- Molina Healthcare (Sioux City, IA)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Accura Healthcare (Le Mars, IA)
- Accura HealthCare of Le Mars has the opportunity to welcome a Nurse Manager (LPN) to join our team! Our Nurse Managers lead the clinical team and promote the ... Weekends, On-Call ABOUT OUR LE MARS, IA COMMUNITIES: Accura HealthCare of Le Mars, a 46-bed Skilled Nursing Facility...provides transitional care, skilled nursing care, and long-term care services . In addition to skilled care services ,… more
- Molina Healthcare (Sioux City, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face visits ... members and completing assessments to determine the types of services we need to provide and managing their care...managing their care until they are discharged from your service . The ideal candidate will have experience as a… more
- Accura Healthcare (Sioux City, IA)
- Accura HealthCare of Sioux City has the opportunity to welcome a Director of Dining Services (CDM) to lead our dining services team! As the Director of ... Services , you will be responsible for our dining services department's overall management and compliance, while ensuring excellence...excellence for our residents. If you're a Certified Dietary Manager with a passion for people, we welcome the… more
- Sodexo (Sioux City, IA)
- …Do** + evaluate and develop service levels for the overall Patient Services Program targetedto exceed patient and customer satisfaction; + oversee Sodexo's ... K-12 schools, colleges, universities and aviation lounges. The **Patient Services Manager 2** provides leadership for both...is responsible for the execution of the patient room service program and managing a call center… more
- Sodexo (Sioux City, IA)
- …Do** + evaluate and develop service levels for the overall Patient Services Program targeted to exceed patient and customer satisfaction; + oversee Sodexo's ... **Role Overview** **We are SodexoMagic!** Sodexo is seeking a customer-focused **Food Service Manager ** **2** at **Unity Point Health** in **Sioux City, IA** .… more
- Molina Healthcare (Sioux City, IA)
- …Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws. ... **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and… more
- Sodexo (Sioux City, IA)
- …facilities, K-12 schools, colleges, universities and aviation lounges. The **Retail Food Service Manager ** **3** provides leadership for both their management ... hospital departments to create strategic plans for the food service departments that align with Mission, Vision and Values...food and presentation as well as leading the catering program for the hospital. The position will use Sodexo… more
- Molina Healthcare (Sioux City, IA)
- …of the member's interdisciplinary care team (ICT), including referrals to state plan healthcare services . * Follows-up with members and providers to check on ... staff, and providers. * Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug...identify potential targeted utilization management activities. * Works with healthcare services team (eg, data managers, care… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Sioux City, IA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... interpretation, and appropriate level of care for provision of member services in alignment with state, federal, accrediting, and billing/coding guidelines and… more
- Molina Healthcare (Sioux City, IA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Sioux City, IA)
- …Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional… more
- Molina Healthcare (Sioux City, IA)
- … Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Services (CAHPS), and other quality metrics. * ... a member-centered interdisciplinary care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing on any changes… more
- Molina Healthcare (Sioux City, IA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Raising Cane's (Sioux City, IA)
- …action when needed + Directs crewmembers during a shift + Provides exemplary customer service + Utilizes reward and recognition program for the crewmembers in ... + Medical, Dental, Vision & Pharmacy Benefits + Dependent Care & Healthcare Flexible Spending Accounts + Company-provided Life and Disability insurance + Hospital… more
- Molina Healthcare (Sioux City, IA)
- …of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers ... least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or… more
- Walmart (Le Mars, IA)
- …team is dedicated to providing comprehensive patient care and ensuring the highest standards of service . As a Pharmacy Manager , you will lead the team to success ... operations and leading people? Join Walmart as a Pharmacy Manager and lead our team of pharmacists and pharmacy...enforce, and provide direction and guidance on proper customer service approaches and techniques to ensure customer needs are… more
- Walgreens (Sioux City, IA)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more
- Elevance Health (Sioux City, IA)
- **LTSS Service Coordinator** _Location:_ Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a ... responsiveness to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator** is responsible for conducting service coordination functions… more