• Registered Nurse (RN) Case

    St Croix Hospice (Madison, WI)
    Registered Nurse (RN) Case Manager Job Details Level Experienced Job Location Madison, WI - Madison, WI Education Level 2 Year Degree Job Shift Day Job ... Category Nurse Description TheRegistered Nurse Case ...self-sufficiency and optional comfort care. + Acts as RN Case Manager when assigned by Clinical Supervisor… more
    St Croix Hospice (03/06/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Madison, WI)
    …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
    Highmark Health (02/24/25)
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  • Registered Nurse - Cardiology…

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    …Cardiology Specialty Case Management to join our team! The Cardiology Specialty Nurse Case Manager works collaboratively with Specialty Services to ... patient care for the adult/geriatric veteran population. Responsibilities The Registered Nurse - Cardiology Specialty Case...well as customer service programs. The Cardiology Specialty Care Nurse Case Manager (NCM) is… more
    Veterans Affairs, Veterans Health Administration (03/07/25)
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  • Registered Nurse - GI Procedure…

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    …and Outpatient Procedures Nurse Manager . Responsibilities The GI Procedure Nurse Case Manager (NCM) reports directly to the Ambulatory Surgery ... WI is looking for a full-time Registered Nurse - Procedure Nurse Case ...and Outpatient Procedure nurse manager and functions to develop and… more
    Veterans Affairs, Veterans Health Administration (03/09/25)
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  • Care Manager , Registered

    Sharecare (Madison, WI)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to… more
    Sharecare (02/17/25)
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  • Manager , Utilization Management…

    Humana (Madison, WI)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license, (eNLC) with ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (Fitchburg, WI)
    …with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse . . Performs ongoing, systematic collection and analysis of ... than 2 years of Nephrology Nursing experience as a Registered Nurse . . Minimum of 1-year experience...+ Position functions as an onsite Patient Educator and Case Manager for patients with various shifts… more
    Fresenius Medical Center (02/14/25)
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  • Registered Nurse RN Home Health PRN

    Elara Caring (Freeport, IL)
    …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
    Elara Caring (03/07/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (Fitchburg, WI)
    **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This ... RN. + Minimum of 9 months experience as a Registered Nurse (preferred). + Chronic/acute hemodialysis experience...+ Position functions as an onsite Patient Educator and Case Manager for patients with various shifts… more
    Fresenius Medical Center (02/24/25)
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  • RN - Case Manager Weekend Option…

    SSM Health (Madison, WI)
    …process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home ... Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered more
    SSM Health (01/23/25)
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  • Assistant Nurse Manager -Emergency…

    Meriter-UnityPoint Health (Madison, WI)
    14068BRDepartment Name:HSP Emergency Service Location:Meriter Hospital Job Description: The Assistant Nurse Manager has accountability for the clinical and ... leadership of the assigned patient care area under the Nurse Manager . The position assures the delivery...24 months. + 3 years of nursing experience + Registered Nurse license in the state of… more
    Meriter-UnityPoint Health (02/10/25)
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  • RN Case Manager - Care Coordination;…

    Meriter-UnityPoint Health (Madison, WI)
    14699BRDepartment Name:HSP Care Coordination Location:Meriter Hospital Job Description: The RN Case Manager (CM) collaborates with the interdisciplinary care ... approach to patient care and discharge planning. The RN Case Manager collaborates and maintains close partnership...years of hospital experience in general Medical/Surgical practice + Registered Nurse in State of WI +… more
    Meriter-UnityPoint Health (03/06/25)
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  • RN Case Manager Hospice /Full time

    SSM Health (Janesville, WI)
    …Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse (RN) Issued by Compact State + Or + Registered ... Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse (RN) Issued by Compact State + Or + Registered Nurse more
    SSM Health (03/04/25)
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  • Case Manager , RN

    CAI (Madison, WI)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • Delegation Oversight Nurse (Must Reside…

    Molina Healthcare (Madison, WI)
    Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
    Molina Healthcare (03/06/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Madison, WI)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
    Molina Healthcare (02/09/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Madison, WI)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing (RN) license in good standing. **PREFERRED EDUCATION:**… more
    Molina Healthcare (01/25/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Madison, WI)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Madison, WI)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Remote Program Manager , HCS - RN…

    Molina Healthcare (Madison, WI)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/04/25)
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