- Highmark Health (Des Moines, IA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Des Moines, IA)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Molina Healthcare (Des Moines, IA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Sharecare (Des Moines, IA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Highmark Health (Des Moines, IA)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …between the surgeon(s), nurses and other members of the team. Collaborating with the circulating ( RN ) Registered Nurse and surgeon prior to a procedure to ... Central Iowa VA Healthcare System and is under the direct supervision of the Nurse Manager of the Operating Room/PACU/Ambulatory Surgery. The primary purpose of… more
- Elevance Health (West Des Moines, IA)
- ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …of: chronic mental illness, developmental disabilities, and intellectual disabilities as a Targeted (Medicaid) Case Manager ; OR an Iowa license to practice as a ... Code, agency policy, and sound professional judgment to highly complex situations involving crises and or chronic abuse or...registered nurse and the equivalent of three… more
- CVS Health (Des Moines, IA)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution… more