• Medical Director - Acute Rehab Team

    Humana (Madison, WI)
    …prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation. Preferred ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a medical management more
    Humana (11/05/24)
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  • Medical Director--Claims Management

    Humana (Madison, WI)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/29/24)
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  • Medical Director - Florida

    Humana (Madison, WI)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/29/24)
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  • Medical Director - Mid West Region

    Humana (Madison, WI)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/29/24)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Madison, WI)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... Medical, we care for chronically and critically ill or post -ICU patients who require extended hospital care. Select Medical...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
    Select Medical (10/11/24)
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  • Quality Specialist

    SSM Health (Madison, WI)
    …to optimize the quality and patient safety culture. Assists with ambulatory, post - acute and regional quality initiatives as applicable. + Conducts leading ... PPT, Vizient, and Power BI. **Job Summary:** Oversees day to day project management of clinical outcomes improvement for assigned clinical areas, services or medical… more
    SSM Health (09/10/24)
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  • RN Case Manager Weekend Option

    SSM Health (Madison, WI)
    …opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, admission process, ... and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.). + Applies the existing body of evidence-based… more
    SSM Health (10/25/24)
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