- Intermountain Health (Madison, WI)
- …Physician shall work closely with the Medical Director (Executive/Community/Rural), Nursing Administrator, Case Management Director, and Finance Director. ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to...conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust… more
- Fresenius Medical Center (Madison, WI)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... 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
- Fresenius Medical Center (Madison, WI)
- …under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... 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, ... and act as a case manager liaison with post acute providers (skilled ...department's Scope of Service. + As an SSM Health nurse , I will demonstrate the professional nursing … 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, ... and act as a case manager liaison with post acute providers (skilled ...department's Scope of Service. + As an SSM Health nurse , I will demonstrate the professional nursing … more
- Sedgwick (Madison, WI)
- …PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...client locations; to provide expertise in client specific case management and utilization review requirements; and to… more
- CenterWell (Madison, WI)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management … more
- Fresenius Medical Center (Madison, WI)
- Inpatient Dialysis Program Manager - must be an RN with experience working in a dialysis clinic or inpatient unit. **PURPOSE AND SCOPE:** Ensure the provision of ... to ensure quality service while maintaining a high level of efficiency management . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manages the tactical execution of… more
- Elevance Health (Waukesha, WI)
- …managing the clinical operations department. Manages the delivery of quality care management , clinical utilization , and referral services. **How you will make ... ** Manager Behavioral Health Clinical Services** **Location:** This position...BA/BS in mental health field or an AA in Nursing with related psychiatric nursing experience and… more
- J&J Family of Companies (Madison, WI)
- …care. The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- Sharecare, Inc. (Madison, WI)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Sharecare, Inc. (Madison, WI)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more
- Sedgwick (Madison, WI)
- …in needs assessment and implementation of timely cost-effective fee management services in compliance with corporate/jurisdictional standards; to provide review ... requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or implement… more