• 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 (04/25/25)
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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 (04/26/25)
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  • Case Manager ( RN ) (Must…

    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 ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all… more
    Molina Healthcare (04/11/25)
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  • Case Manager , Ltss ( RN )…

    Molina Healthcare (Madison, 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) To all current Molina employees: If… more
    Molina Healthcare (04/11/25)
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  • Clinical Care Manager RN

    Evolent (Madison, WI)
    …care across multiple settings and with multiple providers - **- Required** + Current Registered Nurse license without restrictions must be able to qualify for AK ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus -… more
    Evolent (05/08/25)
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  • Transplant Care Nurse RN - Stem…

    Highmark Health (Madison, WI)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (04/25/25)
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  • Trinsic Nurse Care Manager Cofr-11

    Intermountain Health (Madison, WI)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined...- Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This… more
    Intermountain Health (05/02/25)
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  • Trainer - Clinical Services -Utilization Review…

    Molina Healthcare (Madison, WI)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (05/07/25)
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  • Manager , Clinical Operations

    Cardinal Health (Madison, WI)
    …life-changing therapies to patients who need them-faster.** **_Position Summary_** The Manager , Clinical is responsible for strategic oversight and management of ... demands to long-term implications, in alignment with the supporting business case + Prioritizes multiple tasks while meeting deadlines + Communicates program… more
    Cardinal Health (04/18/25)
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