Utilization review nurse jobs in Wisconsin - 255 jobs

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

This is a full-time role (40 hours per week). Following an initial onboarding and training period, the position will be fully remote. Candidates must be residents of Wisconsin. Using a collaborative process, the Care Management (CM) Utilization Management Nurse (RN) will review, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, and cost-effective outcomes. They help identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner while maintaining quality of care. The CM Utilization Management Nurse is responsible for evaluating the medical appropriateness, quality, and cost effectiveness of proposed services in accordance with established criteria. This review activity may be conducted prospectively, concurrently, or retrospectively and in collaboration with patients, practitioners, and other professionals. They play an integral role in working with the RN and Social Work Case Managers on an ongoing basis and providing support. They provide support and is a resource for the Care Management Associates and other staff. Work is performed under the general direction, guidance, and supervision of the Care Management Department Manager. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. In dedication to the health and well-being of our employees, we offer a comprehensive benefits package that includes health and dental insurance, along with paid parental leave, short-term disability, long-term disability, and life insurance. Additional benefits include a flexible spending account, employee assistance programs, tuition reimbursement, pet insurance, eyewear discounts, and more. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW. Job Specific Minimum Qualifications Graduation from an NLN accredited school of Nursing. Bachelor's degree is preferred. Valid current license to practice in the State of Wisconsin as a Registered Nurse is required. Minimum of one (1) year experience in: Utilization Review, Insurance/Managed Care, Home Health and/or diversified clinical experience, two (2) years preferred. Knowledge of utilization principles, methods, and techniques with experience in primary and/or acute care management. Ability to follow established criteria, policies, and procedures utilized in medical reviews. Ability to keep abreast of legal and regulatory changes affecting the delivery of care. Excellent oral and written communication skills required. Ability to communicate effectively in person, in groups, and on the telephone. Ability to be culturally sensitive and to work with a diverse patient population. Knowledge of and ability to use computer-based applications such as MS Office, (word processing, email, calendar). Knowledge of and/or ability to learn and effectively use electronic medical and insurance record systems. Experience with EPIC systems is desirable but not required. Ability to maintain patient and organizational confidentiality required. Knowledge of or ability to learn HIPAA requirements. Knowledge of medical records and appropriate documentation requirements. Ability to apply clinical criteria to analyze requests. Self-motivation and self-direction required; capable of working independently with limited direct supervision. Excellent customer service skills. Ability to work effectively with all levels of staff, practitioners, internal departments, external parties and members. Strong organizational skills. Ability to pay attention to details. Ability to function as a team player. Possession of a valid Wisconsin Driver License with good driving record. Employee must be able to provide own transportation to various worksites. Ability to sit, stand, walk, and drive on a regular basis required. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

The Utilization Review Nurse is responsible for the coordination and direction of all utilization review activities to support and implement the goals of the utilization review program and plan. The U/R Nurse prepares and presents utilization review reports to the Utilization Review Committee and other committees/stakeholders. The U/R Nurse maintains and updates policies and procedures for utilization review, swing bed, and discharge planning. Responsibilities/Duties: * Evaluates medical services provided to ensure they are necessary, cost-effective, and align with organizational guidelines and policies. * Collaborate with providers, insurance companies, and patients to optimize care while ensuring compliance with regulatory standards, with a focus on: * Precertification: * Collaborate with the access management team and Physicians to obtain precertification/authorization and have accurate admissions orders. Confirm medical necessity and level of care as requested. Work with house Supervisors as needed to ensure the level of care is appropriate. * Access to Care: * Work closely with Patient Financial Services on payment denials and appeals. Perform intake assessments within 24 hours of admission (excluding holidays & weekends) and perform follow-up assessments. Collaborate with physicians when questioning support of inpatient status to influence appropriate utilization of resources, accurate status determination, and transition of care. * Continued Stay: * Participate in daily huddles, multidisciplinary rounds, patient care conferences, and physician/nurse hand-off reports have awareness of progression of care, observation, and extended stay surgical outpatients. Identify and record episodes of preventable or avoidable delays due to failure of progression-of-care processes. Educate members of the patient care team on the uses of various levels of care as needed. Coordinates UR committee meetings and activities, including standard reports, and conducts and reports results of periodic audits. * Transition: * Confirms patients' readiness for discharge by consulting with the care team, social services, third-party payors, and individuals related to the patient to confirm agreement concerning discharge plans. * Conduct certification reviews on all admissions. * Gather patient data and document review information into a computer database for tracking. * Prepare reports and implement and monitor changes associated with departmental improvement. Education/Experience: * Current RN licensure in the state of WI is required. * BSN preferred. * At least two years of nursing experience required, four years preferred. * Two years of utilization review experience preferred. * Knowledge of care criteria (e.g., InterQual Level of Care Criteria or MCG) and knowledge of local and national coverage determinations and documentation thereof in EMS preferred.

Hours may vary; you will work 4 or 8 hour shifts as needed to fill gaps in staffing. On average, you may work 1-2 shifts per week. You will be working at University Hospital and East Madison Hospital in Madison, WI. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Nurse (RN) Case Manager: Bring a strong clinical background, case management experience and well-developed assessment and critical thinking skills Assist with anticipating the discharge needs of post-surgical patients to ensure timely discharge and access to the best possible resources Have an understanding of medical necessity, level of care and patient status (inpatient vs outpatient). Knowledge of community resources such as transportation, skilled nursing facilities or home health agencies. Enjoy learning, asking questions, and working within a collaborative team environment. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions. Education Bachelor's Degree in Nursing. Equivalent combination of education and experience will be considered. Required Master's Degree Master's degree in Nursing or healthcare related field Preferred Work Experience 3 years Three (3) years of relevant clinical nursing experience. Required Recent experience as a hospital-based Nurse Case Manager Preferred Licenses and Certifications Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction that has adopted the nurse licensure compact Upon Hire Required ACMA certification as a Case Manager Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. University Hospital in Madison is a Magnet -designated facility that's ranked Wisconsin's #1 hospital and considered one of the nation's leading hospitals, teaching institutions and referral centers. UW Health East Madison Hospital - is UW Health's newest hospital and one of the most advanced hospitals and wellness centers in the country. Here, health care is seen as a holistic endeavor where our mission is to not only diagnose and treat you when you're sick, but also to partner with you in health and wellness. Job Description UW Hospital and Clinics benefits

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it's like to work at Children's Wisconsin: *********************************** The Nurse Case Manager in this newly created position will be working for a unique clinic: Trauma Quality of Life Clinic. Utilizing the case management process, the person is responsible for providing care coordination services to a group of complex, special needs pediatric patients and their families across the continuum of care. The case manager assesses, plans, implements, coordinates and evaluates the plan of care in partnership with the family and other members of the health care team. Hours: 7:30 am - 4:00 pm (M-F) Full time: 40 hours per week No weekends! Onsite: Milwaukee main campus Education: Bachelor's Degree BSN (or equivalent knowledge) preferred Experience: Knowledge of complex, chronic pediatric patients that is generally acquired through 2-3 years of pediatric experience. Licenses and Certifications: A current license to practice professional nursing in the State of Wisconsin is required. Current CPR certification - Basic Life Support (BLS) for Healthcare Providers through American Heart or American Red Cross is required. Certification as a Case Manager and experience in case management strongly desired. Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law. Certifications/Licenses: BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council, License RN-Registered Nurse (30) - State of Wisconsin

Substitute Date Available: 01/31/2025 The Appleton Area School District has a need for Substitute Nurses A Substitute Nurse will cover for employees who are absent, working at one or more schools throughout the day. Daily rate of pay is $225. There are no benefits for substitute positions. Qualifications: RN License required (bachelor's degree) After we receive your application we will follow up with a phone interview and do reference checks. If you are recommended for hire, you will be emailed a new hire packet. Candidates who apply prior to the posting deadline will receive first consideration. -- An Equal Opportunity Employer --

Position Description: Every year, North Dakota 4-H hosts around 400 youth for camp from across North Dakota. With this comes opportunities with medications, first aid and general camp health. We are seeking a part-time position of a camp nurse to assist on check-in days and throughout the camping week. Position Duration: May 27 through August 8 (camping season is May 27 - June 14 and July 27 - August 7) Location: North Dakota 4-H Camp is 40 miles north of Bismarck located near Washburn, ND (halfway between the Lewis and Clark Interpretative Center and Fort Mandan). Salary: $26.00 per hour (approximately 20 hours a week) Position Duties: * Organization of camper prescription medication * Assistance with management of health regulations * On-call/on-sight to aid in camper health questions and health emergencies Email Karla Meikle for job posting and application instructions. ********************* Please include within application if you are currently or have in the past 12 months been employed with NDSU, the North Dakota University System or any other North Dakota State agency. If so, include which agency/department, as well as your how many hours you work a week and in the past 12 months. About Us: North Dakota State University is distinctive as a student focused, land-grant, research university. We educate leaders who solve national and global challenges by providing affordable access to an excellent education that combines teaching and research in a rich learning environment. NDSU is in the highest Carnegie Classification of Institutions of Higher Education, R1, granted to the top research institutions in the country. NDSU has offices across the state of North Dakota, and the main campus is in Fargo, on the Minnesota border. Along with Moorhead, Minnesota, Fargo forms one of the largest metropolitan centers between Minneapolis and Seattle. The community is consistently ranked as one of the best places to live. NDSU is committed to fostering a community where differences are recognized as strengths. Rooted in our land-grant mission, we work together to meet the needs of North Dakota and its communities through education, research and outreach. Employment Eligibility: NDSU determines employment eligibility through the E-Verify system: What is E-Verify? New employees to NDSU must present specific identification to determine their employment eligibility no later than their first day of work. To view the identification required, please see the List of Acceptable Documents. You will be required to have one item from List A OR one item from List B and List C. No Smoking Notice: As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. § 23-12-10. Equal Opportunity Statement: NDSU does not discriminate in its programs and activities on the basis of age, color, gender expression/identity, genetic information, marital status, national origin, participation in lawful off-campus activity, physical or mental disability, pregnancy, public assistance status, race, religion, sex, sexual orientation, spousal relationship to current employee, or veteran status, as applicable. Direct inquiries to: Vice Provost, Title IX/ADA Coordinator, Old Main 201, NDSU Main Campus, Fargo, ND, 58108, ************, ******************. Veteran's Preference Notice: This position is subject to North Dakota Veteran's Preference requirements. Reasonable Accommodation Information North Dakota State University is committed to providing access and reasonable accommodation in its services, programs, activities, education, and employment for individuals with disabilities. To request disability accommodation in the application process, please contact Human Resources at ************ or ****************.

Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Overview Help Accepting applications Open & closing dates 10/01/2025 to 09/30/2026 Salary $50,241 to - $114,573 per year Pay scale & grade GL 05 - 10 Locations Many vacancies in the following locations: Aliceville, AL Maxwell AFB, AL Talladega, AL Forrest City, AR Show morefewer locations (90) Phoenix, AZ Safford, AZ Tucson, AZ Atwater, CA Herlong Sierra Ordnance Depot, CA Lompoc, CA Los Angeles, CA Mendota, CA San Diego, CA Victorville, CA Florence, CO Littleton, CO Danbury, CT Coleman, FL Marianna, FL Miami, FL Miami-Dade County, FL Tallahassee, FL Atlanta, GA Jesup, GA Honolulu, HI Chicago, IL Greenville, IL Marion, IL Pekin, IL Thomson, IL Terre Haute, IN Leavenworth, KS Ashland, KY Inez, KY Lexington, KY Manchester, KY Pine Knot, KY Oakdale, LA Pollock, LA Fort Devens, MA Cumberland, MD Milan, MI Duluth, MN Rochester, MN Sandstone, MN Waseca, MN Springfield, MO Yazoo City, MS Butner Federal Correctional Complex, NC Berlin, NH Fairton, NJ Fort Dix, NJ Kings, NY Otisville, NY Ray Brook, NY Elkton, OH El Reno, OK Oklahoma City, OK Sheridan, OR Gregg Township, PA Kelly Township, PA Lewis Run, PA Loretto, PA Minersville, PA Philadelphia, PA Waymart, PA Guaynabo, PR Bennettsville, SC Edgefield, SC Estill, SC Salters, SC Yankton, SD Memphis, TN Bastrop, TX Beaumont, TX Big Spring, TX Bryan, TX Federal Medical Center Carswell, TX Fort Worth, TX Houston, TX La Tuna, TX Seagoville, TX Texarkana, TX Three Rivers, TX Jonesville, VA Prince George, VA Seatac, WA Grand Marsh, WI Alderson, WV Beaver, WV Bruceton Mills, WV Glenville, WV Morgantown, WV Welch, WV Remote job No Telework eligible No Travel Required Occasional travel - Travel may be required for training and/or work related issues. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Service Competitive Promotion potential 10 - Grade 10 - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Job family (Series) * 0610 Nurse Supervisory status No Security clearance Other Drug test Yes Bargaining unit status No Announcement number DHA-2026-0002 Control number 847130700 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency This is a public notice under the Direct Hiring Authority open to all U.S. citizens. Please review instructions in the "

Job Description At Evergreen, we believe in providing exceptional care and support to our residents. Our mission is to create a warm and welcoming environment where everyone feels valued and respected. We are seeking a dedicated Long-Term Care Registered Nurse to join our passionate team! Job Overview: As a Long-Term Care Registered Nurse, you will play a vital role in delivering high-quality patient care and promoting the well-being of our residents. We are looking for a compassionate individual who thrives in a collaborative environment and is committed to making a positive impact in the lives of our residents. This position is 8 shifts in a two week pay period on the AM shift (6:30am-2:45pm) for a total of 31 hours per week. The position is fully benefit eligible including generous vacation and sick time, matching 403(b) retirement saving, insurance, student loan repayment, etc. Key Responsibilities: Provide holistic nursing care to residents in a long-term care setting. Assess, plan, implement, and evaluate individualized care plans. Administer medications and treatments as prescribed. Collaborate with interdisciplinary teams to ensure comprehensive care. Foster strong relationships with residents and their families, providing emotional support and education. Maintain accurate medical records and documentation. Participate in staff training and development activities. Qualifications: Valid Registered Nurse (RN) license in Wisconsin. Previous experience in long-term care or similar healthcare setting preferred. Strong communication and interpersonal skills. Ability to work effectively in a team and independently. Compassionate demeanor with a commitment to patient-centered care. What We Offer: Competitive salary and benefits package (wage ranges from $37.50-$40.50/hr. based on experience) Supportive and friendly work environment. Opportunities for professional growth and development. If you are a compassionate RN looking to make a meaningful difference in the lives of our residents, we would love to hear from you. Join us in making a difference every day!

Wilson Elser is a leading defense litigation law firm with more than 1300 attorneys in 43 offices throughout the United States. Founded in 1978, we rank among the top 100 law firms identified by The American Lawyer and 36 in the National Law Journal's survey of the nation's largest law firms. We're also Mansfield Certified Plus. Our firm is committed to attracting and retaining professionals who value each other and the service we provide by embracing Teamwork, Collaboration, Client Service, and Innovation. If you are a motivated professional looking for a long-term fit where you can grow in a role, and will be valued and empowered, then we invite you to apply to our Nurse Paralegal position in our Milwaukee Office. The Position Wilson Elser's Milwaukee Office seeks a Full Time Nurse Paralegal to join our expanding Paralegal Service Center. This Paralegal Service Center supports a wide variety of practice areas, in all of our 44 national offices. This is an excellent opportunity for healthcare professionals seeking to expand their careers and who are interested in gaining fast-paced professional experience with a national law firm. Paralegal training will be provided if needed. This position may be hybrid if desired, but will require attendance at least one day per month in the Milwaukee office. The hours for this position will be scheduled between 8 a.m. and 5 p.m. Monday - Friday. Key Responsibilities: Analyze and summarize medical records Create medical chronologies and narrative summaries of medical records Create billing record summaries in Excel Determine, prepare and organize materials needed for expert witness review Conduct investigative research on expert witnesses Qualifications Licensed RN and Bachelor Degree Required Nurse Paralegal or Legal Nurse Consultant experience a plus, but paralegal training will be provided if needed Ability to quickly learn proprietary software systems and databases Strong written communication skills, including business writing and grammar Strong critical thinking skills Excellent organizational skills and a team player Ability to integrate into a fast-paced environment, manage deadlines and adapt to changing priorities to meet client needs Proficiency in Microsoft Office Suite (Word, Outlook, Excel) Why Should You Apply? Benefits: Outstanding benefits package, including 401k match and generous PTO plan Career Growth: Ample opportunities for professional development and advancement Employee Perks: Access to corporate discount plans and other benefits Wilson Elser welcomes submissions of candidates for our open positions exclusively from recruitment agencies with an active, signed fee agreement who have been granted access to a position through our dedicated Recruitment Agency Portal. We are unable to consider submissions from recruitment agencies without a current (dated as of 7/1/2024) agreement in place. We appreciate your understanding. For collaboration inquiries or to establish an agreement, please contact us at *********************************. Wilson Elser is committed to a collegial work environment in which all individuals are treated with respect and dignity. It is the Firm's policy that employment will be based on merit, qualifications, and competence. Further, employment decisions will be made without regard to an applicants race, color, age, sex, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation or preference, gender identity, physical or mental disability, status as a victim of domestic violence, sex offenses, or stalking, past or present service in the uniformed services or application or obligation to serve in the uniformed services, or any other characteristic protected by law. Wilson Elser endeavors to make the Wilson Elser website accessible to any and all users. You may review our Accessibility Policy here. California Residents may review our CCPA notice for applicants and employees here. #ZR

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. •\tHealth, dental, vision, life, disability benefits and 401k •\tTax free stipends when applicable •\tGym discounts •\tWeekly pay •\t$750. 00 referral bonus Please apply or contract us at: www. venturamedstaff. com or ************

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

At Bristol Hospice, we're looking for compassionate and courageous Registered Nurses to serve as our Warriors of the Night - the calm in the storm and the trusted presence for patients and families during critical after-hours moments. If you thrive in autonomy, respond with urgency and empathy, and are ready to be a lifeline for those in need during evenings, nights, and weekends - we see you. And we need you. Territory Role Covers: Green Bay (Friday 4:30pm - Monday 8am) Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: * Integrity: We are honest and professional. * Trust: We count on each other. * Excellence: We strive to always do our best and look for ways to improve and excel. * Accountability: We accept responsibility for our actions, attitudes, and mistakes. * Mutual Respect: We treat others the way we want to be treated.

To apply for this position, visit this link: ******************************************************************* Job Title: Camp Nurse - YMCA Camp Pepin FLSA Status: Seasonal Reports to: Camp Pepin Director Starting Pay Rate: $600-$800/week + room and board The Camp Nurse at Camp Pepin plays a crucial role in the success of our summer. As the camp's on-site nurse, your most common task would be treating the daily bumps, bites, and bruises that naturally occur at camp. That being said, it's possible that a more significant injury or illness could occur, which is where your true expertise comes into play. Our nurse is NOT responsible for performing any major medical procedures, but for controlling a situation and consulting with camp leadership on the best course of action - is an ambulance needed? Do they just need to drink water and rest? Another major responsibility of our camp nurse is the distribution and documentation of medications to campers and underage staff. All medications are safely stored and secured in the Health Office, and it is the nurse's responsibility to administer medications as needed. This usually entails a med check at morning flagpole/breakfast, lunch, dinner, and bedtime. All medication administration must be documented in our official medical log, which is made easy by our online administration system that is built into our camp management software. It's required that the nurse at Camp Pepin lives on site while camp is in session, in order to be available in an emergency (camp runs from Sunday afternoon to Friday afternoon). The position comes with significant responsibility and importance, but life at camp for our nurse is a pretty sweet gig. You are provided all of your meals, as well as your own private room within airconditioned staff lodging, and have the Health Office at your disposal. Your fellow staff are from all over the world and are some of the best people you'll meet! And honestly, you can't beat living at a summer camp. Our view of Lake Pepin is stunning, and the daily activities and performances serve as constant entertainment each day. The camp nurse is the perfect role to gain hands-on experience in the medical field, while also playing a pivotal role in the impact that summer camp can have on our campers. ESSENTIAL FUNCTIONS: General Healthcare - Provide first aid for the daily bumps, cuts, or scrapes of summer camp. Medication Manager - Administer, document, and monitor the medication administration for campers. First Responder - Serves as the medical professional in emergencies, directing care until EMS arrives. Support Resident Staff - Support our counselors in preventing issues and providing care for the campers. Administrative Duties - Maintain all required logs and records and communicate with parents. Oversee First Aid and Supplies - Supervise first aid procedures and maintain well-stocked first aid kits throughout camp, including various designated areas. Health Education and Supervision - Educate camp staff on health risks (e.g., dehydration, heat exhaustion) and supervise the screening of campers and staff upon arrival. Continuous Communication with the Camp Director - Regularly report any issues or concerns related to health and safety to the Camp Director. YMCA COMPETENCIES (Leader): Mission Advancement: Accepts and demonstrates the Y's values. Demonstrates a desire to serve others and fulfill community needs. Collaboration: Works effectively with people of different backgrounds, abilities, opinions, and perceptions. Seeks first to understand the other person's point of view and remains calm in challenging situations. Listens for understanding and meaning; speaks and writes effectively. Takes initiative to assist in developing others. Operational Effectiveness: Makes sound judgments, and transfers learning from one situation to another. Embraces new approaches and discovers ideas to create a better member experience. Establishes goals, clarifies tasks, plans work, and actively participates in meetings. Personal Growth: Pursues self-development that enhances job performance. Demonstrates an openness to change and seeks opportunities in the change process. Has the functional and technical knowledge and skills required to perform well; uses best practices and demonstrates up-to-date knowledge and skills in technology. EXPECTED HOURS OF WORK The expected hours for the Camp Pepin Program Staff will be midmorning Sundays through Friday evenings. Camp Pepin Program Staff will assist with the preparation and planning of Staff Training via virtual meetings before camp starts. Program Staff are expected to be onsite 24 hours a day when camp is in operation. There are times when staff will be off or away from children when camp is in session, though the camp director will develop a schedule of duty times. WORK ENVIRONMENT AND PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Mobility: Camp nurses may need to move around the campsite to respond to medical emergencies or provide care to campers. Lifting: There may be a need to lift or assist campers with mobility challenges. First Aid and Emergency Response: The role may involve quick and effective response to injuries, requiring physical agility and ability to perform first aid. Visual/auditory ability to identify/respond to environmental and other hazards related to the activity. Physical ability to respond appropriately to situations requiring first aid; must be able to assist campers in an emergency (fire, evacuation, illness, or injury) Some physical requirements of a Program Staff position could be endurance, including prolonged standing, some bending, stooping, walking long distances, hiking, climbing, and stretching. Willing to live in a camp setting and work irregular hours with limited or simple equipment and facilities; and with daily exposure to the sun, heat, and animals such as bugs, bats, etc. QUALIFICATIONS: Must be at least 21 years of age. Must be able to obtain or become certified in First Aid/CPR (camp will provide certification). Must be able to obtain or become certified as a Lifeguard (camp can provide certification). Candidates are preferred to have one of the following qualifications: Licensed Registered Nurse Physician's Assistant Practical Nurse Athletic Trainer EMT/Paramedic/Wilderness First Responder For candidates without these qualifications, Camp Pepin is willing to assist with the cost of an approved Wilderness First Responder course (valued at $900) to meet these requirements. Demonstrate knowledge and skill in program area. Ability to serve in a leadership position for camp staff. Ability to interact with all age levels and positively relate to youth and adults. Ability to communicate and work with diverse participant needs and provide necessary instruction to campers and staff. Ability to pass a background check and, if necessary, a motor vehicle check to ensure proper license and driving record. AAP/EEO STATEMENT The Red Wing Area Family YMCA (the Y) provides equal employment opportunities (EEO) to all employees and applicants for employment with regards to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, the Y complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. OTHER DUTIES Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

100% FTE, Monday - Friday, 8:00am - 4:30pm, 3-4 weekends per year. You will be working at University Hospital in Madison, WI. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Emergency Department Nurse (RN) Case Manager: Bring a strong clinical background, case management experience and well-developed assessment and critical thinking skills Assist with anticipating the discharge needs of post-surgical patients to ensure timely discharge and access to the best possible resources Have an understanding of medical necessity, level of care and patient status (inpatient vs outpatient). Knowledge of community resources such as transportation, skilled nursing facilities or home health agencies. Enjoy learning, asking questions, and working within a collaborative team environment. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Full time benefits for part time work. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Acuity based staffing ratios for optimal safety. A strong shared governance structure which assures every nurse has a voice. A place where nursing excellence is recognized and celebrated in our inpatient and outpatient settings through several award programs. Tuition benefits eligibility - UW Health invests in your professional growth as a nurse by helping pay for coursework associated with career advancement. The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions. Tuition benefits eligibility on day one of employment - UW Health invests in your professional growth as a nurse by helping pay for coursework associated with career advancement. Education Bachelor's Degree in Nursing. Equivalent combination of education and experience will be considered. Required Master's Degree Master's degree in Nursing or healthcare related field Preferred Work Experience 3 years Three (3) years of relevant clinical nursing experience. Required Recent experience as a hospital-based Nurse Case Manager Preferred Licenses and Certifications Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction that has adopted the nurse licensure compact Upon Hire Required ACMA certification as a Case Manager Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. University Hospital in Madison is a Magnet -designated facility that's ranked Wisconsin's #1 hospital and considered one of the nation's leading hospitals, teaching institutions and referral centers. Job Description UW Hospital and Clinics benefits

The Utilization Review Nurse is responsible for the coordination and direction of all utilization review activities to support and implement the goals of the utilization review program and plan. The U/R Nurse prepares and presents utilization review reports to the Utilization Review Committee and other committees/stakeholders. The U/R Nurse maintains and updates policies and procedures for utilization review, swing bed, and discharge planning. Responsibilities/Duties: * Evaluates medical services provided to ensure they are necessary, cost-effective, and align with organizational guidelines and policies. * Collaborate with providers, insurance companies, and patients to optimize care while ensuring compliance with regulatory standards, with a focus on: * Precertification: * Collaborate with the access management team and Physicians to obtain precertification/authorization and have accurate admissions orders. Confirm medical necessity and level of care as requested. Work with house Supervisors as needed to ensure the level of care is appropriate. * Access to Care: * Work closely with Patient Financial Services on payment denials and appeals. Perform intake assessments within 24 hours of admission (excluding holidays & weekends) and perform follow-up assessments. Collaborate with physicians when questioning support of inpatient status to influence appropriate utilization of resources, accurate status determination, and transition of care. * Continued Stay: * Participate in daily huddles, multidisciplinary rounds, patient care conferences, and physician/nurse hand-off reports have awareness of progression of care, observation, and extended stay surgical outpatients. Identify and record episodes of preventable or avoidable delays due to failure of progression-of-care processes. Educate members of the patient care team on the uses of various levels of care as needed. Coordinates UR committee meetings and activities, including standard reports, and conducts and reports results of periodic audits. * Transition: * Confirms patients' readiness for discharge by consulting with the care team, social services, third-party payors, and individuals related to the patient to confirm agreement concerning discharge plans. * Conduct certification reviews on all admissions. * Gather patient data and document review information into a computer database for tracking. * Prepare reports and implement and monitor changes associated with departmental improvement. Education/Experience: * Current RN licensure in the state of WI is required. * BSN preferred. * At least two years of nursing experience required, four years preferred. * Two years of utilization review experience preferred. * Knowledge of care criteria (e.g., InterQual Level of Care Criteria or MCG) and knowledge of local and national coverage determinations and documentation thereof in EMS preferred.

At Evergreen, we believe in providing exceptional care and support to our residents. Our mission is to create a warm and welcoming environment where everyone feels valued and respected. We are seeking a dedicated Long-Term Care Nurse to join our passionate team! Job Overview: As a Long-Term Care Nurse, you will play a vital role in delivering high-quality patient care and promoting the well-being of our residents. We are looking for a compassionate individual who thrives in a collaborative environment and is committed to making a positive impact in the lives of our residents. This position is 6 shifts in a two week pay period on the NOC shift (10:30pm-6:45am) for a total of 24 hours per week. Key Responsibilities: Provide holistic nursing care to residents in a long-term care setting. Assess, plan, implement, and evaluate individualized care plans. Administer medications and treatments as prescribed. Collaborate with interdisciplinary teams to ensure comprehensive care. Foster strong relationships with residents and their families, providing emotional support and education. Maintain accurate medical records and documentation. Participate in staff training and development activities. Qualifications: Valid Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in Wisconsin. Previous experience in long-term care or similar healthcare setting preferred. Strong communication and interpersonal skills. Ability to work effectively in a team and independently. Compassionate demeanor with a commitment to patient-centered care. What We Offer: Competitive salary and benefits package (wage ranges from $26.75-$31/hr. for LPN or $39-$42/hr. based on experience) Supportive and friendly work environment. Opportunities for professional growth and development. If you are a compassionate Nurse looking to make a meaningful difference in the lives of our residents, we would love to hear from you. Join us in making a difference every day!

Hours are as needed, Monday - Friday during business hours; you may work 4 or 8 hour shifts as needed to fill gaps in staffing. Hours can also include weekends, but not required. You will be working at University Hospital and East Madison Hospital in Madison, WI. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Nurse (RN) Case Manager: Bring a strong clinical background, case management experience and well-developed assessment and critical thinking skills Assist with anticipating the discharge needs of post-surgical patients to ensure timely discharge and access to the best possible resources Have an understanding of medical necessity, level of care and patient status (inpatient vs outpatient). Knowledge of community resources such as transportation, skilled nursing facilities or home health agencies. Enjoy learning, asking questions, and working within a collaborative team environment. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions. Education Bachelor's Degree in Nursing. Equivalent combination of education and experience will be considered. Required Master's Degree Master's degree in Nursing or healthcare related field Preferred Work Experience 3 years Three (3) years of relevant clinical nursing experience. Required Recent experience as a hospital-based Nurse Case Manager Preferred Licenses and Certifications Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction that has adopted the nurse licensure compact Upon Hire Required ACMA certification as a Case Manager Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. University Hospital in Madison is a Magnet -designated facility that's ranked Wisconsin's #1 hospital and considered one of the nation's leading hospitals, teaching institutions and referral centers. Job Description UW Hospital and Clinics benefits

The Utilization Review Nurse is responsible for the coordination and direction of all utilization review activities to support and implement the goals of the utilization review program and plan. The U/R Nurse prepares and presents utilization review reports to the Utilization Review Committee and other committees/stakeholders. The U/R Nurse maintains and updates policies and procedures for utilization review, swing bed, and discharge planning. Responsibilities/Duties: * Evaluates medical services provided to ensure they are necessary, cost-effective, and align with organizational guidelines and policies. * Collaborate with providers, insurance companies, and patients to optimize care while ensuring compliance with regulatory standards, with a focus on: * Precertification: * Collaborate with the access management team and Physicians to obtain precertification/authorization and have accurate admissions orders. Confirm medical necessity and level of care as requested. Work with house Supervisors as needed to ensure the level of care is appropriate. * Access to Care: * Work closely with Patient Financial Services on payment denials and appeals. Perform intake assessments within 24 hours of admission (excluding holidays & weekends) and perform follow-up assessments. Collaborate with physicians when questioning support of inpatient status to influence appropriate utilization of resources, accurate status determination, and transition of care. * Continued Stay: * Participate in daily huddles, multidisciplinary rounds, patient care conferences, and physician/nurse hand-off reports have awareness of progression of care, observation, and extended stay surgical outpatients. Identify and record episodes of preventable or avoidable delays due to failure of progression-of-care processes. Educate members of the patient care team on the uses of various levels of care as needed. Coordinates UR committee meetings and activities, including standard reports, and conducts and reports results of periodic audits. * Transition: * Confirms patients' readiness for discharge by consulting with the care team, social services, third-party payors, and individuals related to the patient to confirm agreement concerning discharge plans. * Conduct certification reviews on all admissions. * Gather patient data and document review information into a computer database for tracking. * Prepare reports and implement and monitor changes associated with departmental improvement. Education/Experience: * Current RN licensure in the state of WI is required. * BSN preferred. * At least two years of nursing experience required, four years preferred. * Two years of utilization review experience preferred. * Knowledge of care criteria (e.g., InterQual Level of Care Criteria or MCG) and knowledge of local and national coverage determinations and documentation thereof in EMS preferred.