- Humana (Des Moines, IA)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing...to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in IL, WI, MN, SD, ND, IA,… more
- Elevance Health (Des Moines, IA)
- …equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any combination ... **Anticipated End Date:** 2024-12-27 **Position Title:** Nurse Medical Management II **Job Description:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Trinity Health (Des Moines, IA)
- …helping to manage day-to-day department operations and performing assigned management responsibilities. Coordinates nursing activities to facilitate safe, ... on unit. + Works independently with limited direction from Nursing Leadership using the Nurse Practice Act,... standards and professional judgment. + Plans unit and nursing resource utilization based on established admission,… more
- Trinity Health (Des Moines, IA)
- …Full time **Shift:** **Description:** As an integral member of Mercy One's PHSO Care Management department, the Manager of Post Acute and Transition Care ... team members across the network. In addition, the Manager is responsible for the building, management ,...PHSO strategies and infrastructure necessary to effectively manage costs, utilization and quality associated with risk contracts in the… more
- Highmark Health (Des Moines, IA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Trinity Health (Des Moines, IA)
- …systems to insure effective communications along the continuum. . Collaborates with Utilization Management staff regarding payer information, level of care and ... others. . Other duties as assigned by CIN Director/Care Management /Social Services Manager . MINIMUM KNOWLEDGE, SKILLS AND...a current or compact state license as a Registered Nurse issued/defined by the State of Iowa . Three… more
- Urbandale Community School District (Urbandale, IA)
- TITLE : Production Kitchen Manager LOCATION : Olmsted Elementary J OB GOAL : Responsible for all aspects of food production and supervision of child nutrition ... TO : Director of Nutrition Services REPORTS INDIRECTLY TO : Operations Manager and Administrative Assistant QUALIFICATIONS : + High school graduate or equivalent.… more
- Elevance Health (West Des Moines, IA)
- …Level:** Non- Management Exempt **Workshift:** **Job Family:** MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation ... responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment… more