- Molina Healthcare (Green Bay, WI)
- …SummaryProvides 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 ... market. For over 45 years, we have provided essential services to thousands of healthcare communities across...County law. + Must successfully achieve the eLuminate Food Service Manager (FSM) and Long-Term Care Food… more
- Molina Healthcare (Green Bay, WI)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Green Bay, WI)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- Molina Healthcare (Green Bay, WI)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… 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)
- …member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports ... Strong verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. * In some states, a bachelor's degree in a… more
- Walgreens (Green Bay, 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 (Green Bay, WI)
- …first - for our teammates, our customers, and our company. Through our Humana insurance services , and our CenterWell healthcare services , we make it easier ... team, serving members in the Wisconsin Family Care (FC) program . This position will provide services to...to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service … 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)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Genesis Healthcare (Green Bay, 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...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- Constellation (De Pere, WI)
- …and personally. In addition to highly competitive salaries, we offer a bonus program , 401(k) with company match, employee stock purchase program ; comprehensive ... medical, dental and vision benefits, including a robust wellness program ; paid time off for vacation, holidays and sick...standard travel policy. **PRIMARY PURPOSE OF POSITION** The Senior Manager of Sales will report to the Executive Director… 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)
- …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
- Molina Healthcare (Green Bay, WI)
- …Duties** * Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality ... and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is present at all… more
- CVS Health (Appleton, WI)
- …from advising on prescriptions to helping manage chronic and specialty conditions. As Pharmacy Manager , you have one of the most significant roles in our company - ... Practice + Regulatory Requirements + Quality Assurance + Customer Service + Personnel Management + Inventory Management + Financial...+ Workflow Management A key component of the Pharmacy Manager role is keeping your customers and patients healthy… more
- Advanced Correctional Healthcare (Kewaunee, WI)
- …Travel Percentage None Category Nursing/Nursing Support Description BENEFITS: + Referral program + 401(k) w/employer match + Health insurance + Vision insurance ... Disability Insurance SUMMARY: Our associates deliver a higher standard of business services to support medical care and behavioral health care. We maintain… more
- Walgreens (Green Bay, WI)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more
- Walgreens (Green Bay, WI)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more