• Complex Case Manager

    Highmark Health (Madison, WI)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (10/28/25)
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  • Care Manager , Registered

    Sharecare (Madison, WI)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (10/08/25)
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  • Telephonic Nurse Case Manager

    Humana (Madison, WI)
    **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
    Humana (10/23/25)
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  • Care Manager , Ltss ( RN ) - Field…

    Molina Healthcare (Madison, WI)
    …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… more
    Molina Healthcare (10/25/25)
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  • RN Carceral Care Manager Remote

    Molina Healthcare (Madison, WI)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (10/09/25)
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  • Care Manager , Ltss ( RN ) - Field…

    Molina Healthcare (Sun Prairie, WI)
    …member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) \#PJHS \#LI-AC1 To all current Molina… more
    Molina Healthcare (07/31/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (Madison, WI)
    …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
    Molina Healthcare (10/19/25)
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  • Telephonic Case Manager

    Sedgwick (Madison, WI)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
    Sedgwick (10/22/25)
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  • Field Case Manager -Sign-On Bonus…

    Sedgwick (Madison, WI)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (08/27/25)
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  • Transition of Care Coach ( RN ) (Pacific…

    Molina Healthcare (Madison, WI)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more
    Molina Healthcare (09/14/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Madison, WI)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Primary Care RNCM (Women's Health)

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    …population assessing, planning, implementing and evaluating activities and programs. The RN /Care Manager : Provides support to providers daily: coordinating dual ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (10/25/25)
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