- Molina Healthcare (Madison, WI)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Racine, WI)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... licensure required** **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- …Management, ensuring appropriate utilization of clinical services including admissions and inpatient care , following InterQual criteria. Acts as VISN liaison ... of Staff serves in conjunction with the Director, Associate Director for Patient Care Services/Nurse Executive, and the Associate Director, as member of the Medical… more
- Marshfield Clinic (Marshfield, WI)
- …neurological and neurobehavioral disorders. Referrals come from a range of primary care providers and medical specialists. We have a busy outpatient practice and ... also receive inpatient consults from our 298 bed hospital, which includes 34 intensive care beds, a Certified Primary Stroke Center, Level II adult and pediatric… more