• Medical Director - Acute Rehab Team

    Humana (Des Moines, IA)
    …prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation. Preferred ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a medical management … more
    Humana (11/05/24)
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  • Population Health Acute Care Coordinator

    Trinity Health (Des Moines, IA)
    …Population Health Acute Care Coordinator responsible to perform key case management functions to ensure continuity of care and services for a defined population. ... by collaborating and communicating with physicians, nursing managers, case managers, post - acute case manager and interdisciplinary team members. Is accountable… more
    Trinity Health (10/19/24)
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  • Medical Director--Claims Management

    Humana (Des Moines, IA)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/29/24)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Des Moines, IA)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence… more
    Select Medical (10/16/24)
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  • Medical Director - Mid West Region

    Humana (Des Moines, IA)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (10/29/24)
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  • PHSO Transition Specialist (RN)

    Trinity Health (Des Moines, IA)
    … services as needed in order to prevent/reduce further ED or acute care utilization . **Essential Position Expectations:** Performs patient identification and ... timely transitions in care following hospital discharges, emergency department use and post - acute stays. Applies motivational interviewing and teach back during… more
    Trinity Health (11/05/24)
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