- George C. Grape Community Hospital (Hamburg, IA)
- Quality / Utilization Review Nurse Position Summary: The Quality / Utilization Review Nurse is responsible for evaluating the medical ... years of clinical nursing experience (acute care preferred). o Prior experience in utilization review , case management, quality improvement, and infection… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …Movement and encouraging restorative care versus dependence. Responsibilities The Registered Nurse -Home and Community Based Service Case Management works as part of ... Veterans. Provides leadership in establishing, coordinating, and integrating accessible quality healthcare services for Veterans requiring care within multiple… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Provides peers ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Access Dubuque (Dubuque, IA)
- …UnityPoint Health Finley Hospital RN - Rehab Registered Nurse MercyOne Registered Nurse (PRN) Rehab MercyOne Utilization Management Nurse Cottingham & ... Cardiac Care Nurse **Medical Associates** 1 Positions ID: oF2bxfw9 Posted...patient health care data, perform diagnostic testing, treatments, and review medical records and confer with physician/mid-level providers to… more
- Molina Healthcare (Des Moines, IA)
- …managed care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical...provided to members. Contributes to overarching strategy to provide quality and cost-effective member care. Candidates with UM and… more
- Access Dubuque (Dubuque, IA)
- … Nurse MercyOne RN - Rehab Registered Nurse MercyOne Registered Nurse (PRN) Rehab MercyOne Utilization Management Nurse Cottingham & Butler/ ... Employee Health Nurse **Medical Associates** 1 Positions ID: oFIMyfwr Posted...tracking, recordkeeping, and reporting, meeting preparations/follow up, and policy review and writing. This will also lead into training… more
- CVS Health (Des Moines, IA)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Urbandale Community School District (Urbandale, IA)
- Job Details Job ID: 5227365 Job Description JOB TITLE - Substitute Nurse PURPOSE OF THE POSITION - We are seeking qualified individuals who are eager and available ... to serve as a substitute nurse . School nursing, a specialized practice of nursing, protects...health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that… more
- Highmark Health (Des Moines, IA)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... in achieving their personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a timely manner. **ESSENTIAL… more
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