- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the position. Uses ... and continued stay criteria and best clinical documentation and utilization management practices to ensure efficient resource...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Cognizant (Des Moines, IA)
- …- Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Des Moines, IA)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals experience in Utilization ... members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the… more
- Humana (Des Moines, IA)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- CVS Health (Des Moines, IA)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- CVS Health (Des Moines, IA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Avera (Sioux Center, IA)
- …care and services within a caring Christian culture. **Summary** + The LPN assists the registered nurse in the management and care of their assigned patients ... Med Surg: ACLS, BLS **Essential Functions** + Assists the registered nurse in the management ...Communicates pertinent information to staff. + Displays proper care, utilization , and charging of supplies and equipment used. +… more
- Trinity Health (Davenport, IA)
- …Preferred: Baccalaureate degree in nursing or clinical certification; ENPC; PALS + Licensure/Registration: Registered Nurse in Iowa; Registered Nurse in ... **Employment Type:** Full time **Shift:** Evening Shift **Description:** Evening charge nurse 0.9 FTE - begin shift in staffing, transition to charge role at 1500 or… more
- Avera (Hartley, IA)
- …eligible for a $6000 sign on bonus Mileage reimbursement **Student Loan Repayment:** This Registered Nurse (RN) position may be eligible for Avera's Student Loan ... hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse (RN) - Board of Nursing Upon Hire **Preferred… more
- Sharecare (Des Moines, IA)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more