- Select Medical (Madison, WI)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning,… more
- Humana (Madison, WI)
- …community and help us put health first** Job Description Summary Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving ... care and empower our members to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care management to frail elders and… more
- Humana (Watertown, WI)
- …help us put health first** Join our Dodge County WI team at Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members ... care and empower our members to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care management to frail elders and… more
- CVS Health (Madison, WI)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sedgwick (Madison, WI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Sedgwick (Madison, WI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- St Croix Hospice (Middleton, WI)
- …invite you to join our team, where your work truly matters. As a Registered Nurse Case Manager , you will be the heart of our care model, providing 1:1 holistic ... in your practice, we'd love to meet you. Qualifications Registered Nurse Case Manager Requirements & Responsibilities: + Associates, Bachelors, or Masters… more
- Humana (Fort Atkinson, WI)
- …of our 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 responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in providing assistance when it comes to living their daily… more
- Highmark Health (Madison, WI)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Madison, WI)
- …+ Manage the entire care process with a sense of urgency from benefit investigation and verification to medication delivery, ensuring an exceptional patient ... experience + Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist… more
- Humana (Madison, WI)
- …+ Conduct psychosocial assessments as part of the comprehensive assessment process. + Utilize the Resource Allocation Decision making methodology (RAD), help member ... **Become a part of our caring community and help us put health first** Humana/iCare is seeking a Care Coach to join the growing Dane County team in the Family Care Partnership (FCP) program. The FCP Care Coach provides care management services through the FCP… more
- Molina Healthcare (Sun Prairie, WI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) \#PJHS \#LI-AC1 To all current Molina ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
- Sharecare (Madison, WI)
- …years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical ... everyone. To learn more, visit www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently… more
- Aveanna Healthcare (Madison, WI)
- …staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered ... Home Health RN Clinical Manager 10K Sign On Bonus ApplyRefer a FriendBack...evaluations for all clinical staff. + Responsible for overseeing case management to ensure services that are financially sound.… more
- Humana (Madison, WI)
- …Humana. Key responsiblities: + Partner with a Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate on an ... weekends, giving you more time for what matters most. Humana is currently seeking RN Case Managers to join our teams in the La Crosse and Sparta offices, serving… more
- Molina Healthcare (Madison, WI)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and...assigned complex member cases and medication regimens. * Care manager RNs may conduct medication reconciliation as needed. *… more
- Molina Healthcare (Madison, WI)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... Practical Nurse (LPN). License must be active and unrestricted in state of practice. * Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through… more
- Gentiva (Madison, WI)
- …very competitive salary and flexible schedule. **What You'll Do as a Hospice RN / RN Case Manager :** + Be the primary point of contact for patients and families, ... We maintain a drug-free workplace Related Job Titles hospice RN jobs, case manager nurse, end-of-life care RN, home health RN, compassionate nursing jobs,… more
- Molina Healthcare (Madison, WI)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation… more
- Molina Healthcare (Madison, WI)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation… more