- Sharecare (Des Moines, IA)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals ... and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Molina Healthcare (Des Moines, IA)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service… more
- Evolent (Des Moines, IA)
- …and client policies and procedures while complying with timeliness guidelines. Our clinical nurse reviewer team values collaboration, continuous learning, ... the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a...appeals. **What You Bring:** + 1-3 years' experience in clinical Appeals Review or Utilization Management … more
- Lincoln Financial (Des Moines, IA)
- …looking for** * Minimum of 5 years of disability claims experience * Current Registered Nurse license or Licensure in Clinical psychology or Social Work * 4 ... a Glance** We are excited to bring on a Clinical Operations Manager to our organization. As a ...be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants. This includes… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …VA Health Care System is recruiting for a full-time, permanent Advanced Practice Nurse - Vascular/Thoracic NP located in Des Moines, IA. Responsibilities The VA ... health care that improves their health and well-being. The Advanced Practice Nurse (APN) II Certified Nurse Practitioner (NP) practices in Vascular/Thoracic… more
- Iowa Department of Administrative Services (Mitchellville, IA)
- …Boards of Nursing is available at theNurse Licensure Compact (https://nursing.iowa.gov/practice/ nurse -licensure-compact) Review the provisions of the statute ... Registered Nurse Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4942818) Apply Registered Nurse Salary $61,110.40 - $94,806.40 Annually… more
- Lincoln Financial (Des Moines, IA)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... claims. In this role you will act as a clinical resource for Group Protection benefit specialists and claim...for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state… more
- Prime Therapeutics (Des Moines, IA)
- …that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer . + Practices and maintains the ... medical exception requests to nurse , pharmacist or physician on the utilization review clinical team when further review is necessary. + Other duties as… more
- Public Consulting Group (Des Moines, IA)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager will be ... efficient, equitable, and client-centered * Handles case assignments, draft service plans, review case progress, and manages ongoing care needs * Travels within the… more
- CVS Health (Des Moines, IA)
- …of Nursing experience. Preferred Qualifications + Prior authorization utilization management/ review experience preferred Outpatient Clinical experience. + ... of training will be M-F 8-5 CST. + Utilizes clinical experience and skills in a collaborative process to...to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical … more
- WesleyLife (West Des Moines, IA)
- …saltwater pool, fostering an active and luxurious lifestyle. **A Typical Day for a Nurse with Edgewater:** + Support the Director of Nursing in managing the nursing ... care plans in collaboration with the interdisciplinary team. + Monitor clinical outcomes and assist in implementing quality improvement initiatives to improve… more
- Trinity Health (Des Moines, IA)
- …(https://www.mercyone.org/desmoines/find-a-location/) Join the MercyOne Family! We are looking to hire a Nurse Navigator As a Nurse Navigator at MercyOne, you ... No Weekends or Holidays **General Requirements:** + Develop, implement, and evaluate clinical practice guidelines/care paths for patients. + Collaborate with all of… more
- Fresenius Medical Center (Des Moines, IA)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- Public Consulting Group (Des Moines, IA)
- …efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine case closure + Travels within the State ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
- BioLife Plasma Services (Des Moines, IA)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- WesleyLife (Urbandale, IA)
- …a supportive and collaborative environment. **A Day in the Life as a LPN Visit Nurse with our Home Health team:** + Provide nursing care based on care plans, ... screen. **Qualifications** **Licenses & Certifications** **Required** + Licensed Practical Nurse **Experience** **Required** + Ability to pass a pre-hire background… more
- Surgery Care Affiliates (West Des Moines, IA)
- …do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement ... will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision,...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- BioLife Plasma Services (West Des Moines, IA)
- …determines donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, donor notification of unsuitable test results. ... in the state where duties will be assigned: Licensed Practical or Vocational Nurse (LPN or LVN) + Current Cardiopulmonary Resuscitation (CPR) and AED certification… more
- Highmark Health (Des Moines, IA)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent conducts… more
- WesleyLife (Johnston, IA)
- …Provide ongoing training and mentorship to nursing staff, helping them develop clinical skills, stay current on best practices, and maintain required certifications. ... and drug screen. **Qualifications** **Licenses & Certifications** **Required** + Registered Nurse Equal Opportunity Employer This employer is required to notify all… more