- Fresenius Medical Center (Madison, WI)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... core values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy requirements.… more
- Fresenius Medical Center (Milwaukee, WI)
- Dialysis Home Therapies Program Manager - this position requires a licensed RN with a minimum of 6 months of experience working in a chronic or outpatient dialysis ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- SSM Health (Fond Du Lac, WI)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... in standard work. + May also be responsible for: utilization management process, ED case management...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Marshfield Clinic (Marshfield, WI)
- …certification for the hospital stay. This position is remote and will support utilization management and medical necessity management across the health ... are substantially related to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse Compact License. Additional… more
- Evolent Health (Madison, WI)
- …Be Doing:** As an Initial Clinical Reviewer, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... supported by Physician clinical review staff (MDs) in the utilization management determination process. + Reviews charts...and Preferred:** + Current, unrestricted state licensure as a Registered Nurse in home state- **Required** +… more
- Fresenius Medical Center (Madison, WI)
- Inpatient Dialysis Program Manager - must be an RN with experience working in a dialysis clinic or inpatient unit. **PURPOSE AND SCOPE:** Ensure the provision of ... to ensure quality service while maintaining a high level of efficiency management . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manages the tactical execution of… more
- Amergis (Madison, WI)
- …coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ... for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in...of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in… more
- SSM Health (Madison, WI)
- …opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, admission process, ... commitment to our mission is what sets us apart. The role of the RN -Case Manager supports our organization by ensuring patients are discharged from the hospital… more
- J&J Family of Companies (Madison, WI)
- …domains is preferred): + Cell Therapy Manufacturer Home Office or Field Experience + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- Centene Corporation (Madison, WI)
- …clinical and operational support, guidance, and direction to the department related to utilization management and/or case management . The position is ... modification module preferred. **License/Certification:** For Clinical Specialist position in Medical Management : Licensure as RN required. Pay Range: $67,400.00… more
- CenterWell (Madison, WI)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... patient care policy manuals. + Establish service policies and procedures in compliance with state health statutes and administrative rules, including CDC and OSHA… more