• 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 (11/20/24)
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  • Registered Nurse Case

    Molina Healthcare (Racine, 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 (01/19/25)
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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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  • Registered Nurse - Full Time…

    Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
    Summary The Emergency Department Registered Nurse (ED RN ) reports to the ED Program Manager and ED Assistant Nurse Manager . The ED RN ... and the Upper Peninsula of Michigan. The Emergency Department Registered Nurse is responsible and accountable for...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (01/19/25)
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  • Case Manager , Ltss ( RN )

    Molina Healthcare (WI)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have … more
    Molina Healthcare (01/18/25)
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  • Case Manager ( RN )

    Molina Healthcare (Milwaukee, 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) To all current Molina employees: If… more
    Molina Healthcare (01/19/25)
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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 Transition of Care Coach - OH Licensure

    Molina Healthcare (Green Bay, WI)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/19/25)
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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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  • Specialty Clinic RN

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    …collaborative, interdisciplinary practice setting. This broad-based clinical knowledge enables the Registered Nurse to effectively implement health promotion and ... the Veteran's treatment plan Other duties as assigned The Nurse Manager /ANM of the Specialty Clinics is...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/15/25)
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  • Behavioral Health Case Manager I

    Elevance Health (WI)
    …WA, IA, WI **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 (01/17/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (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 (01/18/25)
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  • Care Manager , Telephonic Behavioral Health

    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
    Humana (01/16/25)
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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 (01/17/25)
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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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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Waukesha, WI)
    ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… more
    Elevance Health (01/03/25)
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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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  • 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 (01/17/25)
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