- Humana (Madison, WI)
- …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...required, with no disciplinary action + 2+ years of Post - Acute clinical experience in a SNF, LTACH… more
- 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
- SSM Health (Madison, WI)
- …regional/ministry physician expert, providing medical direction and oversight to care management , utilization management andclinical documentation integrity ... including serving as primary lead for the governance for Utilization Management . + Oversees and is responsible...offices and other outpatient and virtual care services, 13 post - acute facilities, comprehensive home care and hospice… more
- 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 (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 (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 (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
- Huron Consulting Group (Madison, WI)
- …[not required] + Expertise managing cost structures and improving operational workflows within acute and post - acute settings + Seeking specific clinical ... instill passion and trust in clients, junior staff members, and Huron management . If you can lead teams, create customized solutions, and masterfully communicate… more
- 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 (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 (Madison, WI)
- …than 300 physician offices and other outpatient and virtual care services, 13 post - acute facilities, comprehensive home care and hospice services, a pharmacy ... **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Oversees the utilization and continuous improvement of the financial reports and analytics… more