Perm Staff Jobs is seeking a Registered Nurse (RN) Long Term Care for a nursing job in Grafton, Wisconsin. Job Description & RequirementsSpecialty: Long Term...
TNAA TotalMed RN is seeking a travel nurse RN Case Management for a travel nursing job in Waukesha, Wisconsin. Job Description & RequirementsSpecialty: Case...
Family Medicine physician job in Illinois :.Easy access to downtown or O'hare International airport.Plenty of access to restaurants & shopping or a day at Lake Michigan.Join single specialty practice of 10 physicians & mid level providers who collectively treat children, adolescents, adults through
Quick interview process Open to all availabilities and work schedules 7-10 shifts a month 5-6 hours a day $200-$250/Hr Internal or Family Med Part-Time Hospitalist Internal or Family Medicine Location: Sheboygan, WI Schedule: 7 10 shifts per month Flexible scheduling Position Overview: We are seekin
Key Responsibilities:
Review prior authorization requests for medical necessity and collaborate with Medical Directors as needed
Utilize evidence-based criteria and governmental policies for medical necessity reviews and manage claims disputes
Coordinate transitions of care and referrals to Care
Internal Medicine opening in WILocated in WaukeshaMilwaukee 25m; Madison 55mFull-time' permanentSeeking a dedicated physician to join our team.In this role, you will provide comprehensive care to Internal Medicine (IM) patients, ensuring a continuum of care for individuals and families within t
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Waukesha, Wisconsin. Job Description & RequirementsSpecialty:...
Franciscan Villa has an exciting new opportunity for an Infection Control Nurse RN. Franciscan Villa is conveniently located in the City of South Milwaukee. We offer competitive pay, superb benefits, and top-notch amenities...
TNAA TotalMed RN is seeking a travel nurse RN Home Health for a travel nursing job in Waukesha, Wisconsin. Job Description & RequirementsSpecialty: Home...
Join Our Team at Franciscan Villa: Registered Nurse (RN) Opportunity. As a Registered Nurse at Franciscan Villa, you’ll provide exceptional care from admission to discharge, working closely with physicians, families, and the healthcare team. Take the next step in your nursing career.
Cardiothoracic Surgery Physician Assistant Locums Job in Wisconsin.October 30 @ 7am - November 3 @ 7am.November 26 - December 1 @ 7am.Less Priority Coverage Requests:.August 9 @ 7am - August 11 @ 7am .December 5 @ 7am - December 8 @ 7am.Monday-Friday: 8 hour shift on site, followed by call.Saturd
Outpatient Neurology Opportunity in Wisconsin Build a Balanced Practice with Shareholder Potential on Lake Michigan A respected physician-owned organization in Sheboygan, Wisconsin, is seeking a Neurologist to join a well-supported outpatient practice.This role offers autonomy, a collaborative team
Overview: We are seeking a...
Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Wauwatosa, Wisconsin. Job Description & RequirementsSpecialty: Case...
A physician-led multispecialty group in Beloit, Wisconsin is hiring two full-time BC/BE pediatricians for their hospital-employed team.Group is replacing one physician who retired and another physician who relocated for family reasons.
Vibra Travels is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & RequirementsSpecialty: PCU -...
Trustaff is seeking a travel nurse RN House Supervisor for a travel nursing job in West Allis, Wisconsin. Job Description & RequirementsSpecialty: House...
Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Waukesha, Wisconsin. Job Description & RequirementsSpecialty: Case...
Pulmonary/Sleep Medicine opening in WisconsinLocated in Sheboygan, WI - Milwaukee 50mFull-time; PermanentEmployedOverview: - Join an established pulmonology/sleep practice, no critical care needed - Treat all types of conditions, disorders, and diseases of the respiratory system and the lungs utiliz
Key Responsibilities
Conducts clinical reviews of denied cases and reevaluates medical claims according to applicable guidelines
Identifies quality of care issues and resolves escalated complaints related to utilization management
Serves as a clinical resource and provides training to less exper