- Molina Healthcare (Des Moines, IA)
- …Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), or LMFT * 3+ years in behavioral health case management, disease management, managed care ... case managers/supervisors as needed or required * Case managers in Behavioral Health ...settings. * Field-based case management or home health experience. * Certified Case Manager… more
- Elevance Health (West Des Moines, IA)
- The ** Behavioral Case Manager I** is responsible for performing case management with members in person and telephonically within the scope of licensure ... for members with behavioral health and substance abuse disorder needs....territory of the United States required. + Experience in case management and telephonic and/or in person coaching with… more
- Molina Healthcare (Des Moines, IA)
- …concerns. + Collaborates with RN case managers/supervisors as needed or required + Case managers in Behavioral Health and Social Science fields may ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health… more
- Highmark Health (Des Moines, IA)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Molina Healthcare (Des Moines, IA)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
- Primary Health Care (Des Moines, IA)
- …PHC offers a spectrum of medical and dental services including family practice, behavioral health , HIV care and services, and pharmacy. PHC's Homeless Support ... Ames, Des Moines, & Marshalltown. As a Supportive Services Manager , you will be responsible for providing leadership and...in a community health center or public health , providing Ryan White Case Management services,… more
- Highmark Health (Des Moines, IA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- Highmark Health (Des Moines, IA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Customer Navigation and Service Senior Product Manager defines the vision, strategy and ... optimizing channel connectivity, and enhancing agent tools. The Senior Product Manager will define the product's value proposition, develop a compelling business… more
- Highmark Health (Des Moines, IA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
- Highmark Health (Des Moines, IA)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …matter in the prediction, prevention, and management of conditions related to women's health , the mental and behavioral spaces, and overall well-being. This is ... Otsuka Precision Health is a health experience company...billion in 2023. **About This Role** An OPH Product Manager brings a unique blend of product management and… more
- Molina Healthcare (Des Moines, IA)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health management… more
- Highmark Health (Des Moines, IA)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Primary Health Care (Des Moines, IA)
- …PHC offers a spectrum of medical and dental services including family practice, behavioral health , HIV care and services, and pharmacy. PHC's Homeless Support ... to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981 by Dr....Assists peers to work with their treatment team and/or case manager to achieve their goals including… more
- Molina Healthcare (Des Moines, IA)
- …years in case , disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery and/or development ... in case , disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active,… more
- Intermountain Health (Des Moines, IA)
- **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the health of ... position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services, addresses… more
- Highmark Health (Des Moines, IA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- NASCO (Des Moines, IA)
- …to batch cycle job flow, integration points, API utilization, and Duty Manager information + Assists in developing department process and procedure documentation ... creating test plans + Proven experience in executing test case scenarios + Proven experience in conducting root cause...is designed to support the physical, mental, and financial health of our associates. We offer: **Physical and Mental… more