- 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
- Humana (Madison, WI)
- …duties as assigned **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the states of TN, AL, LA, MS, ... of our caring community and help us put health first** The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent… more
- SSM Health (Madison, 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
- Highmark Health (Madison, WI)
- …degree or RN diploma. **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse ( RN ) license in PA; additional states may be ... member is responsible for building relationships, engaging clinicians, educating on Utilization Management policies and processes, developing workflows and… 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
- 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