• Medical Director - North Central Region - Medicaid

    Humana (Madison, WI)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services such ... time to the Indiana Pathways program to assist the Utilization Management , Care Management , and.... The clinical scenarios predominantly arise from inpatient or post - acute care environments. Has discussions with external… more
    Humana (04/25/24)
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  • Medical Director - Florida

    Humana (Madison, WI)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (04/18/24)
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  • Medical Director - Mid West Region

    Humana (Madison, WI)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (04/12/24)
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  • Behavioral Health Medical Director - N. Central…

    Humana (Madison, WI)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (04/09/24)
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  • Wound Care UM RN

    Elevance Health (Madison, WI)
    …pm CST. A proud member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, is the leader in health resource optimization, ... and Experiences:** + Home health experience preferred. + 1 year of Utilization Management experience preferred. + Multi-State/Compact Nursing License strongly… more
    Elevance Health (04/30/24)
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  • Registered RN - RN Case Manager

    SSM Health (Madison, WI)
    …opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, admission process, ... and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.). + Applies the existing body of evidence-based… more
    SSM Health (04/26/24)
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  • Clinical RD - Comprehensive Care (Part-Time)

    Sharecare, Inc. (Madison, WI)
    …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....in the orientation and to take the pre and post -test to review competency during orientation. Yearly competency test… more
    Sharecare, Inc. (04/23/24)
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