Top 30 Utilization management nurse 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
Utilization Management Nurse
Cottingham & Butler —Des Moines, IA
- Full-time
- Bilingual
- Mid-level
- Profit sharing
- Health savings account
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9d
Registered Nurse Utilization Management Specialist
UnityPoint Health —West Des Moines, IA
- Part-time
- Remote
- Nursing
- Surgery
- RN License
- Paid holidays
- Disability insurance
1d
Utilization Review RN
MercyOne —Des Moines, IA
- Full-time
- Acute care
- Nursing
- Surgery
11d
Oncology Registered Nurse (RN)
MercyOne —Des Moines, IA
- $10,000 - $20,000 a year
- Full-time
- Nursing
- Anatomy knowledge
- RN License
Quick Apply
Nurse Manager- MedSurg
MercyOne —Des Moines, IA
- Full-time
- Nursing
- Surgery
- RN License
Quick Apply
Nurse Manager- Periop Services
MercyOne —Des Moines, IA
- Full-time
- Nursing
- Surgery
- RN License
Quick Apply
Oncology Registered Nurse (RN)
MercyOne —Des Moines, IA
- $10,000 - $20,000 a year
- Full-time
- Nursing
- Anatomy knowledge
- RN License
Quick Apply
2d
Senior Nurse-Charge RN-Med Surg-Nights
MercyOne —West Des Moines, IA
- 12 hour shift
- Nursing
- RN License
- Hospital
Quick Apply
Charge RN - Cardiac Tele Advanced Heart Failure
MercyOne —Des Moines, IA
- 12 hour shift
- Nursing
- RN License
- BLS Certification
Quick Apply
RN Quality Coordinator
MercyOne —Des Moines, IA
- Full-time
- Nursing
- RN License
- 5 years
Regional Director Care Management-Des Moines
UnityPoint Health —Des Moines, IA
- Full-time
- Nursing
- RN License
- Hospital
- Paid holidays
- Disability insurance
Case Management Nurse - Oncology or Transplant Experience
Innovative Care Management, Inc. —Des Moines, IA
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
3d
ED Case Manager RN
MercyOne —Des Moines, IA
- 12 hour shift
- Nursing
- RN License
- Bachelor of Science
Nurse House Supervisor
MercyOne —Des Moines, IA
- Full-time
- Acute care
- Nursing
- RN License

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Demonstrated skills in translating business needs into technical requirements and design. Bachelor’s degree in Information Technology, Computer Science,…
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Bachelor’s degree in Finance, Accounting, Economics, or a related field; an advanced degree or professional certification (e.g., CPA, CFA) is a plus.
$120,000 - $150,000 a year
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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 nurse jobs in des moines, ia

Case Manager ( RN / RT / SW / LPN )

Utilization Management Nurse

Registered Nurse Utilization Management Specialist

Utilization Review RN

Oncology Registered Nurse (RN)

Nurse Manager- MedSurg

Nurse Manager- Periop Services

Oncology Registered Nurse (RN)

Senior Nurse-Charge RN-Med Surg-Nights

Charge RN - Cardiac Tele Advanced Heart Failure

RN Quality Coordinator

Regional Director Care Management-Des Moines

Case Management Nurse - Oncology or Transplant Experience

ED Case Manager RN

Nurse House Supervisor

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