- Molina Healthcare (Sioux City, 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 (Sioux City, 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 (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
- Accura Healthcare (Le Mars, IA)
- Accura HealthCare of Le Mars has the opportunity to welcome a Nurse Manager (RN) to join our team! Our Nurse Managers lead the clinical team and promote the ... + Shift differential, Rotating Weekends, On-Call + This nurse manager will be working at our assisted living location-...location- Stonebridge ABOUT OUR LE MARS, IA COMMUNITIES: Accura HealthCare of Le Mars, a 46-bed Skilled Nursing Facility… 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)
- …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 (Sioux City, 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
- 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)
- …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
- Molina Healthcare (Sioux City, 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 (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)
- …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)
- …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 (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
- 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
- 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
- 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