care manager (also referred to as a...+ Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of… more
- Humana (Weston, WI)
- …make an impact** **Required Qualifications** + Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of Wisconsin in good standing. + ... for what matters most. Humana is currently seeking an RN Case Manager to join our team,...Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate… more
- Centene Corporation (West Allis, WI)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... Friday, 8am - 5pm. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… more
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