- Elevance Health (Des Moines, IA)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Humana (Des Moines, IA)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- Trinity Health (Des Moines, IA)
- …Clive Rehabilitation Hospital (https://www.mercyrehabdesmoines.com/) House of Mercy Clive Behavioral Health (https://clivebehavioral.com/) With more than 7,000 ... **Employment Type:** Part time **Shift:** Evening Shift **Description:** Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians… more
- CenterWell (Des Moines, IA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- Trinity Health (Des Moines, IA)
- …Clive Rehabilitation Hospital (https://www.mercyrehabdesmoines.com/) House of Mercy Clive Behavioral Health (https://clivebehavioral.com/) With more than 7,000 ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians… more
- Trinity Health (Des Moines, IA)
- …Clive Rehabilitation Hospital (https://www.mercyrehabdesmoines.com/) House of Mercy Clive Behavioral Health (https://clivebehavioral.com/) With more than 7,000 ... 24 hours a day, seven days a week.** Trinity Health is a family of 115,000 colleagues and nearly...professional judgment. + Plans unit and nursing resource utilization based on established admission, discharge and transfer criteria,… more
- Highmark Health (Des Moines, IA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job supports the retention of existing accounts and the acquisition of new members/contracts ... and quotes. Runs financial reports or performs basic financial analysis on utilization data and market research and analysis. Develop detailed specifications for… more
- CenterWell (Des Moines, IA)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- Iowa Department of Administrative Services (Mitchellville, IA)
- …substituting thirty semester hours of graduate level course work in the social/ behavioral sciences, health sciences, or administrative sciences (eg, business ... of four or more years of post high school educational training in one of the behavioral , social, or health sciences. Why Choose the State of Iowa? At the heart… more
- Broadlawns Medical Center (Des Moines, IA)
- …and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health , crisis team, and community-based behavioral support services. ... the direct supervision of the Director of Ancillary Services coordinates comprehensive professional nursing care to patients of all ages, gender and cultures;… more
- Sevita (Tama, IA)
- …day programs. Duties are split between the provision of direct support, professional or program activities and supervision. The Program Supervisor provides and ... program including delivery of supports, implementation of person-centered plans, health care, advocacy, customer engagement, regulatory compliance and when… more
- CenterWell (Des Moines, IA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- Marriott (Des Moines, IA)
- …alternatives and solutions, solves problems, and chooses a course of action. + ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more
- Good Samaritan Society (Estherville, IA)
- …people. Possesses the ability to work with strong willed residents and/or behavioral issues. Maintains strong critical thinking skills and problem solving skills. ... prioritizes responsibilities while working autonomously. Plans and oversees the utilization of resources and designs of work processes. **Qualifications** Associate… more