- Molina Healthcare (Des Moines, IA)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Sharecare (Des Moines, IA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- Highmark Health (Des Moines, IA)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management… more
- Public Consulting Group (Des Moines, IA)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Des Moines, IA)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Molina Healthcare (Des Moines, IA)
- …Behavioral Health Professional in Iowa to join Molina Healthcare as a telephonic case manager . Applicants should reside in Iowa and hold an LMCH, LISW, or LMFT ... abuse disorders. The ideal applicant will have previous experience working as a case manager within a managed care organization (MCO) like Molina, but if you hold… more
- Sharecare (Des Moines, IA)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Molina Healthcare (Des Moines, IA)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Completes clinical assessments of members per regulated timelines and determines who may qualify… more
- Primary Health Care (Des Moines, IA)
- As the Population Health Program Manager , you will be responsible for developing, leading, and managing the Population Health Program to improve clinical health ... work closely with an interdisciplinary team, including those from operations, quality , individual business units, and our external Accountable Care Organization… more
- Molina Healthcare (Des Moines, IA)
- …professional in Council Bluffs, IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery area for this position ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Des Moines, IA)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Public Consulting Group (Des Moines, IA)
- …complete accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes + Assesses and ... informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more
- Highmark Health (Des Moines, IA)
- …performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members ... panel of members that range in health status/severity and clinical needs; and assesses health management needs of the...personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a… more
- Trinity Health (Des Moines, IA)
- …pharmacy practice technology and equipment. 4. Efficiently and adequately document clinical activities and interventions such as consults, patient education, ... and students working during their shift in order to maintain the accuracy and quality of pharmaceutical services. 5. Maintains quality and safety in the… more
- Fresenius Medical Center (Des Moines, IA)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively… more
- CenterWell (Des Moines, IA)
- … and operational area and/or related roles + Exposure or experience with clinical care delivery and interventions and/or care management + Experience leading ... safe, reliable pharmacy services and is committed to excellence and quality . Through our home delivery and over-the-counter fulfillment services, specialty, and… more
- Fresenius Medical Center (Des Moines, IA)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively… more