- Public Consulting Group (Des Moines, IA)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Molina Healthcare (Des Moines, IA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... * Field-based case management or home health experience. * Certified Case Manager (CCM) To all current Molina employees: If you are interested in applying… more
- Molina Healthcare (Des Moines, IA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- Guardian Life (Des Moines, IA)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a variety of group sizes ranging from… more
- Molina Healthcare (Des Moines, IA)
- …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Guardian Life (Des Moines, IA)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- Molina Healthcare (Des Moines, IA)
- …work professional in the Des Moines, IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery area for this ... services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
- Trinity Health (West Des Moines, IA)
- …Moines (https://www.mercyone.org/desmoines/find-a-location/) Join the MercyOne Family! We are looking to hire a Case Manager RN ! As a Case Manager RN at ... services throughout the healthcare continuum. + **Documentation** : Accurately document case management plans, addressing clinical needs, barriers to care, and… more
- Cardinal Health (Des Moines, IA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… 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 ... territory of the United States required. + Experience in case management and telephonic and/or in person coaching with...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Cardinal Health (Des Moines, IA)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Des Moines, IA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Highmark Health (Des Moines, IA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Des Moines, IA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** + Case Managers must demonstrate a willingness to assist external and internal ... customers + Create and complete applications for enrollment within program timeframes + Review forms and supporting documentation thoroughly for any missing or new information + Handle inbound and outbound correspondence when necessary to support the needs of… more
- BrightSpring Health Services (Johnston, IA)
- Our Company Hospice of the Midwest Overview Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support your ... patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal care experience. Take this chance to make a meaningful impact with your career today! Our comprehensive benefits… more
- Cardinal Health (Des Moines, IA)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Good Samaritan Society (Indianola, IA)
- …Integrates health care for clients from pre-admission to post discharge. This is accomplished through the coordination and sequencing of the client's care. ... Integration enhances patient/resident flow and interdisciplinary communication promotes early intervention. Seeks to evaluate outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured… more
- Public Consulting Group (Des Moines, IA)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Mom's Meals (Ankeny, IA)
- …senior leadership + Train, motivate, develop, and coach employees to drive case manager satisfaction, accuracy, efficiency, and performance + Determine training ... Position SummaryThe Intake Manager is responsible for managing a team of Intake Specialists and Supervisors handling incoming authorizations from Area Agencies on… more
- Evolent (Des Moines, IA)
- …Pacific Coast time during standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus - Preferred + Knowledge and ... experience teaching self-management. - Preferred + Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.- Preferred + Strong work ethic built on a… more