UNKNOWN

FEED

PURPOSE STATEMENT: Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current licensure, as preferred for the area of clinical specialty, as designated by the state in which the facility operates.

Acadia Healthcare Co Inc

Admissions Counselor - 5k Bonus

linkup_via_bold

Ensure seamless integration of Case Management, Disease Management, and Utilization Management (as applicable) functions across departments, identifying and resolving service barriers. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

Corewell Health

Manager Case and Disease Mgmt

ea_via_bold

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

Pharmacy Careers

Remote Clinical Review Pharmacist

The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. The analyst will work closely with Senior Claims Analysts, the SIU, and cross‑functional teams to support investigations, recommend corrective actions, and strengthen internal controls.

Aspirus Inc

FRAUD WASTE ABUSE ANALYST - ASPIRUS HEALTH PLAN

We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Remains available to the urgent care nursing staff and providers if needed for urgent/emergent action and consequently remains on premises at all times during assigned shift.

Children's Hospital and Health System

Physician Urgent Care - Part Time

Children's Wisconsin

Children’s and its joint venture with the Medical College of Wisconsin – the Children’s Specialty Group (CSG) - are the largest providers of pediatric healthcare in the state, serving the children and families of Wisconsin with the highest level of care through their American College of Surgeons Level I Children’s Surgery Verification Center, Level I Pediatric Trauma Center, Diagnostic Imaging Center of Excellence, 72-bed Level IV NICU, Level IV Epilepsy Center, and a 72-bed PICU. Approximately 1,780 MCW physicians and approximately 905 advanced practice providers care for more than 484,000 patients of all ages annually at Froedtert Hospital, Zablocki VA Medical Center, Children’s Wisconsin, and many other hospitals and clinics throughout eastern Wisconsin, representing more than 5.1 million patient visits annually.

Medical College of Wisconsin

General and Community Pediatrician, Faculty (Open Rank)

sourcestack_via_bold

Community Pediatrician Faculty - Assistant Professor

OTHER

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge.

Rehabilitation Hospital of Oak Creek

Case Manager (CM) PRN, Inpatient Rehabilitation

appcast_organic

Facilitates evidence-based nursing by creating an environment that encourages the utilization of evidence in practice; uses evidence in decision-making to maintain quality, cost and customer service; and ensures the integration of evidence in congruence with departmental, organizational, regional and strategic goals. Performs human resources responsibilities for staff which include interviewing and selection of new teammates, promotions, staff development, performance evaluations, compensation changes, resolution of teammate concerns, corrective actions, terminations, and overall teammate morale.

HOUR

Advocate Aurora Health Inc

Director Nursing Inpatient

Advances the nursing profession through professional development, leadership succession planning, and role modeling professional accountability while developing, coaching, and evaluating nursing leaders, to strengthen leadership capability and career growth. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.

Chief Nursing Officer Aurora Medical Center Grafton

To include; attending Utilization Reviews and reports as necessary (including managing medical necessity denials), collecting data and monitors Quality Indicators and the Care Tools, maintains FOM credentialing and staff education as well as FOM functions, ensuring accuracy (rounds, education, certification, etc.), reviewing physician documentation for medical necessity and function changes and tracks Compliancy (CMS13) and assists in attainment of required documentation from clinical liaison’s and physicians to support. Our brand new state-of-the-art rehabilitation hospital in Cleveland, WI is looking for a Director of Patient Outcomes to join our dynamic and thriving healthcare organization committed to providing exceptional patient-centered care, and we want YOU to be a vital part of our team.

ClearSky Health

Director of Patient Outcomes

Our Sales Team is growing and seeking a full-time Regional Account Manager to strengthen existing client partnerships and drive new business opportunities across the Midwest territory. Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients.

YEAR

Ethos Risk Services LLC

Regional Account Manager - Midwest

FULL_TIME

Green Bay Rehabilitation Hospital – Green Bay, WI Green Bay Rehabilitation Hospital in Green Bay, Wisconsin is an advanced inpatient rehabilitation hospital devoted to helping individuals recover from life-altering injuries and illnesses. Joint Commission-accredited and ranked among the top rehabilitation centers nationally, Green Bay Rehabilitation Hospital is proud to offer patient-centered care that empowers patients to achieve their highest level of independence.

Ernest Health

Pharmacist - Per Diem

[AW]-iCims

As a Staff Pharmacist, you will play a key role in medication therapy management, patient counseling, immunization services, clinical decision-making, and pharmacy operations while working alongside a supportive and experienced team. This position offers the opportunity to build meaningful relationships with patients, collaborate with healthcare providers, and contribute to innovative pharmacy services that improve health outcomes.

Lodi

Retail Staff Pharmacist Hourly

As a Staff Pharmacist, you will play a key role in both clinical care and pharmacy operations: Accurately dispense prescription medications in a retail pharmacy setting. Collaborate with physicians, nurses, and healthcare teams to recommend therapy improvements.

DeForest

Retail Staff Pharmacist Hourly -Full or Part Time

Hometown Pharmacy

In addition, the candidate must demonstrate the following Knowledge, Skills, and Abilities (KSAs): Ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral problems in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse. GS-4 Level: Experience: One year of specialized experience as a NA or experience in another medical field (licensed practical nurse, health technician, hospital corpsman, etc.), performing technical and nursing skills requiring knowledge of the human physical and emotional states, therapeutic communication, and technical skills required for basic and intermediate treatments; OR.

U.S. Department of Veterans Affairs

Nursing Assistant

Remote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.

Utilization Management Nurse Jobs in Wisconsin

Admissions Counselor - 5k Bonus Acadia Healthcare Co Inc

Manager Case and Disease Mgmt Corewell Health

Remote Clinical Review Pharmacist Pharmacy Careers

FRAUD WASTE ABUSE ANALYST - ASPIRUS HEALTH PLAN Aspirus Inc

Physician Urgent Care - Part Time Children's Hospital and Health System

Physician Urgent Care - Part Time Children's Wisconsin

General and Community Pediatrician, Faculty (Open Rank) Medical College of Wisconsin

Community Pediatrician Faculty - Assistant Professor Medical College of Wisconsin

Case Manager (CM) PRN, Inpatient Rehabilitation Rehabilitation Hospital of Oak Creek

Director Nursing Inpatient Advocate Aurora Health Inc

Chief Nursing Officer Aurora Medical Center Grafton Advocate Aurora Health Inc

Director of Patient Outcomes ClearSky Health

Regional Account Manager - Midwest Ethos Risk Services LLC

Pharmacist - Per Diem Ernest Health

Retail Staff Pharmacist Hourly Lodi

Retail Staff Pharmacist Hourly -Full or Part Time DeForest

Retail Staff Pharmacist Hourly -Full or Part Time Hometown Pharmacy

Retail Staff Pharmacist Hourly Hometown Pharmacy

Nursing Assistant U.S. Department of Veterans Affairs

Appeals Pharmacist (Remote) Pharmacy Careers

Similar Job Searches

Stand out to leading employers.