- UnityPoint Health (Cedar Rapids, IA)
- …Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a ... coordinating the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of high-quality health care,… more
- Molina Healthcare (Cedar Rapids, IA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- UnityPoint Health (Anamosa, IA)
- …to provide continuity of care. + Functions under all accountabilities of the Registered Nurse position. + Works with patients/families to identify their goals ... the healthcare team to ensure safe/optimal outcomes for patients/families. Utilization Review + Reviews admission data to...Current licensure in good standing to practice as a Registered Nurse in Iowa. + Must possess… more
- UnityPoint Health (Cedar Rapids, IA)
- …home care. Responsible for case coordination of patients and insurance precertification/ utilization review . Patients served include adult and geriatric. St. ... Coordinates cases with community agencies, referral sources. + Manages utilization review for own patients with insurance...Current licensure in good standing to practice as a Registered Nurse in [type in State]. +… more
- CenterWell (Hiawatha, IA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- UnityPoint Health (Iowa City, IA)
- …services. * Is knowledgeable regarding managed care implications - precertification and utilization review procedures. * Assists with crisis services placement, ... work-related reasons. . Current licensure in good standing to practice as a Registered Nurse in Iowa. . Must possess and maintain current Basic Life Support… more
- UnityPoint Health (Cedar Rapids, IA)
- …of patient care on the behavioral health units under the direction of a registered nurse . Responsible for the delivery of patient care through a ... Is knowledgeable regarding managed care implications - precertifications and utilization review + Maintains competence in performing...in good standing to practice as a licensed practical nurse in the state of Iowa. + Must possess… more
- Molina Healthcare (Cedar Rapids, IA)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals, claims review ,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …that generally consists of a provider (MD, NP, PA, PT, or OT), registered nurse care manager, clinical associate (LPN or medical assistant/health technician) ... Required Documents below. The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic … more