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Description The Senior Stars Improvement, Clinical Professional is responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars program. The Senior Stars Improvement, Clinical Professional work assignments involve ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
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Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
RN - Weekend RN - Home Care Racine/Kenosha (Other) Location: Oak Creek, WI(53154), Racine, WI (53403), Kenosha, WI (53140) You became a nurse to help people. You desire to see that ..
LPN - PM Clinical Coordinator - Home Care (Full Time 2nd shift) Location: Milwaukee, WI (corporate headquarters) (53224) Our Home Care Team is currently seeking a LPN Clinical Coordinator to ensure ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eThe Prior Authorization Nurse Analyst is a work from home position that will assist in reviewing medical documentation for prior authorization requests submitted.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003ePerform review of ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u003c/strongu003eu003c/pu003enu003cpu003eThe Clinical Supervisor (RN) will oversee a team of 20 to 30 remote Medical Review Nurseu0026nbsp; Analysts (NA) that complete Targeted Probe and Educate (TPE) work for our Medicare ..
Nurse Practitioner (Hospice) (Full Time 1st shift) Location: Mequon, WI (CSM) (53092), Milwaukee County (53211), Milwaukee, WI (corporate headquarters) (53224), Oak Creek, WI(53154), Ozaukee County (53092), Racine, WI (53403), Washington County ..
Nurse Practitioner (Palliative) (Full Time 1st shift) Location: Mequon, WI (CSM) (53092), Milwaukee County (53211), Milwaukee, WI (corporate headquarters) (53224), Oak Creek, WI(53154), Ozaukee County (53092), Racine, WI (53403), Washington County ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
We Are Hiring Job Title: Regional Clinical Director Surgical Services Department: Surgical Services Administration Location: Ascension Hospitals - All Saints, St. Francis and Franklin City, State: Racine, St. Francis and Franklin, ..
RN - Weekend RN - Home Care Oak Creek (Other) Location: Oak Creek, WI(53154) You became a nurse to help people. You desire to see that the attentive care you provide ..
RN Case Manager - Home Care Kenosha (Full Time 1st shift) Location: Kenosha, WI (53140) You became a nurse to help people. You desire to see that the attentive care you ..
LPN - PM Clinical Coordinator - Hospice (Full Time 2nd shift) Location: Milwaukee, WI (corporate headquarters) (53224) Our Hospice Team is currently seeking a LPN Clinical Coordinator to ensure appropriate staffing ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
RN - Supervisor/Manager (Home Care - Oak Creek) (Full Time 1st shift) Location: Oak Creek, WI(53154) Horizon Home Care and Hospice, headquartered in Milwaukee, WI, is a home care and hospice ..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
Clinical Team Coordinator (Oak Creek) (Full Time 1st shift) Location: Oak Creek, WI(53154) In this important role you will efficiently coordinate the daily functions of our clinical team and assures effective ..