- Molina Healthcare (IA)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Sharecare (Des Moines, IA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- Trinity Health (Clinton, IA)
- …largest employers. Join the MercyOne Family! We are looking to hire a Clinical Development Specialist. As a Clinical Development Specialist at MercyOne, you ... the diagnosis and treatment of illness and the delivery of evidence-based nursing interventions (ANA, 2004). A CDS works with other nurses to advance their nursing… more
- Trinity Health (Newton, IA)
- …Supervisor provides direct patient care and coordinates nursing activities to facilitate safe, quality patient care at the department level. Serves as a resource and ... team to optimize department operations. Under the direction of the department manager and/or director, may assist with other management responsibilities as assigned.… more
- Highmark Health (Des Moines, IA)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management… more
- Trinity Health (Dubuque, IA)
- …at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping ... patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7… more
- Public Consulting Group (Des Moines, IA)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Des Moines, IA)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Molina Healthcare (Sioux City, IA)
- …Behavioral Health Professional in Iowa to join Molina Healthcare as a telephonic case manager . Applicants should reside in Iowa and hold an LMCH, LISW, or LMFT ... abuse disorders. The ideal applicant will have previous experience working as a case manager within a managed care organization (MCO) like Molina, but if you hold… more
- Trinity Health (Newton, IA)
- …providers and administration to ensure patient needs are met. The Inpatient Manager coordinates nursing activities to facilitate safe, quality patient care ... leadership and mentoring to staff, promotes ongoing staff development and high quality nursing care which meets or exceeds customer expectations. Develops unit… more
- Sharecare (Des Moines, IA)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Molina Healthcare (IA)
- …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 clinical assessments of members per regulated timelines and determines who may qualify… more
- Molina Healthcare (Iowa City, IA)
- …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 clinical assessments of members per regulated timelines and determines who may qualify… more
- Primary Health Care (Des Moines, IA)
- As the Population Health Program Manager , you will be responsible for developing, leading, and managing the Population Health Program to improve clinical health ... work closely with an interdisciplinary team, including those from operations, quality , individual business units, and our external Accountable Care Organization… more
- Healthfirst (IA)
- …and medical necessity of treatments and service utilizations based on clinical documentation, regulatory, and InterQual/MCG criteria + Assessment - identifying ... and recovery + Documenting - documenting all determinations, notifications, interventions , and telephone encounters in accordance with established documentation… more
- Molina Healthcare (Des Moines, IA)
- …professional in Council Bluffs, IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery area for this position ... 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… more
- Healthfirst (IA)
- …ensure the best individualized care decisions, adherence to timely assessments and interventions for each members changing condition(s) + Build a high performing ... team where clinical , technical and leadership skills are developed and assessed...in the members electronic record. + Participate in the Quality Management Program, identifying performance/process improvement opportunities and recommend… more
- Molina Healthcare (Cedar Rapids, IA)
- …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 ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Molina Healthcare (IA)
- …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 ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Trinity Health (Mason City, IA)
- …**Shift:** **Description:** **Are you an experienced Registered Nurse, Case Manager looking for premium compensation and maximum flexibility? Explore FirstChoice ... patient from having to readmit to the hospital. Ensures all appropriate clinical information is provided to outside agencies. Communicates pertinent information to… more