- Elevance Health (West Des Moines, IA)
- **Diagnosis Related Group Clinical Validation Auditor-** ** Registered Nurse ** **Location:** This position will work a hybrid model ( remote and office). ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... and/or community care referrals for medical necessity of requested services using clinical judgment and refers cases as appropriate. Educate providers on medical… more
- Lincoln Financial Group (Des Moines, IA)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
- Trinity Health (Des Moines, IA)
- …Nursing Program or currently enrolled in program. Master's degree in nursing as Clinical Nurse Leader (CNL) preferred.Master's degree in nursing as Clinical ... candidate who is interested in delivering patient care through remote bedside nursing from our new Virtual Command Center...of a current or compact state license as a Registered Nurse issued/defined by the State of… more
- Molina Healthcare (Des Moines, IA)
- …Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse (RN), Licensed practical nurse ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- Sharecare (Des Moines, IA)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
- CVS Health (Des Moines, IA)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... personal, convenient and affordable. **Position Summary** **This is a remote work from home role anywhere in the US...setting - A Registered Nurse that holds an active, unrestricted… more
- Highmark Health (Des Moines, IA)
- …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
- WelbeHealth (Des Moines, IA)
- …compliance with regulatory standards **Job Requirements:** + Bachelor's degree required + Registered Nurse (RN), master's degree, or other relevant advanced ... 100% REMOTE OPPORTUNITY At WelbeHealth, each participant of our...is guided by our interdisciplinary team (IDT), composed of clinical and non- clinical members who work cohesively… more
- Molina Healthcare (Des Moines, IA)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ _Case ... Manager RN will work in remote setting supporting our Medicare/Medicaid population who have recently...and advance directives. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during… more