• Complex Case Manager

    Highmark Health (Madison, WI)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (03/13/25)
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  • Registered Nurse - Cardiology…

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    …Cardiology Specialty Case Management to join our team! The Cardiology Specialty Nurse Case Manager works collaboratively with Specialty Services to ... patient care for the adult/geriatric veteran population. Responsibilities The Registered Nurse - Cardiology Specialty Case...well as customer service programs. The Cardiology Specialty Care Nurse Case Manager (NCM) is… more
    Veterans Affairs, Veterans Health Administration (03/07/25)
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  • Registered Nurse - GI Procedure…

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    …and Outpatient Procedures Nurse Manager . Responsibilities The GI Procedure Nurse Case Manager (NCM) reports directly to the Ambulatory Surgery ... WI is looking for a full-time Registered Nurse - Procedure Nurse Case ...and Outpatient Procedure nurse manager and functions to develop and… more
    Veterans Affairs, Veterans Health Administration (03/09/25)
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  • Manager , Utilization Management…

    Humana (Madison, WI)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Care Manager , Registered

    Sharecare (Madison, WI)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (02/17/25)
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  • Case Manager , RN

    CAI (Madison, WI)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • Case Manager , Ltss ( RN )…

    Molina Healthcare (Watertown, WI)
    …member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (02/13/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Madison, WI)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Madison, WI)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Madison, WI)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Madison, WI)
    …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
    Highmark Health (02/24/25)
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  • Clinical Program Supervisor - Child/Adolescent…

    Meriter-UnityPoint Health (Madison, WI)
    …of the Nurse Manager . + This position also oversees and supports the RN Case Manager for the unit. + The Clinical Program Supervisor also utilizes ... the Occupational Therapy/Recreation Therapy teams under the direction of their respective Nurse Manager . This position is accountable for unit programing,… more
    Meriter-UnityPoint Health (01/26/25)
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