Top 651 Clinical nursing Jobs in Des Moines, Ia

Medical Review Nurse (AIMRR) 2
EPATHUSA INC —Clive, IA
- $76,875 - $97,375 a year
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science in Nursing
10d
Adjunct - Clinical Nursing
GRAND VIEW UNIVERSITY —Des Moines, IA
- Part-time
- Nursing
- RN License
- Bachelor of Science
Clinical Care Transition Educator / Registered Nurse - Per Diem - Des Moines
Option Care Health —Des Moines, IA
- $36.89 - $61.49 an hour
- Part-time
- RN License
- Hospital
- Computer literacy
- 401(k) matching
Staff Nurse - Chemotherapy
Mission Cancer + Blood, part of University of Iowa Health Care —Des Moines, IA
- Full-time
- Nursing
- Blood sampling
- RN License
- Disability insurance
- Dental insurance
Quick Apply
Physician Aligned Nurse
Mission Cancer + Blood, part of University of Iowa Health Care —Des Moines, IA
- Weekends as needed
- Background check
- Nursing
- Vital signs
Quick Apply
Occupational Therapist / OTR - Part-time
Aegis Therapies —West Des Moines, IA
- $40 - $50 an hour
- Part-time
- Skilled nursing facility
- Nursing home
- Rehabilitation center
- Continuing education credits
- Health insurance
Director-Women and Newborn Care
UnityPoint Health —Des Moines, IA
- Full-time
- Nursing
- Surgery
- RN License
- Paid holidays
- Disability insurance
1d
Obstetrician/Gynecologist (OB/GYN)
PX3 Medical —Des Moines, IA
- $500,000 - $625,000 a year
- Full-time
- Medicine
- BC/BE
- Clinic
- Relocation assistance
- Health insurance
Quick Apply
On-Call Registered Nurse (RN) - 7 on 7 off
Suncrest Hospice —West Des Moines, IA
- On call
- RN License
- Hospital
- Driver's License
- Health insurance
- Dental insurance
Registered Nurse
22nd Century Technologies, Inc. —Woodward, IA
- $50 - $55 an hour
- Overtime
- Background check
- CPR Certification
- RN License
Quick Apply
8d
Registered Veterinary Technician
Waukee-Clive Veterinary Clinic —Clive, IA
- $20 - $26 an hour
- Full-time
- Mid-level
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
Clinical Nurse Specialist - Pain Management - CMA/LPN/RN
Metro Anesthesia & Pain Management —West Des Moines, IA
- $25 - $38 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
9d
Home Health RN, Visit Nurse
WesleyLife —Urbandale, IA
- RN License
- Pass drug screening
- Mid-level
- Health insurance
Quick Apply
Simulation Technician II
Des Moines University —West Des Moines, IA
- $28.42 - $29.48 an hour
- Full-time
- Laboratory
- Classroom
- Inventory management
- Health insurance
- Tuition reimbursement
1d
Weekend Hospice Nurse - Registered Nurse
Suncrest Hospice —West Des Moines, IA
- 12 hour shift
- RN License
- Hospital
- Mid-level
- Health insurance
- Dental insurance
3d
Registered Nurse RN
Harmony West Des Moines —West Des Moines, IA
- $36.00 - $40.56 an hour
- Part-time
- Skilled nursing facility
- RN License
- Team management
- Wellness program
- Paid holidays
Quick Apply
Clinical Systems Trainer - Yardi
LCS —Des Moines, IA
- $85,000 - $106,000 a year
- Full-time
- Background check
- Nursing
- Mid-level
- Paid parental leave
- Health insurance
12h
RN Team Lead Weekends Pediatric Complex Care (Full-Time)
ChildServe —Johnston, IA
- Weekends as needed
- Nursing
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Licensed Practical Nurse LPN
Harmony West Des Moines —West Des Moines, IA
- Part-time
- Team management
- LPN
- Entry level
- Wellness program
- Paid holidays
Quick Apply
Registered Nurse Operating Room II - Surgery Center of Des Moines - West
SCA Health —West Des Moines, IA
- $27 - $40 an hour
- Full-time
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance

I want to receive the latest job alert for clinical nursing in des moines, ia

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical nursing jobs near des moines, ia

Medical Review Nurse (AIMRR) 2

EPATHUSA INC -
Clive, IA

Apply Now

Job Details

Full-time
$76,875 - $97,375 a year
10 days ago

Qualifications

Utilization review
RN License

Full Job Description

Seeking Registered Nurse for fully remote role to perform complex medical record and claim reviews (Standard or Program Integrity) to make coverage determinations based on applicable Medicare coverage policies and payment rules, coding guidelines, National and Local Coverage Determinations, utilization/practice guidelines, clinical review judgment and when appropriate, monitor for potential indicators of fraud, waste, and abuse. Provides professional assessment, planning, coordination, implementation, and reporting of complex data to support the Medical Review Accuracy Contract (MRAC).

Essential Functions

Perform complex medical record and claims review in accordance with all State and Federal mandated regulations/guidelines.
Accurately enter medical review data into the medical review system.
Apply clinical review judgment, based on clinical experience when applicable and review completeness of documentation to determine if documentation supports claim as billed.
Reasonably determines appropriateness to consult a Subject Matter Expert (SME) for clarification.
When performing Program Integrity (PI) reviews, assess investigative allegations and medical review findings, and/or other claims data to determine patterns and detect potential indicators of fraud, waste and abuse (FWA).
Accurately identify additional findings in the review of evidence of potential FWA not detected by the Medical Review Contractor.
Consistently meet or exceed productivity and accuracy standards of 98% minimum IRR established by the customer and/or the Company.

Registered Nurse, with a current unobstructed license to practice nursing in the United States. Graduate of a Board approved Registered Nursing program.
A Bachelor’s Degree in Nursing (BSN) or other related field is preferred.
Certification in coding highly preferred.
A minimum of five (5) years clinical experience in an acute care hospital, skilled nursing facility, and/or an office/clinic-based medical practice.
A minimum of three (3) or more years’ experience in medical/utilization medical record review particularly with Medicare and/or Medicaid.
Minimum of 2 (two) years’ experience in the medical review processes of MACs, SMRC, CERT, QICs and/or BFCC-QIOs.
Desired experience performing medical review for fraud, waste, and abuse (FWA) investigations.
Knowledgeable of ICD-9-CM, ICD-10, CPT-4 and HCPCS coding.
One year or more of utilizing InterQual and/or Milliman guidelines against inpatient services experience is preferred.

Apply Now

Refine Your Search

clinical nursing jobs in des moines, ia

Medical Review Nurse (AIMRR) 2

Adjunct - Clinical Nursing

Clinical Care Transition Educator / Registered Nurse - Per Diem - Des Moines

Staff Nurse - Chemotherapy

Physician Aligned Nurse

Occupational Therapist / OTR - Part-time

Director-Women and Newborn Care

Obstetrician/Gynecologist (OB/GYN)

On-Call Registered Nurse (RN) - 7 on 7 off

Registered Nurse

Registered Veterinary Technician

Clinical Nurse Specialist - Pain Management - CMA/LPN/RN

Home Health RN, Visit Nurse

Simulation Technician II

Weekend Hospice Nurse - Registered Nurse

Registered Nurse RN

Clinical Systems Trainer - Yardi

RN Team Lead Weekends Pediatric Complex Care (Full-Time)

Licensed Practical Nurse LPN

Registered Nurse Operating Room II - Surgery Center of Des Moines - West

I want to receive the latest job alert for clinical nursing in des moines, ia

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected