RN Utilization Management jobs in Madison, WI

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Manager of Utilization & Case Management
WEA Trust 6 reviews - Madison, WI
and evaluates utilization review and care management... utilization review; hospital admission notification, inpatient concurrent review, denials management...
Sponsored by WEA Trust - 30+ days ago
Executive Consultant - Clinical Documentation Improvement
Beacon Partners, Inc. - United States
plan, issues, change management) Qualifications: A... health system. RN and BSN preferred, Graduate of an approved Health Information Technology/Management with...
Sponsored by Beacon Partners, Inc. - 30+ days ago

Complex Case Manager (RN/MSW)

Physicians Plus Insurance Corporation - Madison, WI
In addition to developing and assessing plans, the position implements strategies and evaluates the member’s ability to manage their medical condition and meet...
19 days ago - save job - block - email - more...

Prospective Payment Coordinator - Inpatient Rehabilitation P...

UW Health 6 reviews - Madison, WI 53792
The Prospective Payment System (PPS) Coordinator is a licensed health care clinician who has knowledge in the assessment and treatment of rehabilitation...
CareerBuilder - 17 days ago - save job - block - email - more...

Case Manager

Dean Health 6 reviews - Madison, WI
Develops a care plan utilizing clinical expertise to identify and evaluate the members need for additional medical services, modifiable risk factors and...
21 days ago - save job - block - email - more...

Clinical Documentation Specialist

UW Health 6 reviews - Madison, WI
Ability to acquire the clinical knowledge necessary to meet performance standards in the position. Jobs are sedentary if walking and standing are required only...
Miracle Workers - 8 days ago - save job - block - email - more...

Manager of Utilization & Case Management

WEA Trust 6 reviews - Madison, WI
Master's degree in Nursing or related field. Work collaboratively with others to continuously research, evaluate, and improve Utilization and Care Management...
30+ days ago - save job - block - email - more...

Sr. Claim Professional Job

CUNA Mutual Group 37 reviews - Madison, WI
7. Proficiency in MS Office environment, Windows and Web applications. gathering all necessary decision support documentation, c....
10 days ago - save job - block - email - more...

Mgr. Medical Management

Wisconsin Physicians Service Insurance Corporation - Madison, WI
Manage inventory and staff to assure timely work completion and compliance with all policy and procedures, work standards, and company policies....
30+ days ago - save job - block - email - more...

NURSE CARE MANAGER

St. Mary's Hospital - Madison - Madison, WI
St. Bachelor’s prepared RN with a minimum of 2 years discharge planning/utilization review experience preferred....
SSM Health Care - 30+ days ago - save job - block - email - more...

Information Analyst - Clinical

Group Health Cooperative of South Central Wisconsi... 3 reviews - Madison, WI
To perform this job successfully, and incumbent must be able to perform each essential duty satisfactorily. To provide accessible, comprehensive, high quality...
30+ days ago - save job - block - email - more...

SW-Inhome South

HospiceCare Inc - Madison, WI
c) Appropriately refers patients/families for community resources based on identified needs. Current, unrestricted Wisconsin certification in Social Work....
30+ days ago - save job - block - email - more...
Information Analyst - Clinical
Group Health Cooperative of South Central Wisconsin 3 reviews - Madison, WI
promotion, and disease management functions for the Clinical and Quality Management Departments, and will... with all levels of management, staff and customers...
Sponsored by Group Health Cooperative of South Central Wisconsin - 30+ days ago
Meditech Advanced Clinicals Consultant
Beacon Partners, Inc. - United States
of the largest healthcare management consulting firms... management, upgrade coordination and testing, custom programming, application support, interim management...
Sponsored by Beacon Partners, Inc. - 30+ days ago
Utilization Management Clinician
CAMBIA Health Solutions - United States
817129 UTILIZATION MANAGEMENT CLINICIANREMOTE... and 3 years of case management, utilization management, disease management, auditing or retrospective...
Sponsored by America's Job Exchange - 21 days ago
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