- Molina Healthcare (WI)
- …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's...**I** **E** **N** **C** **E:** + 3+ years in behavioral health case management, disease management, managed… more
- Molina Healthcare (WI)
- …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Molina Healthcare (Wisconsin Dells, WI)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Wauwatosa, WI)
- …health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- 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 a care plan, encouraging behavior… more
- Humana (Madison, WI)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned beneficiaries… more
- Highmark Health (Madison, WI)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... as assigned or requested. **EDUCATION** **Required** + High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional… more
- Molina Healthcare (Green Bay, WI)
- …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
- Highmark Health (Madison, WI)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Molina Healthcare (WI)
- …program/process execution to achieve goals **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
- Walworth County (Elkhorn, WI)
- …university with a Master of Science in Nursing. Current license to practice as a Registered Nurse in the State of Wisconsin. Certification by the American Nurses ... Prescriber through WI Department of Safety and Professional Services. Wisconsin Registered Nurse through WI Department of Safety and Professional Services.… more
- Highmark Health (Madison, WI)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Molina Healthcare (Milwaukee, WI)
- …Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...achieving and maintaining optimal health status. + May request RN input for member care planning. + Typically works… more
- 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
- CVS Health (Madison, WI)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... Care and Medicare experience **Preferred Qualifications** Healthcare licensure and/or certifications ( RN , LPN, MSW, LCSW, CDE etc) highly preferred -5 years practice… more