NewRN Supervisor - Engagement Center Remote Advocate Health and Hospitals CorporationRN Supervisor - Engagement Center RemoteMilwaukee, WisconsinRemoteProviding 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. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
RN Supervisor - Engagement Center Remote Advocate Aurora Health IncRN Supervisor - Engagement Center RemoteMilwaukee, WIRemote$44.15–$66.25 / hourProviding 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. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseWIRemote$71,100–$97,800 / yearWork-at-Home Information: 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.
Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerPewaukee, WIRemote$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Registered Nurse Clinical Manager CenterWellRegistered Nurse Clinical ManagerWest Allis, WisconsinRemoteOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewRegistered Nurse Transfer Center Ascension Health AllianceRegistered Nurse Transfer CenterRacine, WIRemote$40.41–$57.05 / hourOur 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. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Registered Nurse Care Manager Humana IncRegistered Nurse Care ManagerPewaukee, 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.
NewRegistered 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.
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI) Molina Healthcare IncIRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)Milwaukee, WIRemoteIRIS SDPC RNs are responsible for administering the Wisconsin Personal Care Screening Tool; creating person-centered plans of care; providing personal care oversight to a group of people in IRIS, providing education and training for IRIS participants and care providers, and conducting the required documentation and follow-up. At least 2 years nursing experience, and at least 1 year of experience serving the target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience.
IRIS Self-Directed Personal Care (RN) Molina Healthcare IncIRIS Self-Directed Personal Care (RN)Milwaukee, WIRemoteIRIS SDPC RNs are responsible for administering the Wisconsin Personal Care Screening Tool; creating person-centered plans of care; providing personal care oversight to a group of people in IRIS, providing education and training for IRIS participants and care providers, and conducting the required documentation and follow-up. At least 2 years nursing experience, and at least 1 year of experience serving the target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience.
NewManager, Care Management Humana IncManager, Care ManagementWIRemote$86,300–$118,700 / 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. The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care coordinators responsible for the care management of Medicaid members in Humana''s Illinois market.
Nurse Clinician-ENT Children's Hospital and Health SystemNurse Clinician-ENTMilwaukee, WisconsinRemoteUtilizes an inter-professional approach to communicate, educate and engage patients, caregivers, and providers in implementing the plan of care across care settings to achieve common goals, individualized interventions and optimal positive clinical outcomes and disease management. Employs educational strategies utilizing health teaching and health-promotion to include but not limited to, learning needs, abilities, readiness, cultural and spiritual, language preferences and barriers to learning that promote staff, individual, family, community and population health and safety and patient self-efficacy to promote, maintain, or restore health.
Nurse Clinician-ENT Children's WisconsinNurse Clinician-ENTMilwaukee, WIRemoteUtilizes an inter-professional approach to communicate, educate and engage patients, caregivers, and providers in implementing the plan of care across care settings to achieve common goals, individualized interventions and optimal positive clinical outcomes and disease management. Certifications/Licenses: one of the following: - N/A, BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council, License RN-Registered Nurse (30) - State of Wisconsin, License RN-Registered Nurse (TN Compact) - State of Tennessee.
Specialist, IRIS Eligibility Screening (Milwaukee County, WI) Molina Healthcare IncSpecialist, IRIS Eligibility Screening (Milwaukee County, WI)Milwaukee, WIRemoteMust be currently certified to conduct/administer the adult long-term care functional screens or 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. At least 2 years experience in health care, preferably in care coordination, and least 1 year of experience serving target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience.
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.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerWisconsin, WIRemoteWe're seeking board certified Nurse Practitioners licensed in Wisconsin (multi licensed strongly preferred) with broad clinical expertise and a passion for improving healthcare access and quality. In this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams.