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Managed Care Specialist jobs in Wisconsin

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UTILIZATION MANAGEMENT SPECIALIST

Applies clinical experience, health plan benefit structure, health management policies and procedures, and claims payment knowledge to authorization reviews. Leverages clinical knowledge, business rules, regulatory guidelines and...

CompanyGroup Health Cooperative Of Eau Claire
AddressAltoona, WI
CategoryHuman Resources
Salary$41.5K - $52.5K a year
Job typeFull-time
Date Posted 4 weeks ago See detail

Utilization Management Specialist

Group Health Cooperative Of Eau Claire

Altoona, WI

$41.5K - $52.5K a year

Applies clinical experience, health plan benefit structure, health management policies and procedures, and claims payment knowledge to authorization reviews. Leverages clinical knowledge, business rules, regulatory guidelines and...

4 weeks ago seen See more...

Greater MKE Manager Mission and Spiritual Care

Advocate Health

Milwaukee, WI

United States, Wisconsin, Milwaukee

Provides leadership and support at the hospital for the Mission and Spiritual Care (MSC) Department, providing for an appropriate and comprehensive ministry of Spiritual Care, counseling, consultation, education, worship, sacramen...

4 weeks ago seen See more...

Medical Management Intake Specialist

Wps Health Solutions

Green Bay, WI

dental insurance, paid time off, 401(k), remote work

Enjoy working with members, providers, and internal staff regarding the status of prior authorizations and pended claims or Customer Service (CS) tasks. Have experience working with providers and patients in a health insurance cus...

a month ago seen See more...

Program Manager - Memory Care

Eagle Crest Communities

La Crosse, WI

Assist in the planning, developing, andcoordination of the resident care needs. Responsible for supervising resident careassistants and service delivery of resident care. Partners closely with our marketing departmentand residents...

a month ago seen See more...

Behavioral Health Care Manager (LCSW)

Network Health

Menasha, WI

United States, Wisconsin, Menasha

Screens candidates for case management and when appropriate completes assessments, care plans with prioritized goals, interventions, and timeframes for re-assessment using evidence-based clinical guidelines. Evaluates and determin...

a month ago seen See more...

Senior Purchasing Specialist (Commodity Manager)

Sts Line Maintenance

Oshkosh, WI

Lead purchasing and order management activities to optimize operational efficiency. Verify the accuracy of supplier and purchase order data in ERP systems, addressing supply chain disruptions as needed. Conduct material cost analy...

2 months ago seen See more...

Before and After School Care & Camp Specialist - Elmbrook

Ymca Of Greater Waukesha County

Milwaukee, WI

Support the creation and implementation of developmentally appropriate lesson plans and activities in YBASE, 4K Wrap, Camp, and SOFD programs, including following and suggesting activities. Collaborate with 4K Lead Teachers, Y BAS...

2 months ago seen See more...

Manager Clinic Practice Primary Care

Children’s Wisconsin

New Berlin, WI

Affiliation with the #4 children's hospital in the country (according to Parents magazine). Board-certified pediatricians (learn what it means to be 'board-certified'). Many locations spread throughout southeast Wisconsin. Commitm...

2 months ago seen See more...

Registered Nurse Care Manager

Somatus

Eau Claire, WI

This position will be working closely with complex renal patients in their home, dialysis center, by phone and electronically as needed. * Core values consistent with a patient-centered approach to care* Proactively acts as a pati...

2 months ago seen See more...

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