- Elevance Health (West Des Moines, IA)
- ** Behavioral Health Case Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training ... shift will be required; preferred flexible schedule for coverage purposes The ** Behavioral Health Case Manager II** is responsible for performing… 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)
- …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
- 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)
- …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
- 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
- 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
- Molina Healthcare (Des Moines, IA)
- …work professional in Council Bluffs, IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery area for ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.… more
- Highmark Health (Des Moines, IA)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… 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 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
- 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
- Elevance Health (West Des Moines, IA)
- …field - Human Services, Social Work, Psychology, Substance Abuse, etc.) + Behavioral Health Case management experience. + Medicaid/Medicare experience. ... funded programs. + Coaches members on ways to reduce health risks. + Prepares reports to document case...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (West Des Moines, IA)
- …The **Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted (Medicaid) Case Manager ; OR an Iowa license to practice as a ... in a timely manner + The ability to develop case plans, use critical thinking skills, prioritize work and...least 30 semester hours or its equivalent in the behavioral sciences, education, health care, human services… 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
- Lumen (Des Moines, IA)
- …readiness, recommending and/or implementing appropriate communication, training, and behavioral change solutions, and measuring effectiveness to enhance ... 10 years related experience and 3+ years experience at manager level. + Recognized as a leader with outstanding...offers a comprehensive package featuring a broad range of Health , Life, Voluntary Lifestyle benefits and other perks that… more