- Molina Healthcare (Davenport, IA)
- …Design. 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)
- …quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA ... for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… 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
- Molina Healthcare (Davenport, 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
- 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)
- **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 (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)
- …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 (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
- Molina Healthcare (Davenport, 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
- WesleyLife (Bettendorf, IA)
- …health and well-being, promptly reporting any changes or concerns to healthcare professionals and family members. + Maintain accurate documentation of medication ... + Strong communication and teamwork abilities + Must pass online Medication Manager course within 90 days of employment **Community Location:** **4699 53rd Ave,… more
- Advanced Correctional Healthcare (Rock Island, IL)
- …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
- WesleyLife (De Witt, IA)
- …health and well-being, promptly reporting any changes or concerns to healthcare professionals and family members. + Maintain accurate documentation of medication ... training and development pathways **Extra Perks:** + Referral Bonus Program - bring your friends and earn rewards +...excited to meet people who share our passion for service , wellness, and community. Apply today and help us… more