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Showing 93 Healthcare jobs in Milwaukee
Business Consulting - Healthcare Transformation - Manager - Patient Access
53208 Milwaukee, Wisconsin
EY
Posted 2 days ago
Job Viewed
Job Description
At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
Today's healthcare environment in the post-COVID era is undergoing rapid change and transformation. As healthcare organizations seek to stabilize operations and plan for a financially sustainable future, they are challenged to integrate transformative technology (Artificial intelligence, automation, etc.), adjust to patient-focused operations, and maintain operational discipline to withstand increasing financial pressures. As a manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in transforming operations to meet the evolving demands of today's healthcare market.
**The opportunity**
As part of EY's Health consulting practice, you will work with these clients across the country in solving complex problems in today's rapidly changing healthcare environment. We currently are seeking a highly motivated Manager, with a focus on provider operations, specifically patient access to manage client engagement teams, work with a wide variety of clients to deliver professional services and manage business development activities on strategic and global priority accounts.
**Your key responsibilities**
You'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes.
As a Manager in our Health consulting group focused on Provider Operations, you'll work with clients across the following areas:
+ Operational improvement
+ Benchmarking and financial quantification
+ Cost reduction/revenue enhancement
+ Workflow redesign
+ Patient access initiatives including template management, template optimization, and scheduling algorithms
**Skills and attributes for success**
+ Effectively manage and motivate client engagement teams with diverse skills and backgrounds. Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization
+ Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes
+ Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks
+ Demonstrate in-depth technical capabilities and professional knowledge
**To qualify for the role you must have**
+ A bachelor's degree and approximately 5 years of related work experience; or a master's degree and approximately 4 years of related work experience
+ Approximately 4 years of healthcare consulting experience, preferably with prior experience as a manager (or above), in a consulting firm or in a management role within industry
+ Required experience with patient access and centralized contact centers.
+ Ability to lead patient access initiatives which includes clinician management, template management, template optimization, referral management, and scheduling algorithms. Experience should include assessment, design, and implementation of template optimization and scheduling algorithms within an ambulatory setting.
+ Experience with centralization of patient access functions, including contact center staffing models and technology for various engagement channels
+ Ability to read and interpret hospital financial statements and contract terms, utilize complex financial models, experience with operational process mapping and experience with healthcare cost reduction planning and implementation
+ Experience with healthcare organization M&A, physician alignment, or financial margin improvement initiatives
+ Experience in selling and delivering projects that cover the full life cycle of assessment, design and implementation support
+ Assist in generating revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies
+ Ability to manage a team of staff/senior consulting professionals
+ Ability to work collaboratively in a team environment (knows when to lead and when to follow)
+ Strong analytical and problem-solving skills, as well as excellent oral and written communication skills.
+ Ability to create work products within Microsoft's suite of applications, including but not limited to Excel models, Visio scheduling and referral workflows, and PowerPoint presentations.
+ A willingness to travel to meet client needs; travel is required as needed by the client.
**Ideally you'll also have**
+ A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH
**What we look for**
We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $128,400 to $35,300. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 154,000 to 267,400. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
+ Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
+ Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
Today's healthcare environment in the post-COVID era is undergoing rapid change and transformation. As healthcare organizations seek to stabilize operations and plan for a financially sustainable future, they are challenged to integrate transformative technology (Artificial intelligence, automation, etc.), adjust to patient-focused operations, and maintain operational discipline to withstand increasing financial pressures. As a manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in transforming operations to meet the evolving demands of today's healthcare market.
**The opportunity**
As part of EY's Health consulting practice, you will work with these clients across the country in solving complex problems in today's rapidly changing healthcare environment. We currently are seeking a highly motivated Manager, with a focus on provider operations, specifically patient access to manage client engagement teams, work with a wide variety of clients to deliver professional services and manage business development activities on strategic and global priority accounts.
**Your key responsibilities**
You'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes.
As a Manager in our Health consulting group focused on Provider Operations, you'll work with clients across the following areas:
+ Operational improvement
+ Benchmarking and financial quantification
+ Cost reduction/revenue enhancement
+ Workflow redesign
+ Patient access initiatives including template management, template optimization, and scheduling algorithms
**Skills and attributes for success**
+ Effectively manage and motivate client engagement teams with diverse skills and backgrounds. Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization
+ Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes
+ Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks
+ Demonstrate in-depth technical capabilities and professional knowledge
**To qualify for the role you must have**
+ A bachelor's degree and approximately 5 years of related work experience; or a master's degree and approximately 4 years of related work experience
+ Approximately 4 years of healthcare consulting experience, preferably with prior experience as a manager (or above), in a consulting firm or in a management role within industry
+ Required experience with patient access and centralized contact centers.
+ Ability to lead patient access initiatives which includes clinician management, template management, template optimization, referral management, and scheduling algorithms. Experience should include assessment, design, and implementation of template optimization and scheduling algorithms within an ambulatory setting.
+ Experience with centralization of patient access functions, including contact center staffing models and technology for various engagement channels
+ Ability to read and interpret hospital financial statements and contract terms, utilize complex financial models, experience with operational process mapping and experience with healthcare cost reduction planning and implementation
+ Experience with healthcare organization M&A, physician alignment, or financial margin improvement initiatives
+ Experience in selling and delivering projects that cover the full life cycle of assessment, design and implementation support
+ Assist in generating revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies
+ Ability to manage a team of staff/senior consulting professionals
+ Ability to work collaboratively in a team environment (knows when to lead and when to follow)
+ Strong analytical and problem-solving skills, as well as excellent oral and written communication skills.
+ Ability to create work products within Microsoft's suite of applications, including but not limited to Excel models, Visio scheduling and referral workflows, and PowerPoint presentations.
+ A willingness to travel to meet client needs; travel is required as needed by the client.
**Ideally you'll also have**
+ A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH
**What we look for**
We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $128,400 to $35,300. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 154,000 to 267,400. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
+ Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
+ Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
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0
Lead Analyst, Healthcare Analytics- Managed care analytics & financial contracts
53208 Milwaukee, Wisconsin
Molina Healthcare
Posted 20 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
***Candidates must be located in California and work PST hours.***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Develops, implements, and uses software and systems to support the department's goals.
+ Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
+ Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
+ Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
+ Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
+ Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
+ Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Maintains SharePoint Sites as needed, including training materials and documentation archives.
+ Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
+ Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
+ Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
+ Experience with Medicaid contract analytics is highly preferred.
+ Experience working on Managed care analytics and healthcare reimbursement models is required.
+ Must be able to work in a cross functional team.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
+ Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
**Preferred Education**
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
+ Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
+ Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
+ Multiple data systems and models
+ BI tools (Power BI)
**Preferred License, Certification, Association**
QNXT or similar healthcare payer applications
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
***Candidates must be located in California and work PST hours.***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Develops, implements, and uses software and systems to support the department's goals.
+ Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
+ Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
+ Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
+ Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
+ Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
+ Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Maintains SharePoint Sites as needed, including training materials and documentation archives.
+ Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
+ Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
+ Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
+ Experience with Medicaid contract analytics is highly preferred.
+ Experience working on Managed care analytics and healthcare reimbursement models is required.
+ Must be able to work in a cross functional team.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
+ Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
**Preferred Education**
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
+ Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
+ Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
+ Multiple data systems and models
+ BI tools (Power BI)
**Preferred License, Certification, Association**
QNXT or similar healthcare payer applications
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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1
Biomedical Equipment Technician 1
53226 West Milwaukee, Wisconsin
Sodexo
Posted today
Job Viewed
Job Description
Role Overview:
Precise. Reliable. Powerful. Join a team as innovative as the technology we manage.
Sodexo is seeking a Biomedical Equipment Technician I at Froedtert Health locted in Milwaukee, WI.
What You'll Do:- Troubleshoot, inspect, repair, maintain and calibrate a basic range of clinical equipment, devices, systems, and instruments.
- Provide customer relations and resolve equipment service problems by ensuring that clinical capability is restored as quickly as possible.
- Maintain communication with customers regarding the status of equipment repairs.
- The role will focus on customer needs and ensuring all HTM related functions are completed in a quality and timely manner to include medical device preventive and corrective maintenance and other related matters.
Compensation is fair and equitable, partially determined by a candidate's education level or years of relevant experience. Salary offers are based on a candidate's specific criteria, like experience, skills, education, and training. Sodexo offers a comprehensive benefits package that may include:
- Medical, Dental, Vision Care and Wellness Programs
- 401(k) Plan with Matching Contributions
- Paid Time Off and Company Holidays
- Career Growth Opportunities and Tuition Reimbursement
More extensive information is provided to new employees upon hire.
What You Bring:- A minimum of 1 year of experience repairing, maintaining and calibrating medical devices and beds independently and/or equivalent college coursework in similar capacities.
- A minimum of one year of experience in a hospital setting.
- Experience with minor repairs (preferably on beds, stretchers, IV pumps and other smaller equipment).
- The ability to make decisions regarding troubleshooting and repairing medical devices.
- Excellent communication, customer service and time management skills.
At Sodexo, our purpose is to create a better everyday for everyone and build a better life for all. We believe in improving the quality of life for those we serve and contributing to the economic, social, and environmental progress in the communities where we operate. Sodexo partners with clients to provide a truly memorable experience for both customers and employees alike. We do this by providing food service, catering, facilities management, and other integrated solutions worldwide.
Our company values you for you; you will be treated fairly and with respect, and you can be yourself. You will have your ideas count and your opinions heard because we can be a stronger team when you’re happy at work. This is why we embrace diversity and inclusion as core values, fostering an environment where all employees are valued and respected. We are committed to providing equal employment opportunities to individuals regardless of race, color, religion, national origin, age, sex, gender identity, pregnancy, disability, sexual orientation, military status, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. If you need assistance with the application process, please complete this form .
Qualifications & Requirements:Minimum Education Requirement - Associate's Degree (or equivalent experience) in electronic, biomedical engineering or a discipline geared toward managing maintaining and repairing clinical equipment within a healthcare environment and/or equivalent of military BMET program and/or AAMI certified
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2
Technologist-CT
53208 Milwaukee, Wisconsin
Ascension Health
Posted 8 days ago
Job Viewed
Job Description
**Details**
+ **Department:** Imaging
+ **Schedule:** Rotating, .9
+ **Hospital:** St. Joseph hospital
+ **Location:** Milwaukee, WI
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Perform computerized tomographic procedures for the diagnosis of disease and injury according to protocols established by radiologists.
+ Prepare and position patients and select anatomic and technical parameters accurately.
+ Prepare and administer contrast media and/or medications within the accepted scope of practice and applicable state and federal regulations.
+ Observe patient during procedure and report abnormal activity.
+ Monitor protocols and recommend updates or refinements as warranted.
+ Follow radiation safety procedures and guidelines.
**Requirements**
Licensure / Certification / Registration:
+ BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
+ Radiologic Technologist credentialed from the Wisconsin Radiography Examining Board obtained prior to hire date or job transfer date required.
+ One or more of the following required:
+ Nuclear Medical Tech credentialed from the Nuclear Medicine Technology Certification Board (NMTCB) obtained prior to hire date or job transfer date. NMTCB(CT) Computed Tomography Specialty Certification or ARRT(CT) Radiologic Technologist specializing in Computed Tomography required in addition to CNMT Certified Nuclear Medicine Technologist Certification.
+ Radiologic Technologist specializing in Radiography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date. Nuclear Medicine or Radiation Therapy specialty also accepted.
+ Radiologic Technologist specializing in Computed Tomography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date.
Education:
+ High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required.
**Why Join Our Team**
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
+ **Department:** Imaging
+ **Schedule:** Rotating, .9
+ **Hospital:** St. Joseph hospital
+ **Location:** Milwaukee, WI
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Perform computerized tomographic procedures for the diagnosis of disease and injury according to protocols established by radiologists.
+ Prepare and position patients and select anatomic and technical parameters accurately.
+ Prepare and administer contrast media and/or medications within the accepted scope of practice and applicable state and federal regulations.
+ Observe patient during procedure and report abnormal activity.
+ Monitor protocols and recommend updates or refinements as warranted.
+ Follow radiation safety procedures and guidelines.
**Requirements**
Licensure / Certification / Registration:
+ BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
+ Radiologic Technologist credentialed from the Wisconsin Radiography Examining Board obtained prior to hire date or job transfer date required.
+ One or more of the following required:
+ Nuclear Medical Tech credentialed from the Nuclear Medicine Technology Certification Board (NMTCB) obtained prior to hire date or job transfer date. NMTCB(CT) Computed Tomography Specialty Certification or ARRT(CT) Radiologic Technologist specializing in Computed Tomography required in addition to CNMT Certified Nuclear Medicine Technologist Certification.
+ Radiologic Technologist specializing in Radiography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date. Nuclear Medicine or Radiation Therapy specialty also accepted.
+ Radiologic Technologist specializing in Computed Tomography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date.
Education:
+ High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required.
**Why Join Our Team**
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
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3
Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE
53208 Milwaukee, Wisconsin
Molina Healthcare
Posted 8 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores.
+ Calibrate risk adjustment models based on state programs
+ Develop and lead actuarial studies related to risk scores and present findings to leadership
+ Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting
+ Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Mathematics, Statistics, or Economics
**Required Experience**
2-4 Years
**Required License, Certification, Association**
Must have passed at least 3 actuarial exams.
**Preferred Experience**
5-6 Years
**Preferred License, Certification, Association**
ASA or near ASA
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
#LI-AC1
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores.
+ Calibrate risk adjustment models based on state programs
+ Develop and lead actuarial studies related to risk scores and present findings to leadership
+ Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting
+ Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Mathematics, Statistics, or Economics
**Required Experience**
2-4 Years
**Required License, Certification, Association**
Must have passed at least 3 actuarial exams.
**Preferred Experience**
5-6 Years
**Preferred License, Certification, Association**
ASA or near ASA
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
#LI-AC1
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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4
Actuarial Analyst (Medicaid Risk Adjustment) - REMOTE
53208 Milwaukee, Wisconsin
Molina Healthcare
Posted 8 days ago
Job Viewed
Job Description
**JOB DESCRIPTION**
**Job Summary**
Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores.
+ Calibrate risk adjustment models based on state programs
+ Develop and lead actuarial studies related to risk scores and present findings to leadership
+ Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting
+ Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Mathematics, Statistics, or Economics
**Required Experience**
1-2 Years
**Required License, Certification, Association**
Must have passed at least 2 actuarial exams.
**Preferred Experience**
3-4 Years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
#LI-AC1
Pay Range: $77,969 - $141,371 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores.
+ Calibrate risk adjustment models based on state programs
+ Develop and lead actuarial studies related to risk scores and present findings to leadership
+ Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting
+ Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Mathematics, Statistics, or Economics
**Required Experience**
1-2 Years
**Required License, Certification, Association**
Must have passed at least 2 actuarial exams.
**Preferred Experience**
3-4 Years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
#LI-AC1
Pay Range: $77,969 - $141,371 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Is this job a match or a miss?
View Now
5
Technologist-Radiology
53208 Milwaukee, Wisconsin
Ascension Health
Posted 8 days ago
Job Viewed
Job Description
**Details**
+ **Department:** Imaging
+ **Schedule:** Rotating, .9
+ **Hospital:** St. Joseph Hospital
+ **Location:** Milwaukee, WI
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Take radiologic films providing quality images to physicians to aid in the diagnosis of medical problems.
+ Prepare and position patients for imaging and selects exposure factors accurately.
+ Prepare and administer contrast media and medications within the accepted scope of practice and applicable state and federal regulations.
+ Observe patient during procedure and reports abnormal activity. Monitor protocols and recommends updates or refinements as warranted.
+ Follow radiation safety procedures and guidelines. Prevent patient from being exposed to unnecessary radiation.
+ Ensure prompt submission of high-quality of all images and documents sent to PACS (image quality, correct lead markers and patient data/history).
+ Ensure equipment is properiy functioning. Report potential problems or equipment malfunction to appropriate personnel. Lock/tag out equipment if appropriate.
+ Assist in maintaining a clean, and orderiy department to include procedure rooms, storage areas, dressing rooms, film storage area and any other areas in department.
+ Position patients and select anatomic and technical parameters accurately.
**Requirements**
Licensure / Certification / Registration:
+ BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
+ One or more of the following required:
+ Cardiographic Tech credentialed from the Cardiovascular Credentialing International (CCI) obtained prior to hire date or job transfer date.
+ Radiologic Technologist specializing in Radiography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date.
+ General Radiography is also required in addition to any specialty.
+ State Radiology Technologist licensure issued by Wisconsin Radiography Examining Board required.
+ Medical Sonographer credentialed from the American Registry for Diagnostic Medical Sonography (ARDMS) obtained prior to hire date or job transfer date.
Education:
+ High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required.
**Additional Preferences**
No additional preferences.
**Why Join Our Team**
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
+ **Department:** Imaging
+ **Schedule:** Rotating, .9
+ **Hospital:** St. Joseph Hospital
+ **Location:** Milwaukee, WI
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Take radiologic films providing quality images to physicians to aid in the diagnosis of medical problems.
+ Prepare and position patients for imaging and selects exposure factors accurately.
+ Prepare and administer contrast media and medications within the accepted scope of practice and applicable state and federal regulations.
+ Observe patient during procedure and reports abnormal activity. Monitor protocols and recommends updates or refinements as warranted.
+ Follow radiation safety procedures and guidelines. Prevent patient from being exposed to unnecessary radiation.
+ Ensure prompt submission of high-quality of all images and documents sent to PACS (image quality, correct lead markers and patient data/history).
+ Ensure equipment is properiy functioning. Report potential problems or equipment malfunction to appropriate personnel. Lock/tag out equipment if appropriate.
+ Assist in maintaining a clean, and orderiy department to include procedure rooms, storage areas, dressing rooms, film storage area and any other areas in department.
+ Position patients and select anatomic and technical parameters accurately.
**Requirements**
Licensure / Certification / Registration:
+ BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
+ One or more of the following required:
+ Cardiographic Tech credentialed from the Cardiovascular Credentialing International (CCI) obtained prior to hire date or job transfer date.
+ Radiologic Technologist specializing in Radiography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date.
+ General Radiography is also required in addition to any specialty.
+ State Radiology Technologist licensure issued by Wisconsin Radiography Examining Board required.
+ Medical Sonographer credentialed from the American Registry for Diagnostic Medical Sonography (ARDMS) obtained prior to hire date or job transfer date.
Education:
+ High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required.
**Additional Preferences**
No additional preferences.
**Why Join Our Team**
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
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6
Care Manager, LTSS (RN) - Field travel to Dane County, WI
53208 Milwaukee, Wisconsin
Molina Healthcare
Posted 8 days ago
Job Viewed
Job Description
**_***Field Travel throughout Dane County, WI***_**
**JOB DESCRIPTION**
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Completes face-to-face comprehensive assessments of members per regulated timelines.
+ Facilitates comprehensive waiver enrollment and disenrollment processes.
+ Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
+ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
+ Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.
+ Assesses for medical necessity and authorize all appropriate waiver services.
+ Evaluates covered benefits and advise appropriately regarding funding source.
+ Conducts face-to-face or home visits as required.
+ Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
+ Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
+ Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.
+ Identifies critical incidents and develops prevention plans to assure member's health and welfare.
+ Provides consultation, recommendations and education as appropriate to non-RN case managers
+ Works cases with members who have complex medical conditions and medication regimens
+ Conducts medication reconciliation when needed.
+ 50-75% travel required.
**JOB QUALIFICATIONS**
**Required Education**
Graduate from an Accredited School of Nursing
**Required Experience**
+ At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
+ 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
+ Required License, Certification, Association
+ Active, unrestricted State Registered Nursing license (RN) in good standing
+ If field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**State Specific Requirements**
Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders
**Preferred Education**
Bachelor's Degree in Nursing
**Preferred Experience**
+ 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
+ 1 year experience working with population who receive waiver services.
**Preferred License, Certification, Association**
Active and unrestricted Certified Case Manager (CCM)
#PJHS
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**JOB DESCRIPTION**
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Completes face-to-face comprehensive assessments of members per regulated timelines.
+ Facilitates comprehensive waiver enrollment and disenrollment processes.
+ Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
+ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
+ Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.
+ Assesses for medical necessity and authorize all appropriate waiver services.
+ Evaluates covered benefits and advise appropriately regarding funding source.
+ Conducts face-to-face or home visits as required.
+ Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
+ Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
+ Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.
+ Identifies critical incidents and develops prevention plans to assure member's health and welfare.
+ Provides consultation, recommendations and education as appropriate to non-RN case managers
+ Works cases with members who have complex medical conditions and medication regimens
+ Conducts medication reconciliation when needed.
+ 50-75% travel required.
**JOB QUALIFICATIONS**
**Required Education**
Graduate from an Accredited School of Nursing
**Required Experience**
+ At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
+ 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
+ Required License, Certification, Association
+ Active, unrestricted State Registered Nursing license (RN) in good standing
+ If field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**State Specific Requirements**
Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders
**Preferred Education**
Bachelor's Degree in Nursing
**Preferred Experience**
+ 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
+ 1 year experience working with population who receive waiver services.
**Preferred License, Certification, Association**
Active and unrestricted Certified Case Manager (CCM)
#PJHS
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Is this job a match or a miss?
View Now
7
Case Manager I - TCM
53208 Milwaukee, Wisconsin
Centers for Independence
Posted 8 days ago
Job Viewed
Job Description
**Case Manager I - TCM**
**Job Details**
**Job Location**
CFI Main Campus - Milwaukee, WI
**Position Type**
Full Time - Union
**Travel Percentage**
Road Warrior
**Description**
This is a professional position that is responsible for the care and treatment of mentally ill adults. The Case Manager will develop and implement the treatment plan, which will include the necessary follow-up, case management and intervention as required.
**ESSENTIAL DUTIES AND RESPONSIBILITIES**
+ Develop a treatment relationship with a client and formulate treatment plans on his/her caseload that will detail treatment to be provided.
+ Provide psychosocial rehabilitation, symptom monitoring & management and supportive counseling to clients on caseload and participate in "team case management".
+ Monitor client's psychiatric medication regime and compliance as directed by the physician.
+ Provide crisis intervention and supportive counseling to clients who are in crisis.
+ Responsible for maintaining treatment oriented environment (under supervision of program supervisor) and assure consistency in carrying out treatment objectives.
+ Coordinate utilization of various community resources, day programs and outside health care providers.
+ Assists clients in financial planning and development of income resources.
+ Coordinate client access to all entitlement programs and will act as protective payee for client's Social Security benefits when appropriate.
+ Provide treatment related education and liaison with client's family.
+ Assist client in securing adequate housing and prompting and training for skills necessary to keep housing.
+ Responsible for coordinating the efforts of all professionals and paraprofessionals involved with each client.
+ Responsible for formulation of appropriate discharge plan with assistance of client and program supervisor.
+ Responsible for accurate documentation and maintaining case file as required by agency policy, government regulations and applicable local, state and federal codes.
+ Responsible for meeting department designated monthly billing quotas, EHR note entry within 72 hours and biannual treatment plans.
+ Attends and participates in staff meetings, in-service training seminars and conferences as required.
+ Providing client coverage for other staff members as assigned.
+ Attendance at community based MC3 Change Agent meetings as delegated.
+ Works in partnership with the quality department to develop appropriate measures in support of program outcomes.
+ Participates in department quality planning activities, (e.g. continuous improvement, Logic models, performance metrics, etc.,)
**Qualifications**
Bachelor's Degree is required in the field of Social Work, Counseling, or related Human Services Field. Minimum of 1 years' experience working with adults with severe and persistent mental illness. Must be familiar with Microsoft Word and Excel. Professional workplace appearance and conduct; friendliness and courtesy to clients, coworkers and vendors. Effectively communicates and develops good working relationships with co-workers. Reliability in reporting to work regularly and on time. Must possess good communication, listening, writing and organizational skills. Must be able to assist clients with activities of daily living, such as shopping, cleaning and cooking. Ability to communicate clearly and concisely in English and Spanish, both orally and in writing. Experience with individuals with dual-diagnoses is preferred. Experience with motivational interviewing is preferred. Certification as a functional screener is desired. Motor vehicle record acceptable to program and/ or contractual requirements. A valid Wisconsin driver's license, and automobile insurance with minimum limits of $50,000/$00,000 bodily injury and 10,000 property damage". Access to a personal vehicle.
Ability to communicate effectively over the telephone, by computer and in person. Ability to use a personal computer. Ability to perform well in a fast paced work environment. On occasion must be able to push/pull/lift/move objects weighting at least 20 pounds. Must have the ability to climb at least two flights of stairs. Work is performed largely in the community but may at times include an office environment or other various settings. Hours of work will generally be during regular business hours and average at least 40 hours a week. This position requires participation in reoccurring 'on-call' duties and flexibility in daily work schedule to adequately meet program needs, which may include evenings or weekends. Must be able to safely push a person in a wheelchair on a level floor or on a wheelchair ramp in various weather conditions. Must be able to transfer a person from a wheelchair to the toilet, chair, or van seat/car with use of a gait belt and/or manual or power Hoyer lift. This position may work in a variety of indoor and outdoor work environments which may include, various outdoor weather conditions, loud noises, and fluctuating temperatures and the occasional use of stairs.
_This is a general outline of the essential functions of this position and shall not be construed as an all-inclusive description of all work requirements and responsibilities that may be inherent in this position. The employee may be required to perform other job-related duties as requested by the designated work leader(s). All requirements are subject to change over time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position._
_All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status._
**Job Details**
**Job Location**
CFI Main Campus - Milwaukee, WI
**Position Type**
Full Time - Union
**Travel Percentage**
Road Warrior
**Description**
This is a professional position that is responsible for the care and treatment of mentally ill adults. The Case Manager will develop and implement the treatment plan, which will include the necessary follow-up, case management and intervention as required.
**ESSENTIAL DUTIES AND RESPONSIBILITIES**
+ Develop a treatment relationship with a client and formulate treatment plans on his/her caseload that will detail treatment to be provided.
+ Provide psychosocial rehabilitation, symptom monitoring & management and supportive counseling to clients on caseload and participate in "team case management".
+ Monitor client's psychiatric medication regime and compliance as directed by the physician.
+ Provide crisis intervention and supportive counseling to clients who are in crisis.
+ Responsible for maintaining treatment oriented environment (under supervision of program supervisor) and assure consistency in carrying out treatment objectives.
+ Coordinate utilization of various community resources, day programs and outside health care providers.
+ Assists clients in financial planning and development of income resources.
+ Coordinate client access to all entitlement programs and will act as protective payee for client's Social Security benefits when appropriate.
+ Provide treatment related education and liaison with client's family.
+ Assist client in securing adequate housing and prompting and training for skills necessary to keep housing.
+ Responsible for coordinating the efforts of all professionals and paraprofessionals involved with each client.
+ Responsible for formulation of appropriate discharge plan with assistance of client and program supervisor.
+ Responsible for accurate documentation and maintaining case file as required by agency policy, government regulations and applicable local, state and federal codes.
+ Responsible for meeting department designated monthly billing quotas, EHR note entry within 72 hours and biannual treatment plans.
+ Attends and participates in staff meetings, in-service training seminars and conferences as required.
+ Providing client coverage for other staff members as assigned.
+ Attendance at community based MC3 Change Agent meetings as delegated.
+ Works in partnership with the quality department to develop appropriate measures in support of program outcomes.
+ Participates in department quality planning activities, (e.g. continuous improvement, Logic models, performance metrics, etc.,)
**Qualifications**
Bachelor's Degree is required in the field of Social Work, Counseling, or related Human Services Field. Minimum of 1 years' experience working with adults with severe and persistent mental illness. Must be familiar with Microsoft Word and Excel. Professional workplace appearance and conduct; friendliness and courtesy to clients, coworkers and vendors. Effectively communicates and develops good working relationships with co-workers. Reliability in reporting to work regularly and on time. Must possess good communication, listening, writing and organizational skills. Must be able to assist clients with activities of daily living, such as shopping, cleaning and cooking. Ability to communicate clearly and concisely in English and Spanish, both orally and in writing. Experience with individuals with dual-diagnoses is preferred. Experience with motivational interviewing is preferred. Certification as a functional screener is desired. Motor vehicle record acceptable to program and/ or contractual requirements. A valid Wisconsin driver's license, and automobile insurance with minimum limits of $50,000/$00,000 bodily injury and 10,000 property damage". Access to a personal vehicle.
Ability to communicate effectively over the telephone, by computer and in person. Ability to use a personal computer. Ability to perform well in a fast paced work environment. On occasion must be able to push/pull/lift/move objects weighting at least 20 pounds. Must have the ability to climb at least two flights of stairs. Work is performed largely in the community but may at times include an office environment or other various settings. Hours of work will generally be during regular business hours and average at least 40 hours a week. This position requires participation in reoccurring 'on-call' duties and flexibility in daily work schedule to adequately meet program needs, which may include evenings or weekends. Must be able to safely push a person in a wheelchair on a level floor or on a wheelchair ramp in various weather conditions. Must be able to transfer a person from a wheelchair to the toilet, chair, or van seat/car with use of a gait belt and/or manual or power Hoyer lift. This position may work in a variety of indoor and outdoor work environments which may include, various outdoor weather conditions, loud noises, and fluctuating temperatures and the occasional use of stairs.
_This is a general outline of the essential functions of this position and shall not be construed as an all-inclusive description of all work requirements and responsibilities that may be inherent in this position. The employee may be required to perform other job-related duties as requested by the designated work leader(s). All requirements are subject to change over time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position._
_All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status._
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8
RN Manager
53208 Milwaukee, Wisconsin
Ascension Health
Posted 13 days ago
Job Viewed
Job Description
**Details**
+ **Department:** Nursing Administration
+ **Schedule:** Full Time, Day shift
+ **Facility:** Saint Francis Place
+ **Location:** Milwaukee, WI
+ **Salary:** $80,514.00 - $108,931.00 per year
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Manage activities, workflow and nursing resources of assigned nursing unit(s).
+ Ensure compliance with regulatory and accreditation requirements for self and within unit.
+ Develop and implement policies and procedures to guarantee efficient and effective delivery of health services.
+ Conduct hiring, training, directing, development and evaluating of staff.
+ Identify and resolve issues affecting the delivery of patient care services for the assigned unit(s).
+ Assure resident safety by identifying safety hazards and emergency situations and initiates corrective action as appropriate.
+ Monitor and adhere to budget.
+ Approve or monitor expenditures, purchases and other actions to ensure compliance with budget guidelines.
**Requirements**
Licensure / Certification / Registration:
+ Required Credential(s):
+ BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date. American Heart Association or American Red Cross accepted.
+ Registered Nurse obtained prior to hire date or job transfer date.
Education:
+ Required professional licensure/certification AND 3 years of experience and 1 year of cumulativeleadership experience required.
**Additional Preferences**
No additional preferences.
**Why Join Our Team**
Ascension Living is a nationally recognized non-profit senior living provider offering rewarding career opportunities in numerous locations across 11 states and Washington D.C. As part of our Independent Living, Assisted Living, Short-term Rehabilitation, Memory Support or Long-term Care teams, you will be empowered to provide compassionate, personalized care and develop lasting relationships with our residents and their loved ones.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**E-Verify Statement**
This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
E-Verify (
+ **Department:** Nursing Administration
+ **Schedule:** Full Time, Day shift
+ **Facility:** Saint Francis Place
+ **Location:** Milwaukee, WI
+ **Salary:** $80,514.00 - $108,931.00 per year
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Manage activities, workflow and nursing resources of assigned nursing unit(s).
+ Ensure compliance with regulatory and accreditation requirements for self and within unit.
+ Develop and implement policies and procedures to guarantee efficient and effective delivery of health services.
+ Conduct hiring, training, directing, development and evaluating of staff.
+ Identify and resolve issues affecting the delivery of patient care services for the assigned unit(s).
+ Assure resident safety by identifying safety hazards and emergency situations and initiates corrective action as appropriate.
+ Monitor and adhere to budget.
+ Approve or monitor expenditures, purchases and other actions to ensure compliance with budget guidelines.
**Requirements**
Licensure / Certification / Registration:
+ Required Credential(s):
+ BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date. American Heart Association or American Red Cross accepted.
+ Registered Nurse obtained prior to hire date or job transfer date.
Education:
+ Required professional licensure/certification AND 3 years of experience and 1 year of cumulativeleadership experience required.
**Additional Preferences**
No additional preferences.
**Why Join Our Team**
Ascension Living is a nationally recognized non-profit senior living provider offering rewarding career opportunities in numerous locations across 11 states and Washington D.C. As part of our Independent Living, Assisted Living, Short-term Rehabilitation, Memory Support or Long-term Care teams, you will be empowered to provide compassionate, personalized care and develop lasting relationships with our residents and their loved ones.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**E-Verify Statement**
This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
E-Verify (
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