- 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
- Evolent (Des Moines, IA)
- …Stay for the culture. **What You'll Be Doing:** Job Description The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part ... of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of...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 ... 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
- 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
- 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
- Access Dubuque (Dubuque, IA)
- …John Deere Seasonal Fall Harvest Openings - Waukon, IA Innovative Ag Services Acute Care RN - Medical Surgical Registered Nurse MercyOne Forklift Operator - ... overall financial responsibilities. Additionally, reviews Satisfactory Academic Progress (SAP) appeals and other financial aid exceptions to ensure compliance with… 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