- 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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- Humana (Des Moines, IA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CenterWell (Des Moines, IA)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… 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...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
- CVS Health (Des Moines, IA)
- …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the… more
- Access Dubuque (Dubuque, IA)
- …Start Date 20251030 End Date 20251223 Featured Job TH Ad TH Comments **Similar Jobs** Utilization Management Nurse Cottingham & Butler/ SISCO CRNA - Earn ... Registered Nurse (RN) Senior Care **MercyOne** 1 Positions ID:...include a trauma center, a CARF-accredited inpatient rehabilitation unit, home health care, orthopedics, retail pharmacies, palliative care, and… more
- Access Dubuque (Dubuque, IA)
- …Start Date 20250523 End Date 20251223 Featured Job TH Ad TH Comments **Similar Jobs** Utilization Management Nurse Cottingham & Butler/ SISCO Neonatal - ... Registered Nurse (PRN) Rehab **MercyOne** 1 Positions ID: TRHEUS00591362MERCYO...include a trauma center, a CARF-accredited inpatient rehabilitation unit, home health care, orthopedics, retail pharmacies, palliative care, and… more
- Access Dubuque (Dubuque, IA)
- …Start Date 20250908 End Date 20251223 Featured Job TH Ad TH Comments **Similar Jobs** Utilization Management Nurse Cottingham & Butler/ SISCO Neonatal - ... JumpStart Registered Nurse **MercyOne** 1 Positions ID: TRHEUS00615924MERCYO Posted On...include a trauma center, a CARF-accredited inpatient rehabilitation unit, home health care, orthopedics, retail pharmacies, palliative care, and… more
- Access Dubuque (Dubuque, IA)
- … Nurse (LPN) Sunnycrest Manor Registered Nurse (RN) Sunnycrest Manor Utilization Management Nurse Cottingham & Butler/ SISCO Registered Nurse ... Licensed Practical Nurse (LPN) **Sunnycrest Manor** 3 Positions ID: 84328...performed under the regular supervision of the Nursing Department Management Staff. Supervision is exercised over certified nursing assistants,… more
- Molina Healthcare (Cedar Rapids, IA)
- …(EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, community health or public health ... in home health as a licensed clinician, especially in management of chronic conditions. * Experience with underserved populations facing socioeconomic barriers… more