- Evolent (Madison, WI)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner /Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States.… more
- Veterans Affairs, Veterans Health Administration (Janesville, WI)
- …after complete review of the EDRP application. Responsibilities The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Primary ... the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. The NP practices to...of a Patient Aligned Care Team. The Primary Care Nurse Practitioner is a licensed independent … more
- Molina Healthcare (Madison, WI)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
- Molina Healthcare (Madison, WI)
- …the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more