Top 56 Utilization management Jobs in Madison, Wi

Case Manager - Social Worker (full-time) - Prairie Clinic
Sauk Prairie Healthcare —Sauk City, WI
- Full-time
- Master of Social Work
- Hospital
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
Case Manager - Inpatient Rehab
Select Medical Rehabilitation - Madison —Madison, WI
- 8 hour shift
- Hospital
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
12d
RN – Clinical Documentation Integrity Specialist
UW Health —Madison, WI
- $83,817 - $125,725 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Paid parental leave
- Health insurance
3d
Registered Nurse - Wound
SSM Health —Madison, WI
- Full-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Health insurance
11d
Clinical Operations Manager (COM) - PHP/IOP
Rogers Memorial Hospital, Inc. —Madison, WI
- Weekends as needed
- LMFT
- Addiction Medicine
- Licensed Clinical Social Worker
- Wellness program
- Disability insurance
Quick Apply
10d
Charge Nurse / CTL - Med and Surg 4th floor
UW Health —Madison, WI
- $43.52 - $65.28 an hour
- Overtime
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Health insurance
CNA - Surgery Center (part-time)
Sauk Prairie Healthcare —Prairie du Sac, WI
- Part-time
- Vital signs
- Surgery
- No experience needed
- Free parking
- Disability insurance
RN - Acute Care (per diem)
Sauk Prairie Healthcare —Prairie du Sac, WI
- 12 hour shift
- Acute care
- Nursing
- RN License
- Free parking
- Disability insurance
Director, Proposal Management - Early Development Services
Labcorp —Madison, WI
- $150,000 - $155,000 a year
- Full-time
- Remote
- High school diploma or GED
- Mentoring
- Fair chance
- Employee stock purchase plan
- Disability insurance
2d
RN Case Manager-Clinical Resource; Child&Adol Psych; 0.0FTE; Day/PM Shift
UnityPoint Health —Madison, WI
- Weekends as needed
- Nursing
- RN License
- Word processing
- Paid holidays
- Disability insurance
Clinic Manager
Group Health Cooperative of South Central Wisconsin —Madison, WI
- Full-time
- Microsoft Word
- CPR Certification
- Nursing
- Disability insurance
- Health insurance
Quick Apply
10d
Perioperative Liaison
Steris —Madison, WI
- $27 - $31 an hour
- Full-time
- 6 years
- Surgery
- OSHA
- Paid holidays
- Disability insurance
Case Manager (Service Facilitator) and Clinical Provider - Human Services/Social Work
Hope Inspired, LLC —Fitchburg, WI
- From $54,000 a year
- Full-time
- Hybrid work
- LMFT
- Computer literacy
- Writing skills
Quick Apply
Social Worker; 0.0FTE, Day Shift
UnityPoint Health —Madison, WI
- Weekends as needed
- Master of Social Work
- Computer skills
- Social Work
- Paid holidays
- Disability insurance
1d
Pharmacy Technician - Billing Specialist
Guardian Pharmacy of Wisconsin - Madison —Madison, WI
- $21 - $24 an hour
- Full-time
- HIPAA
- Research
- Office
- Health savings account
- AD&D insurance
Quick Apply
Pharmacy Technician I
SSM Health —Madison, WI
- Full-time
- Hospital
- Customer service
- HIPAA
- Paid parental leave
- Health insurance
Psychotherapist
TELLURIAN INC —Madison, WI
- Monday to Friday
- LMFT
- Licensed Clinical Social Worker
- Adults
Quick Apply
10d
Substance Use Disorder Counselor (GBS)
Genesis / Matt Talbot / Horizon —Oregon, WI
- $25 an hour
- Full-time
- Mid-level
Quick Apply
Nurse Clinician 3 - 60%
State of Wisconsin - Corrections —Oregon, WI
- $47.04 - $53.92 an hour
- Part-time
- Nursing
- RN License
- BLS Certification
- Paid holidays
- Health insurance
Medical-Surgical Director (FT)
Edgerton Hospital —Edgerton, WI
- Full-time
- Nursing
- RN License
- Hospital
- AD&D insurance
- Disability insurance
Quick Apply

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utilization management jobs near madison, wi

Case Manager - Social Worker (full-time) - Prairie Clinic

Sauk Prairie Healthcare -
Sauk City, WI

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Retirement plan

Qualifications

Master's degree in social work
Master of Social Work
Bachelor's degree in social work
Bachelor's degree

Full Job Description

Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.

POSITION SPECIFICS

Title: Case Manager - Social Worker

FTE: Full Time (40 hours/week)

Schedule: Monday-Friday 8:00am-4:30pm

Holiday Rotation: None

Weekend Rotation: None

On Call Requirements: None

POSITION SUMMARY

The Case Manager-Social Worker coordinates and facilitates patient care activities to promote optimum and appropriate utilization of resources, improve continuity of care across the continuum, and to contribute to patient satisfaction and outcomes throughout the SPH organization (clinics and hospital). This position serves as a patient advocate, as a resource to patients/families and staff, and as a leader of the interdisciplinary team continuity of care/discharge planning/aftercare planning/resources. This position also s erves as a liaison between the patient, staff, and physician to establish and implement a plan of care for each patient. The Case Manager-Social Worker conducts assessments of the biopsychosocial needs of patients, assists with identification of resources to assure successful outcomes, and facilitates expedited discharges across the continuum of care.

POSITION TECHNICAL RESPONSIBILITIES

Coordinate the integration of social services/case management functions into the patient care, discharge, and home planning processes with other SPH departments, external service organizations, agencies, healthcare facilities and providing resources to patients as needed.
Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff, CMS, ACHC, and other state agencies. Acts as patient advocate, investigates and reports adverse occurrences, and performs staff education related to resource utilization, SDOH, discharge planning, and psychosocial aspects of healthcare delivery.
Complete assessment of all patients referred or identified as having complex psychosocial concerns and/or as needing discharge planning services, including data related to home environment, support systems, community agency involvement and psychosocial concerns to determine post-hospital/clinic visit needs.
Identify, assess, plan, implement, and evaluate individualized patient plan of care that includes clinic care, acute hospital care, discharge plan, transition to home or alternate site, and the use of community resources in conjunction with the multi-disciplinary care team, the patient and their family.
Address internal and external social, economic, emotional, medical, nursing and psychological needs, through referral, which will extend beyond the hospital/clinics
Provide support to patients and families to improve their understanding of an adjustment to the diagnosis to maximize benefits of medical intervention and enhance patient and/or family functioning.
Identify and works to eliminate barriers to successful and safe discharge/aftercare plan implementation.
Assess patients for potential needs in a timely manner and identifies those in need of case management intervention.
Document accurate assessments and interventions in patient’s electronic medical record in an effective and timely manner.
Mobilize resources and interviews, as needed, to achieve expected goal to assist in achieving desired clinical outcomes within the desired timeframe.
Identify patients with high risk or high-cost care, coordinate interventions, and facilitates appropriate discharge/aftercare plans.
Provide post discharge/clinic visit case management to high risk populations.
Evaluate, plan, coordinate, review, and revise patient continuity of care/discharge plan/aftercare plan based on patient need in collaboration with medical staff and the multidisciplinary team.
Serve as a resource for patient/families, staff and providers, regarding legal/financial issues impacting patient’s care including advance directives, power of attorney, and guardianship.
Work collaboratively with the care team and community agencies to assess, plan, and execute appropriate mental health and AODA services.
Coordinate care delivery processes and promptly intervenes in instances of delayed services or inappropriate utilization of resources.
Participate in multidisciplinary team meetings regarding the planning and implementation of patient care; facilitate communication and problem solving related to discharge planning
Coordinate and leads family conferences and/or multidisciplinary care conferences as needed.

POSITION REQUIREMENTS

Education:

Required: Bachelor’s degree in Social Work
Preferred: Master’s Degree in Social Work

Experience:

Required: None
Preferred: Two or more years’ experience providing case management in a hospital or clinical setting.

Licenses and Registrations:

Required: State of Wisconsin License as a Social Worker
Preferred: Clinical Social Worker (LCSW) License

Certification(s):

Required: None
Preferred: Advanced Practice Social Worker (CAPSW) Certification
American Case Management Association (ACMA) Case Management certification

BENEFIT SUMMARY

Competitive health and dental insurance options
Flexible paid time off to balance work and life
Retirement plan with vesting and employer match

#IND100

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Refine Your Search

utilization management jobs in madison, wi

Case Manager - Social Worker (full-time) - Prairie Clinic

Case Manager - Inpatient Rehab

RN – Clinical Documentation Integrity Specialist

Registered Nurse - Wound

Clinical Operations Manager (COM) - PHP/IOP

Charge Nurse / CTL - Med and Surg 4th floor

CNA - Surgery Center (part-time)

RN - Acute Care (per diem)

Director, Proposal Management - Early Development Services

RN Case Manager-Clinical Resource; Child&Adol Psych; 0.0FTE; Day/PM Shift

Clinic Manager

Perioperative Liaison

Case Manager (Service Facilitator) and Clinical Provider - Human Services/Social Work

Social Worker; 0.0FTE, Day Shift

Pharmacy Technician - Billing Specialist

Pharmacy Technician I

Psychotherapist

Substance Use Disorder Counselor (GBS)

Nurse Clinician 3 - 60%

Medical-Surgical Director (FT)

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