- Actalent (Des Moines, IA)
- Job Title: Post Review Nurse - Utilization Management Job Description We are seeking a dedicated Post Review Nurse to join our Utilization Management team. In ... cross-functional collaboration across divisions. + Provide backup support to other UM teams, including precertification and continued stay reviews. + Facilitate… more
- Humana (Des Moines, IA)
- …and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently require interpretation… more
- Actalent (Des Moines, IA)
- Job Title: Post Review Nurse - Utilization Management Job Description We are seeking a diligent and detail-oriented Post Review Nurse to perform timely ... collaboration across divisions. + Provide backup support to other UM teams, including precertification and continued stay reviews. +...CPT coding systems. Work Environment This role is fully remote , allowing you the flexibility to work from a… more
- Actalent (Des Moines, IA)
- Job Title: Post Review Nurse - Utilization Management Job Description We are seeking a dedicated and skilled Post Review Nurse to join our Utilization Management ... cross-functional collaboration across divisions. + Provide backup support to other UM teams, including precertification and continued stay reviews. + Facilitate… more
- Sharecare (Des Moines, IA)
- …The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families ... hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management ( UM ) status, including but not limited to medical, dental, and vision… more
- Molina Healthcare (Davenport, IA)
- …or a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates ... Further details to be discussed during our interview process. Remote position - Home office with internet connectivity of...teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other… more
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