Job(s) 1 to 9 of 9
DateJob TitleRelevanceCompanyJob LocationSalary
9/17/2014Quality Improvement/Credentialing Specialist - Provider Focu...Independent Care Health Plan (...Milwaukee, WINot Provided
 
 
Insurance Company Needs a Quality Improvement Professional
NATURE OF WORK: Perform duties to lead the monitoring and reporting of provider related quality for our Medicare, Medicaid, and Long-Term Care Programs through accurate data collection, accurate data reporting, and leading interdepartmental teams for provider quality related decisions. Serve as the subject matter expert on ...
 Related:  Quality Assurance/Safety,  Professional and Technical,  Healthcare - Administration/Billing
9/15/2014Provider Contract SpecialistIndependent Care Health Plan (...Milwaukee, WINot Provided
 
 
Nature of Work:   The Provider Contract Specialist will develop new provider networks to meet iCare’s expansion both in product line and in expanded geographic areas, as needed from time to time. This position will develop and finalize provider contracts and interact with department managers and staff in assuri ...
 Related:  Professional and Technical,  Healthcare - Administration/Billing,  Insurance - Management
9/10/2014Prior Authorization/Utilization Review NurseIndependent Care Health Plan (...Milwaukee, WINot Provided
 Open Due to Promotion
Nature of Work: Review the clinical appropriateness of prior authorization (“PA”) requests and ensure that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria as applicable. Work with the Medical Director to review PA requests, and ensure appropriate information shari ...
 Related:  Healthcare - Nurses/RNs/Practitioners
9/10/2014Care CoordinatorIndependent Care Health Plan (...Milwaukee, WINot Provided
 This professional position provides care coordination services to meet medical, behavioral health and social needs of Independent Care members while promoting and maintaining the quality of care for members. . RESPONSIBILITIES:   Conducts initial and annual assessments of members’ medical, behavioral and ...
 Related:  Social Services/Community,  Healthcare - Behavioral Health
9/10/2014Part-Time RN Case Manager - Family Care PartnershipIndependent Care Health Plan (...Milwaukee, WINot Provided
  This professional position provides case management and support to older adults in the Milwaukee County community, assuring quality services are provided which are cost effective and monitoring the heath and safety of members.  Position will be a 20 hour per week part-time job sharing position - working 2.5 days p ...
 Related:  Healthcare - Nurses/RNs/Practitioners,  Healthcare - Behavioral Health
9/10/2014RN Case Manager - Family Care PartnershipIndependent Care Health Plan (...Milwaukee, WINot Provided
  This professional position provides case management and support to older adults in the Milwaukee County community, assuring quality services are provided which are cost effective and monitoring the heath and safety of members.    Complete the nursing portion of the comprehensive assessment and provide input ...
 Related:  Healthcare - Nurses/RNs/Practitioners,  Healthcare - Behavioral Health
9/10/2014RN Case Manager, Bilingual Spanish - Family Care PartnershipIndependent Care Health Plan (...Kenosha, WI; Milwaukee, WI; Racine, WINot Provided
 This is a great opportunity for a bi-lingual Spanish RN
Nature of Work: This professional position provides case management and support to older adults in the Milwaukee County community, assuring quality services are provided which are cost effective and monitoring the heath and safety of members. Requirements: This position requires bi-lingual Spanish skills plus: &nb ...
 Related:  Healthcare - Nurses/RNs/Practitioners
9/4/2014Care Manager - Family Care PartnershipIndependent Care Health Plan (...Milwaukee, WINot Provided
 This professional position provides Care Management services through the Family Care Partnership (FCP) program including assessment, service plan development, ongoing care coordination, quality assurance and ongoing monitoring of services to Milwaukee County Adults with disabilities and the Frail Elderly.  Bilingual Sp ...
 Related:  Social Services/Community,  Healthcare - Behavioral Health
9/4/2014RN Case Manager - Family Care PartnershipIndependent Care Health Plan (...Kenosha, WI; Racine, WINot Provided
  This professional position provides case management and support to older adults in the Racine and Kenosha County communities, assuring quality services are provided which are cost effective and monitoring the heath and safety of members.  Bilingual Spanish skills preferred.   Complete the nursing p ...
 Related:  Social Services/Community,  Healthcare - Nurses/RNs/Practitioners

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