• Complex Case Manager

    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
    Highmark Health (01/31/25)
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  • Case Manager , RN

    CAI (Des Moines, IA)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • Case Manager ( RN )

    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
    Molina Healthcare (02/01/25)
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  • RN Transition of Care Coach - OH Licensure

    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 OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Behavioral Health Case Manager I

    Elevance Health (West Des Moines, IA)
    The **Behavioral Case Manager I** is responsible for performing case management with members in person and telephonically within the scope of licensure for ... social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… more
    Elevance Health (01/22/25)
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  • Telephonic Case Manager

    Sedgwick (Des Moines, IA)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (01/22/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Des Moines, IA)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Care Manager - Remote

    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
    Sharecare (01/17/25)
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  • Social Worker Supervisor

    Iowa Department of Administrative Services (State Of Iowa, IA)
    …possess 1 year experience in delivery of human services as a Targeted (Medicaid) Case Manager in the combination of: * Chronic mental illness * Developmental ... Applicant must have Iowa license to practice as a registered nurse and the equivalent of 3...in delivery of human services as a Targeted (Medicaid) Case Manager in the combination of: +… more
    Iowa Department of Administrative Services (01/28/25)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (11/25/24)
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