• Clinical Appeals Nurse ( RN )

    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
    Molina Healthcare (08/15/25)
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  • RN Clinical Integration Specialist…

    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...and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with… more
    Trinity Health (08/08/25)
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  • RN - Utilization Review

    UnityPoint Health (Cedar Rapids, IA)
    …40 Hours Per Week + Job ID: 168048 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in ... care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to BH… more
    UnityPoint Health (07/22/25)
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