- Molina Healthcare (Wauwatosa, WI)
- …and supports ( LTSS ), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Milwaukee, WI)
- …health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Elevance Health (Milwaukee, WI)
- ** LTSS Service Coordinator - RN Clinician ( RN Case Manager )** **Hiring near:** Milwaukee County **Location** : This field-based role enables associates ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator- RN Clinician** is responsible for...members that would benefit from an alternative level of care or other waiver programs. + The RN… more
- Molina Healthcare (Milwaukee, WI)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication… more
- Molina Healthcare (Milwaukee, WI)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including… more
- Molina Healthcare (Milwaukee, WI)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction… more
- Elevance Health (Waukesha, WI)
- **Title:** Manager II Utilization Management **Hybrid 2:** This role requires associates to be in-office **3** days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Manager II Utilization Management** is responsible for overseeing workflow...and Experiences:** + BA/BS in a clinical area plus RN , MFT or LCSW license preferred. + 3 years… more