- Somatus (Oak Creek, WI)
- …work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their ... offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position...+ Works under the guidance of physicians and/or a nurse care manager . + Follow-up… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (Kenosha, WI)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates… more
- Highmark Health (Madison, WI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Madison, WI)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Madison, WI)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (Milwaukee, WI)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
- Humana (Appleton, WI)
- …a part of our caring community and help us put health first** Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team ... Key Responsibilities include: + Partner with a social services care manager (also referred to as a...+ Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of… more
- Humana (Weston, WI)
- …make an impact** **Required Qualifications** + Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of Wisconsin in good standing. + ... for what matters most. Humana is currently seeking an RN Case Manager to join our team,...Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate… more
- Centene Corporation (West Allis, WI)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... Friday, 8am - 5pm. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… more
- Molina Healthcare (Racine, WI)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- Molina Healthcare (Green Bay, WI)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
- Sharecare (Madison, WI)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (WI)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Highmark Health (Madison, WI)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Humana (Madison, WI)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Centene Corporation (Madison, WI)
- …schedule is Monday - Friday, 8am - 5pm Central. **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects of medical and ... supporting services across the continuum of care for post-discharge members, promoting quality and...**License/Certification:** + LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required Pay Range: $55,100.00 - $99,000.00 per year… more
- Veterans Affairs, Veterans Health Administration (Janesville, WI)
- …information. Completed work should need only a general review by a registered nurse for appropriateness and conformity with established policies/procedures. ... Summary The Licensed Practical Nurse (LPN) position is located in the Janesville...Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN … more
- Humana (Eau Claire, WI)
- …the least restrictive environment in accordance with the MCP. + Collaborate continuously with a Field Care Nurse ( RN ) to review and update care plans and ... to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Sedgwick (Madison, WI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
