- Molina Healthcare (Sioux City, IA)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Evolent (Des Moines, IA)
- …to Standard processing, documenting accordingly. + Works closely with the appeals -dedicated Clinical Reviewers to ensure timely adjudication of processed ... culture. **What You'll Be Doing:** Job Description The Specialty Appeals Team offers candidates the opportunity to make a...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- WesleyLife (Urbandale, IA)
- …**Required** + Car Insurance + Driver's License + Basic Life Support + Registered Nurse **Experience** **Required** + 2 years: Full-time work experience as ... responsibility for onboarding and education, delegating tasks to the Nurse Case Managers in coordination with the Clinical...a registered nurse in a healthcare setting. **Preferred**… more
- Trinity Health (Des Moines, IA)
- …Join the MercyOne Family! We are looking to hire a RN Clinical Integration Specialist. The purpose of the ... and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with...Day Shift **General Requirements:** + Iowa licensure as a Registered Nurse . + Member of a professional… more
- Prime Therapeutics (Des Moines, IA)
- …visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. + Experience in ... these cases in web-based application and spreadsheets. + Supports clinical services such as the appeals program....+ Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State… 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 ... IA Job Type Full-time Job Number 26-00485 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 08/21/2025 Closing Date 9/4/2025 11:59 PM Central… more