- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. The ... Compliance Professional 2 work assignments are varied and frequently require interpretation...independent determination of the appropriate courses of action. The Compliance Professional 2 develops and implements … more
- St Croix Hospice (Madison, WI)
- Wisconsin Statewide Float Nurse Job Details Job Location Madison, WI - Madison, WI Position Type Full Time Education Level 2 Year Degree Travel Percentage 100% ... Job Category Health Care Description Job Overview The Statewide Float Registered Nurse will temporarily fill in across multiple Wisconsin branch locations. This role… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The UM/PA Nurse Supervisor plays a key leadership role in overseeing the daily operations of the ... metrics. In addition to supervising clinical review processes, the UM/PA Nurse Supervisor contributes to staff development, quality improvement initiatives, and… more
- SSM Health (Madison, WI)
- …team. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Ensures compliance with Condition of Participation (CoP) discharge planning. + Identifies ... described in the department's Scope of Service. + As an SSM Health nurse , I will demonstrate the professional nursing standards defined in the professional practice… more
- Marshfield Clinic (Columbus, WI)
- …and materials needed for patient care; keeps exam room aseptic, neat and supplied. 2 . Obtains and documents complete patient data in a timely and accurate manner. 3. ... within scope, role specific functions. **ADDITIONAL DUTIES** 1. Other duties as assigned. 2 . Trains and mentors new employees and students. 3. Acts as a resource… more
- Molina Healthcare (Madison, WI)
- …more direct report supervisors, facilitates integrated, proactive HCS management, ensuring compliance with state and federal regulatory and accrediting standards and ... for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines. + Maintains… more
- Select Medical (Madison, WI)
- …(PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state ... _highly preferred._ SHIFT: *Availability to work a minimum of 2 shifts per month on an "as needed" basis...resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. +… more
- Select Medical (Madison, WI)
- …+ Either: Valid state license as a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) + At least two ( 2 ) years of experience in an acute care ... appropriate treatments as directed, and documents activity appropriately. + Ensures compliance with State and Federal regulations for patient care and services.… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …APP team and with CLC nursing leadership. Co-chairs CLC QAPI with CLC Nurse Manager and monitors clinical benchmarks and outcomes. Works closely with infection ... program including monitoring of clinical benchmarks and metrics as well as compliance with Joint Commission Standards. Maintains an active clinical practice within… more
- Travelers Insurance Company (Madison, WI)
- …Directly handle the Company's most severe and complex claims when Travelers has coverage of $ 2 million or greater and file exposure is greater than $ 2 million. + ... activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. + Verify… more
- Select Medical (Madison, WI)
- …Recovery Hospital** **Director of Case Management** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum three ... care via a focus on resource management. + Demonstrating compliance with facility-wide Utilization Management policies and procedures. +...of medical case management or similar experience. + Two ( 2 ) years of experience in either (a) managing a… more
- CenterWell (Madison, WI)
- …as possible. **Responsibilities:** . Act as a collaborating physician for nurse practitioners or physician assistants, including completing regular chart review and ... of outcome data, policy, procedure, and records issues. . Assure personal compliance with licensing, certification, and accrediting bodies. **Use your skills to make… more
- Humana (Madison, WI)
- …your skills to make an impact** **REQUIRED QUALIFICATIONS:** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker ... + 5+ years of previous clinical experience in utilization management + 2 + years of indirect or direct leadership experience + Comprehensive knowledge of Microsoft… more
- Fujifilm (Madison, WI)
- …mapping for project and or post go-live support cases in compliance with the company's quality procedures. **Company Overview** At FUJIFILM Healthcare ... customization, and electronic delivery of technical clinical tools and supplements. + Compliance with respect to all applicable requirements of the company's quality… more