- 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
- Molina Healthcare (Sioux City, IA)
- …SummaryProvides 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
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Sioux City, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager who is Bachelors or Masters trained in a social services field to join the LTSS team with our Iowa ... 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
- Molina Healthcare (Sioux City, IA)
- …member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports ... * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication regimens. * Care… more
- Molina Healthcare (Sioux City, IA)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… 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)
- …work together to empower patients to achieve their best health! The **Retail Food Service Manager ** **3** will provide leadership and best practices in meals for ... years, we have provided top-level food, facilities management and integrated services to corporations, healthcare facilities, K-12 schools, colleges,… more
- Molina Healthcare (Sioux City, IA)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… 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)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Sioux City, IA)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… 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
- 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
- Molina Healthcare (Sioux City, IA)
- …quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key ... **Job Duties** + Acts as a lead specialist to provide project, program , and/or initiative related direction and guidance for other specialists within the… 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
- US Bank (Sioux City, IA)
- …verification system operated by the US Citizenship and Immigration Services . Learn more about the E-Verify program ... those needs by providing direction and recommendations to appropriate products and services and helping individual and business customers reach their financial goals… more
- Advanced Correctional Healthcare (Sioux City, IA)
- …Job Shift 3rd Shift Job Category Nursing/Nursing Support Description BENEFITS: + Referral program + 401(k) w/employer match + Health insurance + Vision insurance + ... Disability Insurance SUMMARY: Our associates deliver a higher standard of business services to support medical care and behavioral health care. We maintain… more
- Avera (Le Mars, IA)
- …manner. + The Admissions Representative works under the direct supervision of the Patient Services Manager and in cooperation with other staff in assisting with ... or equivalent. + 1 year experience in a customer service setting. + Mandatory Reporter training certificate is a...in their homes through home health and home medical services . Floyd Valley Healthcare is licensed by… more