• Complex Case Manager

    Highmark Health (Madison, WI)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (10/25/24)
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  • Registered Nurse - Acute…

    Marshfield Clinic (Marshfield, WI)
    …together to support the most exciting missions in the world!** **Job Title:** Registered Nurse - Acute - Surgical/Ortho (with Med/Surg Residency option) **Cost ... on the first paycheck of employment** **JOB SUMMARY** The Registered Nurse -Acute functions as a vital member...+ Vascular Bypass, Carotid Endarterectomy, Vascular Aneurysm Repair + Complex wound care and Skin grafting + Robotic &… more
    Marshfield Clinic (11/20/24)
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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 (12/31/24)
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  • Case Manager ( RN ) : Remote,…

    Molina Healthcare (Kenosha, WI)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) BILINGUAL SPANISH PREFERRED** To all… more
    Molina Healthcare (12/23/24)
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  • Case Manager , Ltss ( RN )…

    Molina Healthcare (West Bend, 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 (12/20/24)
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  • Nurse Case Manager

    Lakeview NeuroRehabilitation Center (Waterford, WI)
    The Scope of Practice for the RN Case Manager includes responsibility for management of the assigned patient population through multidisciplinary team ... Case Management Team, consisting of the Lead Case Manager , the MD Chair of the...staff, patients, and families of varied backgrounds. + Education: Registered Nurse , ADN or BSN. + Licensure:… more
    Lakeview NeuroRehabilitation Center (12/17/24)
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  • RN Care Coordinator - Orthopedics

    Marshfield Clinic (Weston, WI)
    …(United States of America) **Job Description:** **JOB SUMMARY** The Registered Nurse Care Coordinator is responsible for ongoing case management coordination ... focus on preventive and primary care; and provide disease case management where relevant. The nurse uses...to the position._ **Minimum Required:** Current State of Wisconsin Registered nurse License or Nurse more
    Marshfield Clinic (12/31/24)
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  • Behavioral Health Case Manager I

    Elevance Health (WI)
    …NJ, WI, MO **Shift:** Monday - Friday; 8:00am - 5:00pm The **Behavioral Health Case Manager I** is responsible for performing case management telephonically ... social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...skills, both written and verbal. + Previous experience in case management. + Certified Case Manager more
    Elevance Health (12/25/24)
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  • Telephonic Case Manager

    Sedgwick (Madison, WI)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (12/10/24)
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  • Care Manager , Telephonic Nurse 2

    Humana (Madison, WI)
    …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
    Humana (12/24/24)
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  • Clinical Care Manager , Behavioral Health

    Evolent (Madison, WI)
    …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
    Evolent (11/05/24)
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  • Care Manager - Remote

    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 ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
    Sharecare (12/04/24)
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  • Advanced Practice Psychiatric Nurse

    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
    Walworth County (11/27/24)
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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 (11/25/24)
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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Madison, WI)
    …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
    J&J Family of Companies (12/18/24)
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  • Sr Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Milwaukee, WI)
    …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
    Gilead Sciences, Inc. (12/21/24)
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  • Med Mgmt Nurse

    Elevance Health (Waukesha, WI)
    …The Med Mgmt Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. May make recommendations on… more
    Elevance Health (12/20/24)
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  • Clinical Program Supervisor - Inpatient…

    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 (12/27/24)
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  • Member Health Assessor (must reside in Wi)

    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), ... achieving and maintaining optimal health status. + May request RN input for member care planning. + Typically works...planning. + Typically works with members with moderate to complex clinical needs. + Conducts standardized Health Risk Appraisals… more
    Molina Healthcare (12/04/24)
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  • Nurse Care Mgr I (US)

    Elevance Health (Waukesha, WI)
    …planning experience preferred. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. For candidates working in person or remotely in ... - 7am CST or 11am - 8pm EST.** The Nurse Care Mgr I is responsible for collaborating with...activities within the scope of licensure for members with complex and chronic care needs. Primary duties may include,… more
    Elevance Health (12/20/24)
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