- Molina Healthcare (Sioux City, IA)
- … appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- WesleyLife (Urbandale, IA)
- …**Required** + Car Insurance + Driver's License + Basic Life Support + Registered Nurse **Experience** **Required** + 2 years: Full-time work experience as ... Complete additional development request (ADR) reviews and insurance denial appeals . + Perform admissions, client visits, and supervisory visits....a registered nurse in a healthcare setting. **Preferred**… more
- Trinity Health (Des Moines, IA)
- …Biweekly Full-Time Day Shift **General Requirements:** + Iowa licensure as a Registered Nurse . + Member of a professional healthcare organization. **Education:** ... the MercyOne Family! We are looking to hire a RN Clinical Integration Specialist. The purpose of the Clinical...and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with… more
- UnityPoint Health (Cedar Rapids, IA)
- …with thrird party payers regarding authorization of stay, continued stay reviews, appeals and denial letters. + Provides education and serves as a resource ... + Bachelor of Science/Arts degree in a health care related field or an RN + Two years of behavioral health work experience. + Professional communication - written… more
- Access Dubuque (Dubuque, IA)
- …Cottingham & Butler/ SISCO Surgical Services LPN or RN MercyOne Surgical Services RN - Registered Nurse MercyOne Patient Access Rep - Patient Services ... guidelines. + Assist in review and resolution of complaints, appeals and grievances as needed. + Complete all additional...Customer Service Representative Cottingham & Butler/ SISCO Surgical Services RN - Registered Nurse MercyOne… more
- Prime Therapeutics (Des Moines, IA)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... and spreadsheets. + Supports clinical services such as the appeals program. + Participates in meetings and consults with...for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …03 Have you completed an educational program in a professional Nursing program and are you registered as a nurse OR do you have a Bachelor's degree with a ... Full-time Job Number 26-00485 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 08/21/2025 Closing Date 9/4/2025...address and listen to others in respectful manner + RN preferred ( but not required) + Possesses a… more
- Waverly Health Center (Waverly, IA)
- …patient care within their scope of practice under the direction of a Registered Nurse . MINIMUM QUALIFICATIONS Education, Experience, and Training + Must possess ... Direct Care Worker Registry (Iowa Department of Inspections and Appeals Health Facilities Division). Completion of Nurse ...and Appeals Health Facilities Division). Completion of Nurse Aide II course preferred. + Ability to learn… more