- Humana (Madison, WI)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... management and operations of the department. Oversees utilization management functions which include timely authorizations...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the states of… more
- Fresenius Medical Center (Madison, WI)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- SSM Health (Madison, WI)
- …opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, admission process, ... of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered … more
- Intermountain Health (Madison, WI)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Registered /Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse (RN) in Colorado or Compact + Basic Life… more
- Lincoln Financial Group (Madison, WI)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information...looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
- SSM Health (Madison, WI)
- …opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, admission process, ... described in the department's Scope of Service. + As an SSM Health nurse , I will demonstrate the professional nursing standards defined in the professional practice… more
- Marriott (Madison, WI)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Meriter-UnityPoint Health (Madison, WI)
- …in contributing to the continuous improvement of quality patient care. + Licensure as a Registered Nurse in the State of Wisconsin. + Knowledge of inpatient and ... Name:CLI HBP Adult Hospitalists Location:Meriter Hospital Job Description: The Hospitalist Nurse (HN) under the supervision of Director of Medical/Surgical Nursing… more