- CVS Health (Madison, WI)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CenterWell (Madison, WI)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- CenterWell (Madison, WI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a… more
- CVS Health (Madison, WI)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Sharecare (Madison, WI)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Molina Healthcare (Janesville, WI)
- **Job Description** **Job Summary** The Nurse Practitioner / Physician Assistant (NP/PA) - MCW is responsible for completing in-home history and physical assessments ... in the various health plan products identified due to medical complexity, increased utilization , palliative care needs, or care team support. The NP/PA will conduct… more
- Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
- Summary This Assistant Chief Nurse (RN) position is located at the Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, in the Geriatrics and Extended Care ... Services (GEC) Division. The Assistant Chief Nurse executes position responsibilities that demonstrate leadership, experience, and creative approaches to … more
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- …application. Former EDRP participants ineligible to apply. Responsibilities The CLC Registered Nurse will focus on individual growth and development in practice with ... guidance in how to improve care provided to residents and families. The nurse brings principles and theory with limited application of critical thinking skills.… more
- CVS Health (Madison, WI)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... in **Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- CVS Health (Madison, WI)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized accreditation… more