• Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Zion, IL)
    …8 years' related experience or an equivalent combination of education and experience . + 3+ years' supervisory or project/ program management experience ... values and customer service philosophy. Adheres to the FMCNA Compliance Program , including following all regulatory and FMS policy requirements. Ensure provision… more
    Fresenius Medical Center (02/11/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Racine, WI)
    …of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience . **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical… more
    Molina Healthcare (01/25/25)
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  • Quality Engineer III

    Amphenol CIT (Franklin, WI)
    …with us. **SUMMARY** Under the general direction of the Quality and Compliance Manager , the Quality Engineer III is responsible for utilizing an advanced set of ... of manufactured product with an area of focus involving overall customer experience **ESSENTIAL JOB FUNCTIONS** + Utilize six sigma methodologies to improve the… more
    Amphenol CIT (03/04/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Racine, WI)
    …Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as ... specialties in: surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience more
    Molina Healthcare (02/09/25)
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  • Reg Mgr, Value-Based Prgms

    Molina Healthcare (Racine, WI)
    …**Required Experience ** + 4+ years managed care experience + Experience participating in value-based program & contract design and implementation for ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more
    Molina Healthcare (03/13/25)
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  • Quality Engineer III

    Actalent (Franklin, WI)
    …business reviews. + Manage data collection plans, including check sheets, data coding techniques, and automated data collection. + Participate in ISO 9001, AS9100, ... all safety standards, procedures, and regulations. Essential Skills + Experience with ISO 9001 + Quality engineering and quality...Under the general direction of the Quality and Compliance Manager , the ability to utilize an advanced set of… more
    Actalent (03/15/25)
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