- 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 ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… more
- Molina Healthcare (Des Moines, IA)
- …be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare knowledge/experience is ... are encouraged to apply. Further details to be discussed during our interview process. Remote position with 10% travel Work schedule Monday through Friday 8:00 AM to… more
- Sharecare (Des Moines, IA)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
- Public Consulting Group (Des Moines, IA)
- …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
- Public Consulting Group (Des Moines, IA)
- …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
- Sedgwick (Des Moines, IA)
- …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more… more
- Actalent (Des Moines, IA)
- …and production metrics as established for the utilization management unit. Essential Skills + Registered Nurse (RN) or Licensed Practical Nurse (LPN) with ... Utilization Management Nurse Job Description This role involves providing members...services and procedures, obtaining necessary medical information to make clinical determinations based on medical policy or criteria. You… more
- Humana (Des Moines, IA)
- …skills to make an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and...Bilingual is a plus Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Des Moines, IA)
- …and programs **Use your skills to make an impact** **Required Qualifications** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds strategies for...projects. **Additional Information** This position is open to work remote **Work at Home Criteria** ** ** To ensure… more
- Highmark Health (Des Moines, IA)
- …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
- Zurich NA (Des Moines, IA)
- …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office....Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
- CenterWell (Des Moines, IA)
- …your skills to make an impact** **Required Experience/Skills:** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred._ + ... indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ensuring the branch meets… more
- Humana (Des Moines, IA)
- …DSNP program **Use your skills to make an impact** **REQUIRED QUALIFICATIONS:** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... and cost containment efforts **Stakeholder Collaboration:** + Work closely with clinical teams, finance departments, and other stakeholders to ensure cohesive… more