Top 8 Nursing supervisor Jobs in Marshfield, Wi

Manager, Health Plan Utilization Management - RN
Sanford Health —Marshfield, WI
- Online Application
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
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RN Case Manager - Marshfield Medical Center - FT
Marshfield Clinic —Marshfield, WI
- $34 - $51 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
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Float Case Manager
Humana —Neillsville, WI
- $59,300 - $80,900 a year
- Full-time
- Current TB test
- Mid-level
- Residential
- Mileage reimbursement
- Paid parental leave
5d

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Registered Nurse Delegate
Homes for Independent Living of Wisconsin LLC —Wausau, WI
Valid Wisconsin driver’s license and insured personal vehicle. Provide ongoing assessment and coaching to staff in the field.
Up to $40 an hour
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Assistant Director of Nursing - Full-Time Day/Evening
Colonial Health Services —Colby, WI
Current RN license with the state. Assists the DON in ensuring nursing department compliance with federal, state and local regulations and implementation of…
Up to $110,000 a year
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13d

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Unit Manager RN
Arbors at Delaware —Delaware, OH
Knowledge of state and federal requirements for accreditation and certification. Licensed as a Registered Nurse (RN) (if state requires).
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10d
Registered Nurse RN Clinical Manager
Amedisys —Dublin, OH
Associate or bachelor's degree in nursing. Mental health support with up to five free counseling sessions through the Employee Assistance program.
$90,000 - $105,000 a year

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nursing supervisor jobs near marshfield, wi

Manager, Health Plan Utilization Management - RN

Sanford Health -
Marshfield, WI

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

Nursing
RN License
Bachelor's degree
Bachelor's degree in nursing
Nursing

Full Job Description

Careers With Purpose

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Facility: Marsh Security Hlth Plan
Location: Marshfield, WI
Address: 1515 N St Joseph Ave, Marshfield, WI 54449, USA
Job Schedule: Full time
Weekly Hours: 40.00

Department Details

Oversee health plan utilization management department operations including prior authorization, and concurrent review focusing on improving care quality and outcomes across a diverse member population while ensuring compliance with CMS, NCQA, and state/federal guidelines.

Job Summary

Responsible for the day to day oversight of department function both in terms of provision of service and providing direct supervision of all departmental staff. Maintains a standardization of utilization management process to ensure all policies and procedures are followed effectively and efficiently. Considered an expert resource with the centers for Medicare and Medicaid services (CMS). Coordinates authorization/certification of care for designated populations to establish medical necessity and ensure maximum reimbursement while maintaining a high level of customer satisfaction. Actively involved in reviewing information submitted by internal or external referral sources regarding a variety of cases which have the potential to develop into complex and/or costly scenarios and assisting the finance department in understanding the financial implications of these conditions. Additionally includes admission certification, continued stay authorization, clinical documentation improvement, and interaction with payers. Additional duties include management of medical denials, appeals, and grievances.

Understand and provide insight into evaluating current process improvement strategies including quality, methods, and ability to maintain focus on the continuous improvement of processes, products and services. Manage processes to support attainment of goals within department and organization. Knowledgeable of industry standards, governing bodies, and regulations.

Adjusts to new or changing assignments, processes, and people. Being a positive role model for staff to coach, educate and support both the employees and organizational growth. Determines individual and team competency requirements, vulnerabilities, and learning needs. Assumes management responsibilities such as payroll, scheduling, day-to-day staffing and crucial conversations in collaboration with human resources and leadership. Identifies opportunity for personal and professional growth and pursues educational opportunities.

Qualifications

Bachelor's degree in nursing required. Master's degree in nursing preferred. Graduate from a nationally accredited nursing program required, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).

Four years of clinical nursing experience required. Two years experience as a case manager preferred. One year of leadership/management experience preferred. Experience in medical necessity review preferred.

Currently holds an unencumbered registered nurse (RN) license with the State Board of Nursing and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Certification is encouraged and may be required depending on specialty or service area.

Benefits

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] .

Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0255244
Job Function: Care Coordination
Featured: No

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nursing supervisor jobs in marshfield, wi

Manager, Health Plan Utilization Management - RN

RN Case Manager - Marshfield Medical Center - FT

Float Case Manager

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