• Somatus (Oak Creek, WI)
    …Responsibilities + Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals. + Establish ... care team, specifically under the guidance of RN Care Manager and act as an advocate...the person that schedules the initial wellness exam and care management assessment meeting with Somatus clinicians.… more
    DirectEmployers Association (10/09/25)
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  • Care Manager , Health

    Molina Healthcare (Racine, WI)
    JOB DESCRIPTION Job Summary Provides support for health management activities within the care management / care coordination functions. Collaborates ... patient care , and/or managed care , care management , or behavioral health ...**LVN is preferred for this role.** * Certified Case Manager (CCM). To all current Molina employees: If you… more
    Molina Healthcare (11/12/25)
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  • Manager II Utilization Management

    Elevance Health (Waukesha, WI)
    **Title:** Manager II Utilization Management **Hybrid 2:**...MFT or LCSW license preferred. + 3 years of health care UM experience is highly preferred. ... an accommodation is granted as required by law. The ** Manager II Utilization Management ** is responsible for...oversees UM program operations in support of corporate and health plan management . + Directs and collaborates… more
    Elevance Health (10/14/25)
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  • Clinical Behavioral Health Case…

    CVS Health (Mchenry, IL)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...per our company expense reimbursement policy. **Preferred Qualifications** -Case management and discharge planning experience. -Managed Care more
    CVS Health (10/18/25)
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  • Memory Care Case Manager

    Bluestone Physician Services (Franklin, WI)
    …per Medicare beneficiary. Position Overview: The Memory- Care Case Manager / Behavioral Health Care Manager is a core member of the collaborative ... unique needs. Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone...Care Managers and other medical professionals. The Behavioral Health Care Manager is a… more
    Bluestone Physician Services (11/05/25)
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  • Care Manager , Ltss (RN) - Field…

    Molina Healthcare (Racine, WI)
    …+ 1-3 years in case management , disease management , managed care or medical or behavioral health settings. + Required License, Certification, Association ... Experience** + 3-5 years in case management , disease management , managed care or medical or behavioral health settings. + 1 year experience working with… more
    Molina Healthcare (10/24/25)
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  • Care Manager , LTSS

    Molina Healthcare (Racine, WI)
    JOB DESCRIPTION Job Summary Provides support for care management / care coordination long-term services and supports specific activities and collaborates with ... in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network...and supports (LTSS), and 1 year of experience in care management , or experience in a medical… more
    Molina Healthcare (11/15/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Waukesha, WI)
    …required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of licensure for members with complex and ... and Health Professionals on the development of care management treatment plans. + Assists in...Care Company preferred + Certification as a Case Manager . + Ability to talk and type at the… more
    Elevance Health (11/15/25)
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  • Operations Manager

    CVS Health (Racine, WI)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...heart, each and every day. **Position Summary** The Operations Manager is a member of the Store Management more
    CVS Health (10/20/25)
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  • LTSS Service Coordinator - RN Clinician (RN Case…

    Elevance Health (Waukesha, WI)
    …the member's needs, with the goal of prioritizing person-centered thinking and optimizing member health care across the care continuum. **How you will make ... care in conjunction with the member and the health care team. + Manages members with...Physician Advisors and/or Inter-Disciplinary Teams on the development of care management of person-centered care more
    Elevance Health (10/23/25)
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  • Store Manager in Training

    CVS Health (Franklin, WI)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health ...all with heart, each and every day. The Store Manager In Training (SMIT) job is a development focused role… more
    CVS Health (10/16/25)
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  • Manager , Medical Economics (New York…

    Molina Healthcare (Racine, WI)
    …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... **Job Summary** The Manager , Medical Economics provides support and consultation to...Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business… more
    Molina Healthcare (10/22/25)
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  • Account Service Manager Sr

    Elevance Health (Waukesha, WI)
    …technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The **Account Service Manager Sr.** is responsible for ... **Account Service Manager Sr.** **Location:** **This field-based role enables associates...required by law._ A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the… more
    Elevance Health (11/12/25)
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  • Manager , Integration

    Ascension Health (Racine, WI)
    …Days + **Location:** Racine, WI **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... transformation services organization that specializes in resource and supply chain management . The Resource Group transforms the resource and supply function within… more
    Ascension Health (11/14/25)
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  • Provider Relations Senior Manager

    CVS Health (Antioch, IL)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...overall staffing support. **Duties:** + Provider Engagement & Relationship Management : Strengthen partnerships with network providers to improve their… more
    CVS Health (11/01/25)
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  • Pharmacy Manager

    Walgreens (Spring Grove, IL)
    …maintains good relationships with local medical community including physicians, nurses, and other health care providers. Reaches out to the community to promote ... performance indicator reports, supervision notes, deletions, transfers.) People & Performance Management + Collaborates with Store Manager on pharmacy staff… more
    Walgreens (11/04/25)
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  • Pharmacy Operations Manager

    Walgreens (Muskego, WI)
    …of pharmacy technician personnel. Leads training, coaching, and performance management of pharmacy technicians. Makes decisions regarding performance management ... + Responsible for assisting pharmacist in the delivery of patient care including patient registration, prescription data entry, preparation of medications for… more
    Walgreens (10/08/25)
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  • Provider Contract Cost of Care Consult…

    Elevance Health (Waukesha, WI)
    …+ Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Leads large scale initiatives with ... **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role...management . + Uses analytic tools to track both health risks and compliance, as well as supporting the… more
    Elevance Health (10/31/25)
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  • Cost of Care /Provider Contracting Data…

    Elevance Health (Waukesha, WI)
    …impact:** + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on large scale ... **Cost of Care /Provider Contracting Data Analyst** **Location** : This role...project lead. + Uses analytic tools to track both health risks and compliance, as well as supporting the… more
    Elevance Health (11/13/25)
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  • Registered Nurse (RN) Case Manager

    St Croix Hospice (Delavan, WI)
    …Counsels the patient and family in meeting nursing and related needs. + Provides health care instructions to the patient as appropriate per assessment and plan. ... of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as RN Case Manager when assigned by Clinical… more
    St Croix Hospice (09/30/25)
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