- Molina Healthcare (Green Bay, WI)
- …Design. Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Healthcare Services Group, Inc. (Green Bay, WI)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... and embraced. Join Our Team Join Our Team (https://careers-hcsgcorp.icims.com/jobs/672268/environmental- services manager -in-training/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336028984) Submission FAQs (https://icims.help/candidate-faq) Job… more
- Molina Healthcare (Green Bay, WI)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Green Bay, WI)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Green Bay, WI)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Green Bay, WI)
- …quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA ... for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Bluestone Physician Services (Oshkosh, WI)
- Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, ... robust model of care goes beyond primary care services - our multidisciplinary care teams collaborate with patients, their families and other healthcare … more
- Molina Healthcare (Green Bay, WI)
- …Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws. ... **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and… more
- Walgreens (Appleton, WI)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Humana (Appleton, WI)
- …first - for our teammates, our customers, and our company. Through our Humana insurance services , and our CenterWell healthcare services , we make it easier ... to serve members in the Wisconsin Family Care (FC) program in Fond du Lac, Outagamie, and Winnebago Counties....member. Key Responsibilities include: + Partner with a social services care manager (also referred to as… more
- Actalent (Neenah, WI)
- Healthcare Clinical Study Specialist Job Description A Clinical Study Specialist is responsible for coordinating and overseeing clinical operations of research ... under the general supervision of the Principal Investigator or Clinical Research Manager responsible for the clinical studies. Responsibilities + Obtain and review… more
- Genesis Healthcare (Chilton, WI)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- Genesis Healthcare (Chilton, WI)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- Compass Group, North America (Appleton, WI)
- …the next step in your career with TouchPoint as a Clinical Nutrition Manager ** **!** **Location** : Ascension NE Wisconsin St. Elizabeth Hospital - Appleton, WI ... largest employers of Dietitians in a variety of settings: + Hospitals and healthcare systems + Senior living communities + Schools and universities + Corporate… more
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Green Bay, WI)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Green Bay, WI)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Green Bay, WI)
- …Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional… more
- Molina Healthcare (Green Bay, WI)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more