- George C. Grape Community Hospital (Hamburg, IA)
- Utilization Review & Chronic Care Management (CCM) Nurse George C. Grape Community Hospital & Clinics is seeking a full-time Utilization Review & ... this position, you'll split your time between: * Hospital Utilization Review - Conduct daily face-to-face rounds...discharges, and ensure documentation supports medical necessity. * Clinic Chronic Care Management - Work with patients… more
- CenterWell (Urbandale, IA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … 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 ... will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal… more
- Sharecare (Des Moines, IA)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to become… more
- CenterWell (Des Moines, IA)
- …by accessing and understanding formulary restrictions, plan limitations, drug utilization review overrides, requesting and completing prior authorization, ... preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique … more
- UnityPoint Health (Urbandale, IA)
- …duplication, dose/direction/frequency/route appropriateness, adherence issues, prospective/concurrent/retrospective drug utilization review , side effects or ... patient education for patients receiving therapy for complex, rare, and chronic conditions treated with expensive therapies. The pharmacist contacts patients by… more