- Highmark Health (Madison, WI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Madison, WI)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- SSM Health (Madison, WI)
- …nursing or education equivalency for licensing EXPERIENCE + Five years registered nurse experience in an acute care hospital setting PHYSICAL REQUIREMENTS + ... Beltline Hwy, Madison, WI 53713:: Fully on site, no hybrid/ remote options. **Job Summary:** Responsible at a Region level...Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by… more
- Highmark Health (Madison, WI)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Public Consulting Group (Madison, WI)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... financial, regulatory, and operational challenges of today's changing health care landscape, so they can provide the best ...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Molina Healthcare (Madison, WI)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- Sharecare (Madison, WI)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (Madison, WI)
- …meetings with vendors for the medical record collection process. + Assists Manager and Supervisor(s) in training, utilizing the standardized training materials and ... entry and Sr. level abstractors. + Works with the Manager to monitor accuracy of abstracted records as required...of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA.… more
- Humana (Fort Atkinson, WI)
- …caring community and help us put health first** Humana is seeking a Case Manager /Community Resource Coordinator (CRC), to join the Inclusa team to serve members in ... the Wisconsin Family Care (FC) program. In this role, you will be...it. + Partner with a Health and Wellness Coordinator ( RN ) and collaborate on an ongoing basis regarding the… more
- Cardinal Health (Madison, WI)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more
- Sedgwick (Madison, WI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for experienced ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Somatus (Madison, WI)
- …work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their ... offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position...+ Works under the guidance of physicians and/or a nurse care manager . + Follow-up… more