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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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 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 ..
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 ..
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, ..
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 ..
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 ..