- CVS Health (Madison, WI)
- …and every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse (RN). Case Managers serve as dedicated ... EST No nights, weekends, or holidays required. **Key Responsibilities of the Case Manager RN** (Includes but is not limited to) + Conduct comprehensive… more
- 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
- 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)
- …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
- 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 ... Shift (United States of America) **Job Type:** Employee **Department:** 8746080033 System Case Mgmt - WIS **Scheduled Weekly Hours:** 36 **Benefits:** SSM Health… 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
- 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
- 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
- Humana (Madison, WI)
- …MSN degree + Case Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... us put health first** The Compact licensed telephonic Care Manager works from home in a call center environment....homes. Our nurses are called Care Managers, because our case management services are centered on the person rather… 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 ApplyRefer a FriendBack Job Details Requisition #:...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
- St Croix Hospice (Baraboo, WI)
- …of the Manager of Clinical Services in collaboration with the patient's RN Case Manager and according to the individualized Plan of Care. Essential Functions ... therapy at the direction of the Clinical Supervisor or Manager of Clinical Services in accordance with the plan...the patient's condition to the + Clinical Supervisor or Manager of Clinical Services and other pertinent staff. +… 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)
- …Healthcare Management (CPHM), Certified Professional in Healthcare 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… 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