- Evolent (Des Moines, IA)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency… more
- Evolent (Des Moines, IA)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls)...+ Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more
- Evolent (Des Moines, IA)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency… more
- Evolent (Des Moines, IA)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... Assurance (NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office … more
- Evolent (Des Moines, IA)
- …outcomes. **Collaboration Opportunities:** . Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... of the request and provides clinical rationale for standard and expedited appeals . . Utilizes medical/clinical review guidelines and parameters to assure consistency… more
- Cardinal Health (Des Moines, IA)
- …reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization ... necessary & must be knowledgeable of a variety of Insurance Plans and Policie **Responsibilities** + Submit authorizations for...to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity.… more
- UnityPoint Health (Fort Dodge, IA)
- …leave, 401K matching and an employee recognition program . + Dental and health insurance , paid holidays, short and long-term disability and more. We even offer pet ... insurance for your four-legged family members. + Early access...the Grateful Patient Initiative, closely working with clinicians, hospital staff , and the development team to identify, engage, and… more
- Evolent (Des Moines, IA)
- …care aligned with clinical guidelines. + Collaborate with leadership, management, and clinical staff to address complex cases and support decision-making. + Act as a ... practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls)...+ Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more
- Access Dubuque (Dubuque, IA)
- …process, including communicating clinical rationale, formulary therapeutic alternatives, and appeals process to members + Performs duties related to drug ... and bonuses that reward your performance. + Comprehensive health, dental, and vision insurance + additional benefits + 401(k) with company match to secure your… more
- Access Dubuque (Dubuque, IA)
- …and administrator for wartburgseminary.edu. + Write and publish donor, student, faculty, staff , alumni, and board stories that support the mission, vision, and ... Director on special Zoom requirements or technology needs. + Facilitate Development appeals , maintain mailing lists and track responses. + Support the planning of… more