1 to 15 of 70
Sort by: Date | Relevance
Bachelors degree in a social work, psychology, human services, counseling, nursing, special education or a closely related field (or four years of commensurate experience if no degree). 1+ years of direct experience related to the delivery of social services to the target groups. Ability to work independently, with minimal supervision and be self motivated. Knowledge of Long Term Care programs
Posted Today
Prior military service/military family member and/or strong familiarity with military culture and command structure; ability to establish productive relationships with high ranking military personnel preferred. Prior services as MFLCcounselor strongly preferred. Master's Degree from an accredited Graduate Program in a Mental Health related field. Valid unrestricted counseling license from aState,
Posted 1 day ago
This position is in support of military bases in Wisconsin; candidate must be local to the military base or willing to relocate to become local. Candidates must be licensed at the independent level in the state of Wisconsin with a LCSW, LPC, or LMFT. Primary responsibility of providing the full breadth of MFLC (military family life counseling) counseling services to military service members and th
Posted 1 day ago
Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending and performance data. Supports special projects. Maintains and monitors reporting queues and requests (if appropriate), and internal share point sites. May participate
Posted 1 day ago
TMG by Magellan Health is seeking a Self Directed Personal Care Registered Nurse who lives in either Wautoma or Waupaca, Wisconsin. Self Directed Personal Care RN's are responsible for providing self directed personal care nursing services to IRIS participants including, but not limited to, those services specific to participation in the 1915j Self Directed Medicaid Personal Care Program. This rol
Posted 2 days ago
TMG
- Maryland Heights, MO / Phoenix, AZ / Denver, CO / 6 more...
This is a remote position, allowing you to work from the comfort of your own home from anywhere inside the US. This position services as an expert technical and industry resource to management, clients and development staff in new uses of information technology in all phases of major system and subsystem development. Provides consultation on internal and industry IT technical and business domain p
Posted 2 days ago
Bachelors degree in health or human services or related field. Must pass the Wisconsin Adult Long term Care Functional Screen certification modules (80% or higher on each module) within first week of hire and maintain certification as a screener. Preference will be given to candidates who are currently certified or who have been certified in the past. 1+ years of experience working with one of
Posted 2 days ago
This position serves as a business lead in Clinical / Medical Operations focused on a clinically sound and administratively efficient clinical decision support systems utilizing algorithms and machine learning. Primary focus is on utilization management authorization automation processes. Works collaboratively with internal business departments to develop technology opportunities and solutions pri
Posted 2 days ago
TMG
- Madison, WI
QUALIFIED CANDIDATES MUST HAVE STRONG CLAIMS/ENCOUNTERS EXPERIENCE Primary responsibilities consist of analyzing the business impact on care costs ranging from medical action plans, product development, program evaluation, population management, and general sales proof points/ROI for public sector business unit. Responsible for the measurement, presentation, and communication of care cost results
Posted 2 days ago
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and pa
Posted 6 days ago
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Directs daily involvement in
Posted 7 days ago
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Directs daily involvement in
Posted 7 days ago
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Directs daily involvement in
Posted 8 days ago
Responsible for the development, approval, and maintenance of corporate clinical correspondence to ensure compliance with legislative and accreditation requirements. Adheres to procedures, designated roles and responsibilities as outlined in the corporate correspondence policy. Develops and customizes correspondence according to regulatory requirements and contractual requirements including coordi
Posted 8 days ago
This is a part time, intermittent position working 12 hours on our After Hours team and is a remote/work from home position that requires an independent behavioral health license in the State that you reside. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient
Posted 8 days ago
Email this Job to Yourself or a Friend
Indicates required fields