- Avera (Cresco, IA)
- …like to join us on our mission, apply today! **Position Highlights** POSITION SUMMARY: The Utilization Review Coordinator is a member of the nursing team and ... responsible for coordinating medically appropriate, high-quality, cost-effective care in accordance with federal and/or state statutes, regulations and guidelines by reviewing for medical necessity and appropriateness utilizing medical knowledge, established… more
- Humana (Des Moines, IA)
- …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management....the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
- Humana (Des Moines, IA)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization ...Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1… more
- Evolent (Des Moines, IA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Humana (Des Moines, IA)
- …and/or experience with medical terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization ...Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1… more
- Intermountain Health (Des Moines, IA)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more
- UnityPoint Health (Des Moines, IA)
- …agencies and payers to plan and execute a safe discharge + Collaborate with Utilization Management team on continued stay review . Key Accountability - Discharge ... Job ID: 169966 Overview Full-Time Weekend Days, Friday- Monday The Care Coordinator integrates and coordinates the clinical care of individuals. Facilitates the… more
- UnityPoint Health (Dubuque, IA)
- …coordinates with clinicians to make timely corrections as needed. + Responsible for utilization management and review of plans of care and admission ... call rotation. + Job ID: 169375 Overview UnityPoint at Home Patient Care Coordinator Full Time Benefits 1.0 FTE Variable day-time weekday hours with call rotation.… 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
- GROWMARK, Inc. (Manson, IA)
- …customer contracts in accordance with company policy Serve as a backup to Agronomy Support Coordinator (s) as needed Run and review reports on a regular basis to ... an extension to Crop Specialist(s), Plant Manager(s), and Agronomy Support Coordinator (s). Directs and coordinates activities in the Agronomy/Grain/ department to… more