- Highmark Health (Des Moines, IA)
- …Description :** **JOB SUMMARY** This job is responsible for working with HHO clinical departments in the areas of compliance and process improvement. Serves ... as a corporate resource regarding accreditation standards, clinical performance and continuous improvement...maintenance of Care Management policies and procedures to ensure accreditation and compliance with NCQA and DMMA… more
- Trinity Health (Des Moines, IA)
- …Join the MercyOne Family! We are looking to hire a Point of Care Coordinator . As a Point of Care Coordinator at MercyOne, you will oversee ... all hospital-based locations. Performs and interprets waived and moderately complex clinical laboratory tests + Is responsible for education, supplies and inventory,… more
- CVS Health (Des Moines, IA)
- …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to reduce risk… more
- CVS Health (Des Moines, IA)
- …clients - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors… more
- Humana (Des Moines, IA)
- …to maximize each beneficiary's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The case manager ... of case management involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for all activities within the… more