- 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
- CVS Health (Des Moines, IA)
- …care for members. + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... + Perform medical necessity reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Humana (Des Moines, IA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
- 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 ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- 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
- Trinity Health (West Des Moines, IA)
- …MercyOne Des Moines (https://www.mercyone.org/desmoines/find-a-location/) Join the MercyOne Family! We are looking to hire a Case Manager RN ! As a Case ... preventive, therapeutic, restorative, and personal care services to meet the complex psychosocial needs of MercyOne patients and their families, enabling them… more
- Elevance Health (West Des Moines, IA)
- RN Nurse Case Manager II (10:30am - 7:00pm Central Time) JR144435 **Work Hours:** Monday - Friday, 10:30am - 7pm Central Time **Locations** : This ... 50 miles of one our open PulsePoint locations. The ** Nurse Case Manager ll** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (West Des Moines, IA)
- …leaders passionate about transforming American healthcare delivery._ **Title** : Behavioral Health Case Manager I **Location:** Virtual; the ideal candidate will ... per week. **Build the Possibilities. Make an Extraordinary Impact.** The **Behavioral Health Case Manager I** is responsible for performing telephonic case … more
- 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
- 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
- Humana (Des Moines, IA)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Molina Healthcare (Des Moines, IA)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
- 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