• Post - Acute Utilization

    Humana (Des Moines, IA)
    …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...required, with no disciplinary action + 2+ years of Post - Acute clinical experience in a SNF, LTACH… more
    Humana (10/04/24)
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  • Manager, Utilization Management

    Humana (Des Moines, IA)
    …and communication of medical services and/or benefit administration of post - acute determinations. The Manager, Utilization Management Nursing works ... community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills...Management experience is required for this role + Post - acute experience as it relates to skilled… more
    Humana (10/04/24)
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  • Manager of Post Acute and Transition…

    Trinity Health (Des Moines, IA)
    …member of Mercy One's PHSO Care Management department, the Manager of Post Acute and Transition Care management provides leadership in understanding, ... management program. The incumbent is accountable for the management of all PHSO Post - Acute ...PHSO strategies and infrastructure necessary to effectively manage costs, utilization and quality associated with risk contracts in the… more
    Trinity Health (08/30/24)
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  • Medical Director - Acute Inpatient…

    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 (08/27/24)
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  • Clinical Strategy Advancement Advisor

    Humana (Des Moines, IA)
    …Nursing Facility) Operations + Experience with Post Acute Care Services network management and/or utilization management + Experience with Post ... of variable factors and determining the best course of action. + **Portfolio management ** - Assisting the leadership team to help ensure strategic alignment across… more
    Humana (10/04/24)
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  • Medical Director - Florida

    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 (10/04/24)
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  • Medical Director- South Central

    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 (09/27/24)
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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 (08/27/24)
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  • Case Manager ( 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 ... Medical, we care for chronically and critically ill or post -ICU patients who require extended hospital care. Select Medical...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
    Select Medical (09/24/24)
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  • Behavioral Health Medical Director - Medicare

    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 (08/07/24)
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