• RN - Clinical Lead

    Ascension Health (Franklin, WI)
    …transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Wisconsin Board of Nursing obtained ... **Details** + **Department:** Med /Surg + **Schedule:** Full-time, .9 Days + **Hospital:**...unit staffing and provide leadership while ensuring implementation of clinical objectives and quality patient care in assigned areas.… more
    Ascension Health (03/12/25)
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  • Registered Nurse ( RN

    Centers for Independence (Milwaukee, WI)
    ** Registered Nurse ( RN ) Lead -Pediatrics** **Job Details** **Job Location** MCFI Main Campus - Milwaukee, WI **Position Type** Full Time - Union ... that encourages balance, resilience, and professional growth. As the Registered Nurse ( RN ) Lead...Pediatric Skilled Nursing program clients. The RN Lead is accountable for overseeing PSN's clinical more
    Centers for Independence (01/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Waukesha, WI)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Location:** This position...Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports… more
    Elevance Health (03/04/25)
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  • Sr Specialist, Quality Improvement ( RN

    Molina Healthcare (Milwaukee, WI)
    …QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of ... Quality Intervention / QI Compliance + Acts as a lead specialist to provide project-, program-, and / or...Registered Health Information Technician (RHIT), or + Certified Medical Record Technician with training in coding procedures (as… more
    Molina Healthcare (03/19/25)
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  • RN Care Manager- Sheboygan and Ozaukee…

    Humana (Port Washington, WI)
    …**Required Qualifications** + Associate degree in nursing. + Must be a Registered Nurse , licensed in the state of Wisconsin. **Preferred Qualifications** ... help us put health first** Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join...of the member's plan of care. + Take the lead on all health issues for the member. +… more
    Humana (01/15/25)
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  • Lead Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Milwaukee, WI)
    …new team members. Leads special HEDIS/Quality projects. **Job Duties** + Performs the lead role of the HEDIS medical record review overreader/auditor which ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the...and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and… more
    Molina Healthcare (01/21/25)
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  • Nurse Audit Sr

    Elevance Health (Waukesha, WI)
    …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending." The ** Nurse Audit Sr** is responsible for ... ** Nurse Audit Sr** **Location:** This position will work...impact:** + Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and post payment… more
    Elevance Health (03/15/25)
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