• Clinical Registered Nurse

    Sharecare (Madison, WI)
    …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… more
    Sharecare (05/10/25)
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  • Care Manager, Registered Nurse

    Sharecare (Madison, WI)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (04/26/25)
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  • Registered Nurse Care Manager…

    Molina Healthcare (Kenosha, WI)
    …our diverse communities! Work hours: Monday - Friday 8:00am - 4:30pm EST Remote with field travel within Norfolk/ Suffolk/ Middlesex counties depending on enrollment ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
    Molina Healthcare (05/30/25)
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  • Case Manager Registered Nurse

    CVS Health (Madison, WI)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience in a ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...hospital setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (06/01/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Madison, WI)
    …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
    Public Consulting Group (04/05/25)
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  • Medical Claim Review Nurse (RN)…

    Molina Healthcare (WI)
    …will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous claims and appeals experience. The candidate must ... **JOB DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of...be discussed during our interview process. This is a remote position. Illinois & Wisconsin RN compact licensure required… more
    Molina Healthcare (05/31/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Madison, WI)
    …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
    Public Consulting Group (05/24/25)
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  • Remote Accommodations Clinical

    Sedgwick (Madison, WI)
    …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual French, Hindi, Bengali or more… more
    Sedgwick (05/23/25)
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  • Consultant, Nurse Disability

    Lincoln Financial (Madison, WI)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee **Relocation assistance:**...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial (04/30/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Madison, WI)
    …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
    Highmark Health (05/10/25)
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  • Manager, Clinical Operations

    Lincoln Financial (Madison, WI)
    …* Minimum of 5 years of disability claims experience * Current Registered Nurse license or Licensure in Clinical psychology or Social Work * 4 ... Fort Wayne, IN (Indiana); Omaha, NE (Nebraska) **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is...a Glance** We are excited to bring on a Clinical Operations Manager to our organization. As a … more
    Lincoln Financial (05/06/25)
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  • RN-Transfer Center, Region Nights

    SSM Health (Madison, WI)
    …school of nursing or education equivalency for licensing EXPERIENCE + Five years registered nurse experience in an acute care hospital setting PHYSICAL ... Beltline Hwy, Madison, WI 53713:: Fully on site, no hybrid/ remote options. **Job Summary:** Responsible at a Region level...Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State… more
    SSM Health (05/13/25)
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  • APN/CRNA

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    …Practice Nurse (APN) Certified Nurse Anesthetist (CNA) is a Certified Registered Nurse Anesthetist (CRNA). The CRNA provides a full range of services ... Skills and Abilities must be met for Advanced Practice Nurse (Certified Registered Nurse Anesthetist)...mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse more
    Veterans Affairs, Veterans Health Administration (05/14/25)
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  • Director-RN, Women's and Children's Services

    SSM Health (Madison, WI)
    …degree in Nursing if Master's is not in Nursing EXPERIENCE * Three years' registered nurse experience, with one year in leadership REQUIRED PROFESSIONAL LICENSE ... St. Mary's Hospital in Madison, WI and is not remote work eligible. **_Named 150 Top Places to Work...(BLS HCP) - American Heart Association (AHA) And * Registered Nurse (RN) Issued by Compact State… more
    SSM Health (04/08/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Madison, WI)
    …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office....Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
    Zurich NA (05/22/25)
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  • Patient Health Advocate

    Somatus (Waukesha, WI)
    …+ And more! **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on high ... CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN...+ Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health management plans… more
    Somatus (04/26/25)
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  • Utilization Review Clinician - BH

    Centene Corporation (Madison, WI)
    …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (05/31/25)
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  • Dementia Care Navigator, LSW

    Bluestone Physician Services (Milwaukee, WI)
    …high risk patients Qualifications : Education/Certification/Experience + Licensed Social Worker or Registered Nurse + 3-5 years of experience in case/care ... Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our… more
    Bluestone Physician Services (05/16/25)
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  • Field Care Manager RN- Vernon/Crawford

    Humana (Viroqua, WI)
    …**Required Qualifications** + Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of Wisconsin. **Preferred Qualifications** ... acute and primary care providers. + Identify and coordinate clinical and functional supports needed for the member's health...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (05/01/25)
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