- Guardian Life (Madison, WI)
- The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management ... to work efforts when the capability and opportunity exist. The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX;… more
- Select Medical (Madison, WI)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning,… more
- CVS Health (Madison, WI)
- …however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and ... coordinating all case management activities with members to evaluate the medical...Reviews prior claims to address potential impact on current case management plan. - Assessments include the member's level… more
- Humana (Baraboo, WI)
- …community and help us put health first** Join Humana as a Community Resource Coordinator/ Case Manager and make a real difference within the Inclusa/Humana team, ... care and empower our members to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care management to frail elders and… more
- CVS Health (Madison, WI)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Meriter-UnityPoint Health (Madison, WI)
- …Hospital Job Description: The Child and Adolescent Clinical Resource Nurse and Outpatient Case Manager serves four primary functions on the Child and Adolescent ... skills. EEO/M/F/D/V Auto req ID:15569BRWeekends:NoZip Code:53719Compensation:Commensurate with experience.Job Title:RN Case Manager -Clinical Resource; Child & Adol Psych;… more
- St Croix Hospice (Middleton, WI)
- Registered Nurse Case Manager $10,000 Sign On Bonus Job Details Job Location Middleton WI - Middleton, WI Position Type Full Time Travel Percentage 100% ... you to join our team, where your work truly matters. As a Registered Nurse Case Manager , you will be the heart of our care model, providing 1:1 holistic support… more
- St Croix Hospice (Fort Atkinson, WI)
- Registered Nurse (RN) Case Manager Job Details Level Experienced Job Location Fort Atkinson WI - Fort Atkinson, WI Education Level 2 Year Degree Job Shift Day ... you to join our team, where your work truly matters. As a Registered Nurse Case Manager , you will be the heart of our care model, providing 1:1 holistic support… more
- Walworth County (Elkhorn, WI)
- Children & Families Ongoing Case Manager (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5024698) Apply Children & Families ... Ongoing Case Manager (HHS) Salary $30.60 - $40.11 Hourly Location Elkhorn, WI Job Type Full-time Job Number 2025-00075 Department Health & Human Services… more
- SSM Health (Madison, WI)
- …process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home ... Shift (United States of America) **Job Type:** Employee **Department:** 8746080033 System Case Mgmt - WIS **Scheduled Weekly Hours:** 36 **Benefits:** SSM Health… more
- Maxim Healthcare (Madison, WI)
- …Combine hands-on clinical oversight with meaningful administrative duties. + Work-Life Harmony: Enjoy a consistent Monday-Friday schedule with regular business hours. ... + Long-Term Impact: Build lasting relationships with patients, families, and caregivers. + Supportive Culture: Join a collaborative team that values your contributions and fosters growth. + Educational Leadership: Share your knowledge by training and mentoring… more
- Molina Healthcare (Madison, WI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
- Sharecare (Madison, WI)
- …years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical ... everyone. To learn more, visit www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently… more
- Humana (Madison, WI)
- …with persons with disabilities and/or older adults in a health care setting. + Case Manager Certification. + General knowledge of Medicaid and Medicare benefits. ... for the Family Care Partnership (FCP) program. The FCP Nurse Care Manager provides case management and support to adults in the community, assures quality… more
- Aveanna Healthcare (Madison, WI)
- …staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered ... Home Health RN Clinical Manager ApplyRefer a FriendBack Job Details Requisition #:...evaluations for all clinical staff. + Responsible for overseeing case management to ensure services that are financially sound.… more
- Molina Healthcare (Madison, WI)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and...assigned complex member cases and medication regimens. * Care manager RNs may conduct medication reconciliation as needed. *… more
- Molina Healthcare (Poynette, WI)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... Oversees interdisciplinary care team (ICT) meetings. * Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare… more
- Molina Healthcare (Madison, WI)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... Practical Nurse (LPN). License must be active and unrestricted in state of practice. * Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through… more
- Molina Healthcare (Madison, WI)
- …to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification. * Leadership experience. * Medicaid/Medicare population experience. To all current Molina employees: If you are interested in applying for this position,… more
- Elevance Health (Darlington, WI)
- **LTSS Service Coordinator - RN Clinician (RN Case Manager )** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La ... Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure, develops, monitors, evaluates, and revises… more