- Public Consulting Group (Des Moines, IA)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Elevance Health (West Des Moines, IA)
- …depression, and insightful analytics to improve the delivery of care._ **Behavioral Health Case Manager I** **Location** : Must reside in the Pacific, Mountain, ... ensures essential face-to-face onboarding and skill development. The **Behavioral Health Case Manager I** is responsible for performing case management… more
- CVS Health (Des Moines, IA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Des Moines, IA)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Trinity Health (West Des Moines, IA)
- …Moines (https://www.mercyone.org/desmoines/find-a-location/) Join the MercyOne Family! We are looking to hire a Case Manager RN ! As a Case Manager RN at ... services throughout the healthcare continuum. + **Documentation** : Accurately document case management plans, addressing clinical needs, barriers to care, and… more
- WesleyLife (Urbandale, IA)
- …technology! This is within our EMR and reduces the amount of manual documentation.** The Case Manager (RN) role is a hybrid position-- with time spent between ... in a supportive and collaborative environment. **A Day in the Life as a Nurse Case Manager with our Home Health team:** + Lead and supervise the home health team… more
- Sedgwick (Des Moines, IA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- BrightSpring Health Services (Johnston, IA)
- …company + Become a part of a highly valued, collaborative team. As a RN Case Manager You will: + Assess/ monitor physical, emotional, and psychological needs of ... patients + Create hospice care plans that align with the patient's wishes and goals + Direct nursing care: administering medications, treatments, and interventions + Provide pain and symptom management + Educate and support the patient's family and caregivers… more
- Public Consulting Group (Des Moines, IA)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Des Moines, IA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Des Moines, IA)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Des Moines, IA)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... intervention skills preferred Managed care/utilization review experience preferred. + Case management and discharge planning experience preferred. + Managed… more
- Trinity Health (Clive, IA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The grants RN care manager works with the grants healthcare team to implement a tailored program ... based on specific clinical risk factors, and preferences. The grants RN care manager is responsible for conducting tailored research care plans for each patient… more
- Cardinal Health (Des Moines, IA)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Cardinal Health (Des Moines, IA)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Good Samaritan (Indianola, IA)
- …Integrates health care for clients from pre-admission to post discharge. This is accomplished through the coordination and sequencing of the client's care. ... Integration enhances patient/resident flow and interdisciplinary communication promotes early intervention. Seeks to evaluate outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured… more
- Travelers Insurance Company (Des Moines, IA)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- Molina Healthcare (Des Moines, IA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more