• 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, ... care and positive member experience that leads to improved health outcomes. The Care Manager will advocate and guide...technologies. + This position will be based from a home office which must satisfy all HIPAA requirements and… more
    Sharecare (04/26/25)
    - Save Job - Related Jobs - Block Source
  • Senior Compliance Registered Nurse

    Humana (Madison, WI)
    …consistent across markets. **Use your skills to make an impact** **Required Qualifications:** + Registered Nurse with a Bachelor's degree in Nursing, BSN, and an ... part of our caring community and help us put health first** The Senior Compliance Nurse reviews...NCQA UM letter requirements and compliance best practices. **Workstyle:** Remote work at home **Location:** Prefer Medicaid… more
    Humana (05/06/25)
    - Save Job - Related Jobs - Block Source
  • Director- RN , Women's and Children's…

    SSM Health (Madison, WI)
    …* Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And * Registered Nurse ( RN ) Issued by Compact State Or * Registered ... **It's more than a career, it's a calling** WI-SSM Health St. Mary's Hospital - Madison **Worker Type:** Regular...Master's is not in Nursing EXPERIENCE * Three years' registered nurse experience, with one year in… more
    SSM Health (04/08/25)
    - Save Job - Related Jobs - Block Source
  • IRIS Self Direct Personal Care ( RN

    Molina Healthcare (Milwaukee, WI)
    …keep reading about this rewarding work opportunity! We are currently looking for a Registered Nurse licensed in Wisconsin to become our next IRIS Self-Directed ... experience in nursing with at least one year of home health serving individuals with developmental disabilities,...unrestricted license in the state of Wisconsin as a Registered Nurse . Valid Driver's License **PREFERRED EDUCATION:**… more
    Molina Healthcare (05/09/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Documentation Specialist ( RN )

    Ascension Health (New Holstein, WI)
    …/ Certification / Registration: + One or more of the following required: + Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or current ... Days** + **Hospital: Wisconsin Hospitals (statewide)** + **Location: 100% REMOTE ** **MUST have RN License** **Benefits** Paid...prior to hire date or job transfer date. + Registered Reg Health Info Admnstr credentialed from… more
    Ascension Health (05/07/25)
    - Save Job - Related Jobs - Block Source
  • RN Care Manager- Jefferson/Rock Counties

    Humana (Janesville, WI)
    …make an impact** **Required Qualifications** + Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of Wisconsin. + Must be able to ... RN Care Manager role! Humana is seeking an RN Care Manager ( Health & Wellness Coordinator)...- 4:30 pm CST. **WAH Internet Statement** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (05/09/25)
    - Save Job - Related Jobs - Block Source
  • Triage RN

    Ascension Health (Glendale, WI)
    …transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Wisconsin Board of Nursing obtained ... Part-time | Varied shifts, every other weekend and holiday rotation + **Hospital:** Remote + **Location:** Remote (WI Candidates Only) **Benefits** Paid time off… more
    Ascension Health (05/09/25)
    - Save Job - Related Jobs - Block Source
  • Care Manager ( RN )

    Centene Corporation (Milwaukee, WI)
    …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....needed care or services + May perform telephonic, digital, home and/or other site outreach to assess member needs… more
    Centene Corporation (03/19/25)
    - Save Job - Related Jobs - Block Source
  • Field Care Manager Nurse 2

    Humana (Menomonie, WI)
    …established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse with 2 years of experience of in home ... part of our caring community and help us put health first** The Field Care Manager Nurse ...a locked door that can be used as a home office to ensure continuous privacy while you work… more
    Humana (04/24/25)
    - Save Job - Related Jobs - Block Source
  • Senior Accreditation Professional

    Humana (Madison, WI)
    …building. + Experience working with cross-functional business areas. **Preferred Qualifications** + Registered Nurse or Behavioral Health professional. + ... **Become a part of our caring community and help us put health first** We are seeking a Senior Accreditation Professional who will work in a team environment on… more
    Humana (05/09/25)
    - Save Job - Related Jobs - Block Source
  • Functional Screen Specialist

    Humana (La Crosse, WI)
    …with at least one of the Family Care target populations **OR** be a Wisconsin licensed Registered Nurse with one (1) year of experience working with at least one ... part of our caring community and help us put health first** Join our team in this exciting role...- 4:30 pm CST **WAH Internet Statement** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (05/06/25)
    - Save Job - Related Jobs - Block Source
  • Senior Accreditation Utilization Management…

    Humana (Madison, WI)
    …Behavioral Health ; MED-Deeming accreditation standards knowledge is a plus. + Registered Nurse or Behavioral Health Licensed Professional. + Managed ... care, Medicaid health plan experience **Additional information** + **Workstyle:** Remote + **Location:** US + **Schedule:** Monday through Friday 8:00 AM - 5:00… more
    Humana (05/09/25)
    - Save Job - Related Jobs - Block Source
  • 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...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position… more
    Lincoln Financial (04/30/25)
    - Save Job - Related Jobs - Block Source
  • Manager, Clinical Operations

    Lincoln Financial (Madison, WI)
    …we're looking for** * Minimum of 5 years of disability claims experience * Current Registered Nurse license or Licensure in Clinical psychology or Social Work * ... Fort Wayne, IN (Indiana); Omaha, NE (Nebraska) **Work Arrangement:** Remote : Work at home employee **Relocation...be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants.… more
    Lincoln Financial (05/06/25)
    - Save Job - Related Jobs - Block Source
  • Patient Health Advocate

    Somatus (Waukesha, WI)
    …market-based position. Responsibilities + Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health management plans and goals. ... more days out of the hospital and healthier at home . It takes a village of passionate and tenacious...or Special Needs populations. + Medical Assistant, Licensed Practical Nurse , Engagement Specialist or Community Health Worker… more
    Somatus (04/26/25)
    - Save Job - Related Jobs - Block Source
  • Sr. Clinical Analyst

    Cardinal Health (Madison, WI)
    …and collection within the tool itself to ensure end-user success. **Location** - Fully remote , work from home (full time role with hours dependent on standard ... & rheumatology. The purpose of this organization at Cardinal Health is to help independent specialty providers improve patient...Medical Assistant (5+ years in Urology), or as an RN (with 3+ years of work experience), highly preferred… more
    Cardinal Health (05/07/25)
    - Save Job - Related Jobs - Block Source
  • Quality Compliance Nurse

    Humana (Madison, WI)
    …help us put health first** Humana is seeking a Quality Compliance Nurse to support the Wisconsin Medicaid market. This role performs duties to support optimized ... (AQR), and External Quality Reviews (EQR). The Quality Compliance Nurse fosters a culture of quality improvement by designing...Term Care. **Additional Information** + **Workstyle:** Home . Home workstyle is defined as remote but… more
    Humana (05/09/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager

    Humana (Baraboo, WI)
    …important to the member and support them in achieving it. + Partner with a Health and Wellness Coordinator ( RN ) and collaborate on an ongoing basis regarding the ... part of our caring community and help us put health first** Humana is seeking Case Manager, aka: Community...Friday, 8:00 am - 4:30 pm CST Limited Geography Remote - This is a remote position… more
    Humana (05/09/25)
    - Save Job - Related Jobs - Block Source
  • Associate Director, Provider Education

    CenterWell (Madison, WI)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Associate Director, Clinical Strategy and Practice...skills to make an impact** **Required Qualifications** + Clinical ( RN , social work or other healthcare field) training or… more
    CenterWell (05/08/25)
    - Save Job - Related Jobs - Block Source
  • Eligibility Screener (Milwaukee County, WI)

    Molina Healthcare (Milwaukee, WI)
    …graduate from an Accredited School of Nursing, must have an active, unrestricted Wisconsin Registered Nursing ( RN ) license in good standing + Must possess a ... case management to join our team. This is a remote position, where you will partner with people in...the TMG IRIS Consultant Agency. While this role is home -based, you will spend most days visiting IRIS participants… more
    Molina Healthcare (05/09/25)
    - Save Job - Related Jobs - Block Source