Registered Nurse Transfer Center AscensionRegistered Nurse Transfer CenterRacine, WisconsinRemote$40.41–$57.05 / hourFull timeOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Life at Ascension: Where purpose meets opportunity: Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection.
Registered Nurse Care Manager Humana IncRegistered Nurse Care ManagerWaukesha, WIRemote$71,100–$97,800 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved.
RN Field Case Manager I CorVel CorpRN Field Case Manager IWaukesha, WIRemote$62,306–$93,123 / yearIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Region Director Care Coordination-Central Region CommonSpirit HealthRegion Director Care Coordination-Central RegionSouth Milwaukee, WIRemoteCollaborative Partnerships and Stakeholder Engagement: Builds and sustains strategic partnerships with system, regional, market, and hospital leaders; Serves as the primary Care Management liaison for the Region Chief Nursing Officer, promoting coordination of care across acute and post-acute settings; Develops strong working relationships with key stakeholders including regional Chief Medical Officers, Chief Financial Officers, Chief Operating Officers, and Post-Acute leadership; Collaborates with the System and Region Director(s) of Utilization Management to ensure cohesive workflows between care management and utilization review; Applies strategies within daily operations to identify trends and address gaps to facilitate authorizations and reduce preventable denials; Facilitates cross-functional collaboration with departments such as Physician Advisory, Revenue Cycle, Payer Strategy, Compliance, Community Health, Behavioral Health, Ethics, Legal, and Quality; Serves as a proactive advisor and subject matter expert, using data analytics and evidence-based practices to inform decision-making and optimize outcomes; Develops relationships with local/state agencies and associations to optimize resources available to patients; Collaborates with post-acute and community partners to ensure seamless patient transitions and strengthen network integrity; Engages in Clinical Joint Operating Committees (JOCs) with payers to address utilization trends, resolve systemic issues, and drive collaboration on medical necessity and post-acute authorization practices; Partners with Payer Strategy and Revenue Cycle to ensure compliance with payer requirements and maximize reimbursement opportunities under federal, state, and commercial programs; Represents the region on system-level councils and committees where needed, aligning local initiatives with national goals. Partners with Human Resources and facility leadership to ensure appropriate staffing models, skill mix, and role optimization to meet patient care needs; Identifies and mentors emerging leaders, developing strong succession pipelines and fostering career growth opportunities; Promotes a culture of accountability, engagement, and recognition, ensuring staff are empowered to deliver compassionate, high-quality care management services.
RN Field Case Manager I CorVel Healthcare CorporationRN Field Case Manager IWaukesha, WIRemote$62,306–$93,123 / yearPart timeIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Onsite Care Coordination Nurse Humana IncOnsite Care Coordination NurseMcHenry, ILRemote$71,100–$97,800 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Flex Nurse Educator - Chicago N, IL IQVIA Holdings IncFlex Nurse Educator - Chicago N, ILNorth Chicago, ILRemote$80,000–$85,000 / yearIQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.
Manager, Care Management Humana IncManager, Care ManagementNorth Chicago, ILRemote$86,300–$118,700 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for the care management of Medicaid members in Humana''s Illinois market.