- Humana (Des Moines, IA)
- …community and help us put health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our Illinois FIDE members. The individual in ... to integrate the day-to-day administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality… more
- Molina Healthcare (Des Moines, IA)
- …to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts . * Assists behavioral ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of… more
- Molina Healthcare (Iowa City, IA)
- …policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties* Collaboratively ... of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.… more
- UnityPoint Health (Cedar Rapids, IA)
- …Hours, 40 hours/week + Job ID: 174178 Overview Under the direct supervision of the Manager or Director, A ging Services, will provide daily oversight of the ... accountable; conducts annual performance reviews. Acts as a liaison with contract representatives, Managed Care Organizations, and other related external parties.… more
- Humana (Des Moines, IA)
- …our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a ... case management throughout the continuum of care. The case manager will offer guidance, support, and coordination of the...the beneficiary's care as directed by the beneficiary, the provider (s) or other members of the healthcare team and… more
- Molina Healthcare (West Union, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager who is Bachelors or Masters trained in a social services field to join the LTSS team with our Iowa Health ... to determine the types of services we need to provide and managing their care until they are discharged...The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina… more
- Highmark Health (Des Moines, IA)
- …sales and customer service to respond to client/broker/member inquiries regarding provider contract , claim/member issues or provider file/record/directory ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement.… more
- Molina Healthcare (Iowa City, IA)
- …integrated delivery of member care across the continuum, including behavioral health, long-term care, and population health-related education and services ... member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Based on… more
- Molina Healthcare (Iowa City, IA)
- …member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Completes ... outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community… more
- Molina Healthcare (Cedar Rapids, IA)
- …practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** + ... of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.… more
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