- Evolent (Des Moines, IA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Centene Corporation (Des Moines, IA)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies… more
- Molina Healthcare (IA)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... Michigan RN license is required. **Job Duties** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- Fresenius Medical Center (Muscatine, IA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- George C. Grape Community Hospital (Hamburg, IA)
- …Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity, appropriateness, and ... and cost-effective care. Additionally, this position oversees the Infection Control Nurse to ensure adherence to infection prevention protocols and regulatory… more
- Iowa Department of Administrative Services (Independence, IA)
- …accredited college or university with a Master's Degree in Nursing and certification as a clinical nurse specialist, nurse midwife, nurse practitioner or ... Nurse Practitioner to join our team and provide medical and psychiatric services to the facility's patient population!...YES - Do you have a certification as a clinical nurse specialist, nurse midwife,… more
- Iowa Department of Administrative Services (Mitchellville, IA)
- …accredited college or university with a Master's Degree in Nursing and certification as a clinical nurse specialist, nurse midwife, nurse practitioner or ... Full-time Job Number 26-00855 Agency 244 Corrections - Iowa Medical and Classification Center (Oakdale) Opening Date 10/01/2025 Closing...YES - Do you have a certification as a clinical nurse specialist, nurse midwife,… more
- BioLife Plasma Services (Des Moines, IA)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... nursing care to Community Living Center (CLC) residents while developing clinical skills. Assesses, plans, implements, and evaluates individualized care plans.… more
- Fresenius Medical Center (Des Moines, IA)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab… more