- Evolent (Des Moines, IA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner /Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States.… more
- Iowa Department of Administrative Services (Mitchellville, IA)
- …Degree in Nursing and certification as a clinical nurse specialist, nurse midwife, nurse practitioner or registered nurse anesthetist; OR ... formal advanced practice educational program of study in a nurse practitioner program and appropriate clinical...the Iowa Board of Nursing (IBON). For additional information review the IBON Iowa Administrative Rules at 655--7.2(152). NOTE:… more
- Molina Healthcare (Des Moines, IA)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
- Molina Healthcare (Des Moines, IA)
- …the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more