- Prime Therapeutics (Des Moines, IA)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Elevance Health (West Des Moines, IA)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
- Trinity Health (Newton, IA)
- …team to optimize department operations. Under the direction of the department manager and/or director, may assist with other management responsibilities as ... or director, may represent the department on hospital committees or attend management meetings. **CARE COORDINATION** + Plans resource utilization based on… more
- Trinity Health (Des Moines, IA)
- …Full time **Shift:** **Description:** As an integral member of Mercy One's PHSO Care Management department, the Manager of Post Acute and Transition Care ... team members across the network. In addition, the Manager is responsible for the building, management ,...PHSO strategies and infrastructure necessary to effectively manage costs, utilization and quality associated with risk contracts in the… more
- Highmark Health (Des Moines, IA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- CVS Health (Des Moines, IA)
- …Abuse, Maternity, Transplant or Medical/Surgical **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or ... time zone.** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients +… more
- Trinity Health (Des Moines, IA)
- …systems to insure effective communications along the continuum. . Collaborates with Utilization Management staff regarding payer information, level of care and ... others. . Other duties as assigned by CIN Director/Care Management /Social Services Manager . MINIMUM KNOWLEDGE, SKILLS AND...a current or compact state license as a Registered Nurse issued/defined by the State of Iowa . Three… more
- Urbandale Community School District (Urbandale, IA)
- TITLE : Production Kitchen Manager LOCATION : Olmsted Elementary J OB GOAL : Responsible for all aspects of food production and supervision of child nutrition ... TO : Director of Nutrition Services REPORTS INDIRECTLY TO : Operations Manager and Administrative Assistant QUALIFICATIONS : + High school graduate or equivalent.… more
- Huron Consulting Group (Des Moines, IA)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Sharecare, Inc. (Des Moines, IA)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more