Top 79 Utilization management Jobs in Des Moines, Ia

Case Manager ( RN / RT / SW / LPN )
Select Specialty Hospital - Des Moines —Des Moines, IA
- Full-time
- RN License
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Registered Nurse Utilization Management Specialist
UnityPoint Health —West Des Moines, IA
- Part-time
- Remote
- Nursing
- Surgery
- RN License
- Paid holidays
- Disability insurance
1d
Utilization Management Nurse
Cottingham & Butler —Des Moines, IA
- Full-time
- Bilingual
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
9d
Senior Review Coordinator - Utilization Management (RN)
Telligen —West Des Moines, IA
- Email
- Hybrid work
- Nursing
- RN License
- Research
Quick Apply
3d
Utilization Review RN
MercyOne —Des Moines, IA
- Full-time
- Acute care
- Nursing
- Surgery
10d
Regional Director Care Management-Des Moines
UnityPoint Health —Des Moines, IA
- Full-time
- Nursing
- RN License
- Hospital
- Paid holidays
- Disability insurance
EHR Clinical Consultant
Iowa Primary Care Association —Des Moines, IA
- $82,000 - $88,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- 5 years
- Paid parental leave
- Health insurance
Quick Apply
13d
MPPS Policy Deviations Senior Manager
CVS Health —Des Moines, IA
- $67,900 - $182,549 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
3d
Manager - Payment and Customer Svc. - (Full-Time )
The Iowa Clinic —West Des Moines, IA
- Full-time
- 5 years
- Computer literacy
- Writing skills
Clinical Director
Ellipsis —Des Moines, IA
- Full-time
- LMFT
- Nursing
- Clean driving record
- Health savings account
- Health insurance
Quick Apply
Nurse Manager- MedSurg
MercyOne —Des Moines, IA
- Full-time
- Nursing
- Surgery
- RN License
Quick Apply
Healthcare Data Analyst - Quality
Broadlawns Medical Center —Des Moines, IA
- Full-time
- Computer Science
- Mid-level
- 3 years
- Free parking
- Health insurance
Quick Apply
2d
Manager of Clinical Services
Des Moines University —Des Moines, IA
- $90,000 a year
- Full-time
- Nursing
- RN License
- Clinic experience
- Health insurance
- Tuition reimbursement
System Transfer Center Intake Physician – Des Moines, IA
UnityPoint Health —West Des Moines, IA
- Full-time
- Medicine
- Hospital
- Mid-level
Surgery Scheduler
Urology Center of Iowa —Clive, IA
- Full-time
- Surgery
- Ability to walk for extended periods
- Computer literacy
Quick Apply
Case Manager RN
MercyOne —Des Moines, IA
- Full-time
- Nursing
- RN License
- 5 years
12d
RN Quality Coordinator
MercyOne —Des Moines, IA
- Full-time
- Nursing
- RN License
- 5 years
Scheduling Specialist
Caravel Autism Health —Urbandale, IA
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
- Paid time off
Quick Apply
10d
Residential Admissions Coordinator
YSS —Cambridge, IA
- $17.28 - $21.63 an hour
- Full-time
- Data analysis skills
- Mid-level
- Residential
ED Case Manager RN
MercyOne —Des Moines, IA
- 12 hour shift
- Nursing
- RN License
- Bachelor of Science

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Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital - Des Moines -
Des Moines, IA

Quick Apply

Job Details

Full-time

Benefits

Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Paid sick time

Qualifications

Inpatient experience
Critical & intensive care
Acute care facility experience

Full Job Description

Overview:

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Sign On Bonus: $10,000

Case Manager

Full Time: Monday-Friday 8-5pm

Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).

And

Previous discharge planning experience preferred.

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way.

Responsibilities:

We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.

Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Qualifications:

We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum requirements:

Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist (RN preferred) OR current license / certified Social Work license per state guidelines
Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents)

Preferred qualifications that will make you successful:

Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.

Additional Data:

General Benefits Full-time

Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
Invest in Your Future:Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
Your Impact Matters:Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans

Quick Apply

Refine Your Search

utilization management jobs in des moines, ia

Case Manager ( RN / RT / SW / LPN )

Registered Nurse Utilization Management Specialist

Utilization Management Nurse

Senior Review Coordinator - Utilization Management (RN)

Utilization Review RN

Regional Director Care Management-Des Moines

EHR Clinical Consultant

MPPS Policy Deviations Senior Manager

Manager - Payment and Customer Svc. - (Full-Time )

Clinical Director

Nurse Manager- MedSurg

Healthcare Data Analyst - Quality

Manager of Clinical Services

System Transfer Center Intake Physician – Des Moines, IA

Surgery Scheduler

Case Manager RN

RN Quality Coordinator

Scheduling Specialist

Residential Admissions Coordinator

ED Case Manager RN

I want to receive the latest job alert for utilization management in des moines, ia

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