- CenterWell (Madison, WI)
- … management program development and implementation with a focus on care transitions, post - acute care and high-risk management and care coordination. * ... cost of care, and reducing acute care utilization ). * Familiarity in integrated care management ...care regulations and policies related to care transitions and post - acute care management . * Computer… more
- 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 (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 (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
- CenterWell (Madison, WI)
- …address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post - acute care, transitions of care) ... + Knowledge of health care regulations and policies related to care transitions and post - acute care management . + Computer skills in word processing,… more
- 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 (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
- 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 (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
- 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
- SSM Health (Madison, WI)
- …than 300 physician offices and other outpatient and virtual care services, 13 post - acute facilities, comprehensive home care and hospice services, a pharmacy ... **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Oversees the utilization and continuous improvement of the financial reports and analytics… more