- 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 (Beaver Dam, 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
- 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
- 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
- Humana (Watertown, 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
- 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 (Watertown, 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
- 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
- Marshfield Clinic (Beaver Dam, WI)
- …skills) to function independently in the home setting. Home Care and Hospice uses a Case Manager and visit nurse model. The RN utilizes the direct and extended ... Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with… more
- Marshfield Clinic (Beaver Dam, WI)
- …documentation of the duties completed and notification to the Registered Nurse Case Manager , Registered Nurse Clinical Supervisor, or appropriate team member ... Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with… more
- Marshfield Clinic (Beaver Dam, WI)
- …skills) to function independently in the home setting. Home Care and Hospice uses a Case Manager and visit nurse model. The RN utilizes the direct and extended ... Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with… more
- Molina Healthcare (Madison, WI)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified ... Professional in Healthcare Quality (CPHQ) or other health care or management certification. * Medicaid/Medicare population experience. * Clinical experience. To all current Molina employees: If you are interested in applying for this position, please apply… more