- Molina Healthcare (Madison, WI)
- …of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight ... **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who be... RN license strongly preferred **Job Summary** Molina Healthcare Services (HCS) works with members, providers… more
- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside. Program Manager RN will ... improvement opportunities. + Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality… more
- Molina Healthcare (Madison, WI)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Fresenius Medical Center (Sun Prairie, 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...to be a vital part of the future of healthcare , apply today. **PRINCIPAL RESPONSIBILITIES AND DUTIES** CLINIC OPERATIONS:… more
- Public Consulting Group (Madison, WI)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... , assisting families and program recipients through prior approval of certain healthcare services , and collaborating with the claim's administration team.… more
- Sharecare (Madison, WI)
- …to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- Sharecare (Madison, WI)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Aveanna Healthcare (Madison, WI)
- …and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered according to ... Home Health RN Clinical Manager ApplyRefer a FriendBack...+ PTO, Sick Time, and Paid Holidays Requirements: + Registered Nurse licensure in the state of… more
- Molina Healthcare (Madison, WI)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… more
- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Family Care with My Choice Wisconsin** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… more
- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Humana (Fort Atkinson, WI)
- …make an impact** **Required Qualifications** + Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of Wisconsin. + Must be able to ... hello to more time for your family in this RN Care Manager role! Humana is seeking...our customers, and our company. Through our Humana insurance services , and our CenterWell healthcare services… more
- Gentiva (Madison, WI)
- …homes or institutional setting and/or participate in on-call schedule (only if a Registered Nurse ). + Works with physicians, patients, families, staff and others ... payroll and other expenses. **About You** + Education: + Registered Nurse with minimum of Associate's Degree...have and maintain transportation to be used for work. RN Branch Director, RN Branch Manager… more
- Highmark Health (Madison, WI)
- …of disease processes + Understanding of healthcare costs and the broader healthcare service delivery system + Proficiency in MS Excel and strong analytic ... dialectical behavior therapy (DBT) + Experience working with the healthcare needs of diverse populations + Understanding of the...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Gentiva (Madison, WI)
- …Our RN Clinical Liaison's get this opportunity every day. They are educating healthcare professionals about hospice services as well as providing end of life ... clinical liaison, RN liaison, clinical coordination, discharge planner, hospice case manager or RN educator + Known and respected within your community… more
- Highmark Health (Madison, WI)
- …often intense environment + Understanding of healthcare costs and the broader healthcare service delivery system + Ability to analyze data, measure outcomes, ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...behavior therapy (DBT) + 1 year working with the healthcare needs of diverse population and understanding of the… more
- Meriter-UnityPoint Health (Madison, WI)
- …Name:HSP Emergency Service Location:Meriter Hospital Job Description: The Assistant Nurse Manager has accountability for the clinical and administrative ... leadership of the assigned patient care area under the Nurse Manager . The position assures the delivery...24 months. + 3 years of nursing experience + Registered Nurse license in the state of… more
- CVS Health (Madison, WI)
- …plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services /benefits for members. + Gathers clinical information and ... programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults...**Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care… more
- WelbeHealth (Madison, WI)
- …accountable for leading and building best-in-class data solutions, ensuring that our healthcare products and services align with our strategic objectives. This ... _(Product Manager internally titled Technical Product Manager )_...and communities by providing comprehensive medical care and community-based services . We serve our most vulnerable seniors with better… more
- Cardinal Health (Madison, WI)
- …+ 5 years of clinical experience, preferred + 5+ years' experience in professional services , healthcare , or related field preferred + Prior experience working in ... better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of… more