- Molina Healthcare (Green Bay, WI)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Medtronic (Madison, WI)
- …needed in the district, and occasionally to other districts at the discretion of Clinical Manager The above statements are intended to describe the general ... weekends and after hours and at the discretion of Clinical Specialist Manager + Adheres to company...within the territory/district + Ensures personal understanding of all quality policies/system items that are personally applicable + Assists… more
- Sharecare (Madison, WI)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- Vighter Medical Group (Big Bend, WI)
- Licensed Clinical Social Worker (LCSW), Local, Big Bend, Texas Job Details Job Location Big Bend, TX - Big Bend, TX Position Type Full Time Education Level ... Up to 25% Job Shift Any Job Category Health Care Description Title:Licensed Clinical Social Worker (LCSW) Location: Big Bend, Texas Position Type:Full time (30-40+… more
- Walworth County (Elkhorn, WI)
- Behavioral Health Community Case Manager (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/4908162) Apply Behavioral Health Community ... Case Manager (HHS) Salary $30.60 - $40.11 Hourly Location Elkhorn,...consumer's status, as required by program mandates. Provide ongoing clinical assessment of mental status and symptomatology. Adjust treatment… more
- Highmark Health (Madison, WI)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management… more
- Public Consulting Group (Madison, WI)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Madison, WI)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Sharecare (Madison, WI)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Molina Healthcare (WI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Completes clinical assessments of members per regulated timelines and determines who may qualify… more
- Molina Healthcare (WI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume...determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness,… more
- Molina Healthcare (Ladysmith, WI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Molina Healthcare (WI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Molina Healthcare (Pardeeville, WI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Molina Healthcare (WI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Public Consulting Group (Madison, WI)
- …complete accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes + Assesses and ... informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more
- Fresenius Medical Center (Milwaukee, WI)
- …patient education programs, established social work theory and methods, social work focused interventions , and quality of life measurement instruments as part of ... to patients as permitted within the scope of their clinical training and state license. + Provides educational and...including documentation. + Documents based on MSW interaction and interventions provided to patient and/or family. + Quality… more
- Highmark Health (Madison, WI)
- …performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members ... panel of members that range in health status/severity and clinical needs; and assesses health management needs of the...personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a… more
- Marshfield Clinic (Marshfield, WI)
- …of Interventional Radiology. This team provides arterial, venous and regional cancer therapy interventions as well as full range of visceral interventions . You ... in the beauty of Wisconsin where 4-season outdoor recreation meets innovative, quality healthcare. Our residential communities are safe with beautiful homes at… more
- Marshfield Clinic (Beaver Dam, WI)
- …of care provided by the agency team. The RN needs to have solid clinical expertise (assessment, critical thinking and clinical skills) to function independently ... home setting. Home Care and Hospice uses a Case Manager and visit nurse model. The RN utilizes the...the plan of care. The RN actively participates in quality improvement activities and projects, which promote the services,… more