- Highmark Health (Des Moines, IA)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Highmark Health (Des Moines, IA)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Primary Health Care (Clive, IA)
- …serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health , HIV care and services, and pharmacy. PHC's Homeless ... to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981...variety of services including family practice, pediatrics, psychiatric & behavioral health , and Medication Assistant Treatment (MAT).… more
- Primary Health Care (Des Moines, IA)
- …serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health , HIV care and services, and pharmacy. PHC's Homeless ... & Marshalltown. The Clinical Services Manager is responsible for Primary Health Care 's Ryan White Part C (RW Part C) program which focuses on clinical… more
- Primary Health Care (Des Moines, IA)
- …serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health , HIV care and services, and pharmacy. PHC's Homeless ... to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981...Ames, Des Moines, & Marshalltown. The Project: The Case Manager I is responsible for assisting clients being served… more
- Primary Health Care (Des Moines, IA)
- …serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health , HIV care and services, and pharmacy. PHC's Homeless ... to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981...in Ames, Des Moines, & Marshalltown. As a Nurse Care Manager , you will be a member… more
- Highmark Health (Des Moines, IA)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- CVS Health (Des Moines, IA)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** **This… more
- Molina Healthcare (Des Moines, IA)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need… more
- Highmark Health (Des Moines, IA)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Des Moines, IA)
- …Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR CERTIFICATIONS** ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Prime Therapeutics (Des Moines, IA)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary**...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more
- Prime Therapeutics (Des Moines, IA)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- Elevance Health (West Des Moines, IA)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... depression, and insightful analytics to improve the delivery of care . We are looking for candidates to work on...looking for candidates to work on the New Hampshire Behavioral Health Help Line with knowledge of… more
- Broadlawns Medical Center (Des Moines, IA)
- …develop a supportive rapport and assist patients and their caregivers to access health care and community resources and navigate through the healthcare continuum ... in public health or related health service field. + Knowledge of health care system and community resources available . + Experience with data collection… more
- International Rescue Committee (Des Moines, IA)
- … professionals as well as with clinicians to ensure quality preventative, curative and behavioral health care is delivered in a culturally sensitive way. ... Wellness Specialist (HBWS) plays a critical role in coordinating health care provision and social benefits enrollment...IRC clients enrolling or enrolled in Refugee Medical services, Behavioral Health services and Refuge Health… more
- Elevance Health (West Des Moines, IA)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... depression, and insightful analytics to improve the delivery of care . We are looking for candidates to work on...and a minimum of 1 year of experience in behavioral health or a minimum of 6… more
- Highmark Health (Des Moines, IA)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Trinity Health (Des Moines, IA)
- …Clive Rehabilitation Hospital (https://www.mercyrehabdesmoines.com/) House of Mercy Clive Behavioral Health (https://clivebehavioral.com/) With more than 7,000 ... special procedures under the direction of a Radiologist and/or manager in a highly technical and professional manner. ESSENTIAL...and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health … more
- Elevance Health (Des Moines, IA)
- …the member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more