- CVS Health (IA)
- … programs . Communicate to providers and members on quality indicators for Medicare programs . Provide clinical pharmacy support to programs targeted ... least 3 months in a recent Medicare Managed Care Clinical Pharmacy Role focused on Stars or...Board Certified Pharmacotherapy Specialist * Certified in MTM * Bilingual * Experience with Medicare STARS and Part D… more
- CenterWell (Des Moines, IA)
- …patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, ... us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting… more
- CenterWell (Des Moines, IA)
- …patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, ... to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data… more
- Primary Health Care (Des Moines, IA)
- …services including family practice, behavioral health, HIV care and services, and pharmacy . PHC's Homeless Support Services is the entry point for serving people ... including: PHC University, Emerging Leaders, and medical and dental assistant training programs . What You Will Do + Assesses patients presenting to the dental… more
- CVS Health (Des Moines, IA)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory… more
- CenterWell (Des Moines, IA)
- …patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits… more
- Access Dubuque (Dubuque, IA)
- …health system, and we need you to be a part of this innovative program ! Nationwide and Regional opportunities available! _What you will do:_ + Qualified and willing ... state(s) of practice/employment. + Minimum two (2) years of recent clinical experience for all remaining specialties including Critical Care, Surgical Services,… more
- Molina Healthcare (Cedar Falls, IA)
- …primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing ... Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care. * Participates in… more