- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Madison, WI)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Madison, WI)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** Humana/iCare is seeking a Nurse Care Manager to join the growing team in Dane, Sauk, Adams, ... Family Care Partnership (FCP) program. The FCP Nurse Care Manager provides case...make an impact** **Required Qualifications** + Must be a Registered Nurse , licensed in the State of… more
- Molina Healthcare (Madison, 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...appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to… more
- Molina Healthcare (Madison, WI)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Contributes to overarching strategy to provide quality and cost-effective member care . Essential Job Duties* Collaboratively plans and executes internal healthcare… 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
- Highmark Health (Madison, WI)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …relevant patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and ... Summary The Licensed Practical Nurse (LPN) Specialty/PACT position is located in the...Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN … more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …information. Completed work should need only a general review by a registered nurse for appropriateness and conformity with established policies/procedures. ... Summary The Licensed Practical Nurse (LPN) position is located in the Specialty...Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN … more
- Humana (Baraboo, WI)
- …the least restrictive environment in accordance with the MCP. + Collaborate continuously with a Field Care Nurse ( RN ) to review and update care plans and ... to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Madison, WI)
- …Humana/Inclusa team and change the lives of those we serve! We are seeking a Case Manager , aka: Care Coach (CC), to join the Humana/Inclusa team to serve members ... it. + Partner with a Health and Wellness Coordinator ( RN ) and collaborate on an ongoing basis regarding the...that provides industry-leading support for members across the health care continuum._ Travel: While this is a remote… more
- CenterWell (Madison, WI)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more