- Centene Corporation (Des Moines, IA)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... approve medical determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to… more
- TEKsystems (West Des Moines, IA)
- …training. The Clinical Documentation Specialist (CDS) is responsible for performing concurrent review of medical records to ensure complete and accurate ... RN, CDI Top Skills Details RN,CDI Additional Skills & Qualifications Registered Nurse Certification Clinical Documentation Integrity RN experience in an adult… more
- TEKsystems (West Des Moines, IA)
- …required. + The Clinical Documentation Specialist (CDS) is responsible for performing concurrent review of medical records to ensure complete and accurate ... departments as needed and directed by CDI leaders. Skills Required: Registered Nurse Certification Clinical Documentation Integrity RN experience in an adult… more
- Oracle (Des Moines, IA)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
- Molina Healthcare (Des Moines, IA)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
- Molina Healthcare (Des Moines, IA)
- …requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more