- Humana (Des Moines, IA)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- CVS Health (Des Moines, IA)
- …medical necessity reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty + ... A Registered Nurse that holds an unrestricted license...Transplant or Medical/Surgical **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Trinity Health (Des Moines, IA)
- …AND ABILITIES REQUIRED:** + Possession of a current or compact state license as a registered nurse issued/defined by the State of Iowa. + Bachelor of Science in ... MercyOne Clive Rehabilitation Hospital (https://www.mercyrehabdesmoines.com/) House of Mercy Clive Behavioral Health (https://clivebehavioral.com/) With more than 7,000 colleagues and… more
- Highmark Health (Des Moines, IA)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more