Top 31 Utilization review 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
Senior Review Coordinator - Utilization Management (RN)
Telligen —West Des Moines, IA
- Email
- Hybrid work
- Nursing
- RN License
- Research
Quick Apply
3d
Utilization Management Nurse
Cottingham & Butler —Des Moines, IA
- Full-time
- Bilingual
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
9d
Utilization Review RN
MercyOne —Des Moines, IA
- Full-time
- Acute care
- Nursing
- Surgery
11d
Patient Access Specialist-Part Time-.50FTE
Broadlawns Medical Center —Des Moines, IA
- Part-time
- Hospital
- Mid-level
- 1 year
- Free parking
- Health insurance
Quick Apply
3d
Residential Admissions Coordinator
YSS —Cambridge, IA
- $17.28 - $21.63 an hour
- Full-time
- Data analysis skills
- Mid-level
- Residential
RN Quality Coordinator
MercyOne —Des Moines, IA
- Full-time
- Nursing
- RN License
- 5 years
Case Manager RN
MercyOne —Des Moines, IA
- Full-time
- Nursing
- RN License
- 5 years
13d
Vice President, Dental Director
Delta Dental of Iowa —Johnston, IA
- Full-time
- Up to 50% travel
- High school
- 5 years
- Dental insurance
- Vision insurance
10d
RN Case Manager
Cottingham & Butler —Des Moines, IA
- Full-time
- Nursing
- RN License
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
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
Clinical Director
LifeSkills Connection Inc —Ankeny, IA
- Online Application
- LMFT
- Doctoral degree
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
10d
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply

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Registered Nurse Utilization Management Specialist
UnityPoint Health —West Des Moines, IA
Valid driver’s license when driving any vehicle for work-related reasons. Required: Registered Nurse – Licensed and registered in the appropriate state(s).
1d

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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
Quick Apply
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
11d

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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 review jobs in des moines, ia

Case Manager ( RN / RT / SW / LPN )

Registered Nurse Utilization Management Specialist

Senior Review Coordinator - Utilization Management (RN)

Utilization Management Nurse

Utilization Review RN

Patient Access Specialist-Part Time-.50FTE

Residential Admissions Coordinator

RN Quality Coordinator

Case Manager RN

Vice President, Dental Director

RN Case Manager

Case Management Nurse - Oncology or Transplant Experience

Clinical Director

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

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