- Molina Healthcare (Davenport, 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 (Davenport, 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 (Davenport, IA)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Davenport, 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 (Davenport, IA)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Davenport, 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 (Davenport, IA)
- …including behavioral health, long-term care, and population health-related education and services for members with high-need potential. Strives to ensure member ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications **LVN is preferred for this role.**… more
- Molina Healthcare (Davenport, 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
- Molina Healthcare (Davenport, IA)
- …member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports ... Strong verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. * In some states, a bachelor's degree in a… more
- Deloitte (Davenport, IA)
- … healthcare , media & entertainment, energy, retail, and financial services that frequently involve asset management, venture capital, and international outbound ... to keep you buzzing! Work You'll Do: As a Manager on our Strategic Partnership Solutions team you will:...on a plethora of various industries including private equity, healthcare , tech, financial products, oil & gas, green energy,… more
- Enviri Corporation (Davenport, IA)
- …sits out of the Kansas City, MO location** Under the general guidance of the Regional Service Director, the District Service Manager will lead a team of ... Clean Earth is a leading provider of environmental services in the United States providing remediation, disposal,...and waste management goals within their region. The District Service Manager should have a deep understanding… more
- Walgreens (Rock Island, IL)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Molina Healthcare (Davenport, IA)
- …Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services ) in the development and execution of care management,… more
- Molina Healthcare (Davenport, 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 (Davenport, IA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Molina Healthcare (Davenport, 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 (Davenport, 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 (Davenport, 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
- Molina Healthcare (Davenport, 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
- Fresenius Medical Center (Muscatine, IA)
- … Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program . + ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure...**Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous… more