• Program Manager , HCS RN , LMSW,…

    Molina Healthcare (Racine, WI)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/21/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Racine, WI)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (02/09/25)
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  • Manager , Healthcare Services…

    Molina Healthcare (Racine, WI)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Racine, WI)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Case Manager - Milwaukee

    Humana (Racine, WI)
    …of our caring community and help us put health first** Humana is seeking a Case Manager , aka: Community Resource Coordinator (CRC), to join the Inclusa team to ... it. + Partner with a Health and Wellness Coordinator ( RN ) and collaborate on an ongoing basis regarding the...Friday, 8:00 am - 4:30 pm CST Limited Geography Remote - This is a remote position… more
    Humana (03/22/25)
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