• Appeals Nurse

    Evolent (Des Moines, IA)
    …for the mission. Stay for the culture. **What You'll Be Doing:** 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 utilization management by adhering to Evolent and… more
    Evolent (10/11/25)
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  • Registered Nurse - Clinical Appeals…

    Cognizant (Des Moines, IA)
    …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... . Maintain working knowledge of applicable health insurers' internal claims, appeals , and retro-authorization as well as timely filing deadlines and processes.… more
    Cognizant (10/09/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Cedar Rapids, IA)
    …will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and ... resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical peers. +… more
    Molina Healthcare (09/06/25)
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  • Med/Surg Tech .6 FTE 1st shift

    Waverly Health Center (Waverly, IA)
    …on the Iowa Direct Care Worker Registry (Iowa Department of Inspections and Appeals Health Facilities Division). Completion of Nurse Aide II course preferred. ... scope of practice under the direction of a Registered Nurse . MINIMUM QUALIFICATIONS Education, Experience, and Training + Must...preferred. + Must have successfully completed a minimum of Nurse Aide I course and competency exams and be… more
    Waverly Health Center (08/26/25)
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  • Health Facilities Surveyor - Adult Services

    Iowa Department of Administrative Services (State Of Iowa, IA)
    …IA Job Type Full-time Job Number 26-00884 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 10/02/2025 Closing Date 10/12/2025 11:59 PM Central ... achievement with a sense of purpose? The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated, flexible, and enthusiastic… more
    Iowa Department of Administrative Services (10/03/25)
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  • Medical Director (AZ)

    Molina Healthcare (Sioux City, IA)
    …medical necessity. + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the investigation of adverse ... and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends… more
    Molina Healthcare (09/26/25)
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