NewBehavioral Health Case Manager Quadrant Health GroupBehavioral Health Case ManagerJohnston, IA$17–$22 / hourDes Moines Wellness, is a proud member of the Quadrant Health Group, is seeking a passionate and dedicated Behavioral Health Case Manager to join our growing team in Des Moines. Quadrant Health Group provides effective, evidence-based addiction treatment that leads to long-term recovery.
NewCase Coordinator Farm Bureau Financial ServicesCase CoordinatorWest Des Moines, IAFull timeAssist the underwriter in management of case files by generating and receiving requests for information to agents, client/members, medical facilities and vendors; maintaining the integrity of the pending file; and tracking movement of files. You will also: Respond to and resolve customer service requests according to FBL Financial Group, Inc policies in a prompt, efficient and courteous manner for external customers, departmental staff, and other FBL personnel at all times.
Case Management Coordinator CorVel CorpCase Management CoordinatorWest Des Moines, IA$16.36–$26.31 / hourKNOWLEDGE & SKILLS: • Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment • Excellent written and verbal communication skills • Ability to meet designated deadlines • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets • Strong interpersonal, time management, and organizational skills • Ability to work both independently and within a team environment. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Assists medical case managers with case management duties • Provides customer support services • Types and proofreads reports and correspondence • Transcribes correspondence/reports from dictation • Organizes client files • Additional duties as assigned.
Case Manager I - The Project Primary Health Care IncCase Manager I - The ProjectDes Moines, IA$17–$21.25 / hourThe Case Manager I is responsible for assisting clients being served in one of PHC's social service programs (those who are living with HIV/AIDS) through needs assessment, case management, and advocacy with community partners. Facilitates coordination with other PHC services, including medical, dental, mental health, and substance use, as well as referrals for services with external agencies, including emergency and crisis services.
Behavioral Health Case Manager (MSW) - Optum at Home - Des Moines IA UnitedHealth Group IncBehavioral Health Case Manager (MSW) - Optum at Home - Des Moines IADes Moines, IA$60,200–$107,400 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. United providers serve patients" in their own homes through annual comprehensive assessments, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management.
Case Manager ( RN / RT / SW / LPN ) Select Specialty Hospital - Des MoinesCase Manager ( RN / RT / SW / LPN )Des Moines, IowaResponsibilities: 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. 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.
Healthy Start Case Manager - FT EverystepHealthy Start Case Manager - FTDes Moines, IAPhysical activities: Climbing, Balancing, Stooping, Kneeling, Crouching, Crawling, Reaching, Standing , Walking, Pushing, Pulling, Lifting, Talking, Fingering (picking, pinching, typing, etc.), Hearing, Grasping (applying pressure with fingers and palm), Repetitive motions, Feeling (perceiving size, shape, texture, temperature by touching), Visual acuity (field of vision for analyzing data, viewing computer, using measurement devices, operating machines, determining accuracy or neatness, and/or making general observations). Responsibilities: Work with a caseload of pregnant and interconceptional women, and infants/toddlers/children through five years of age and their families as part of a project effort to reduce the infant mortality and low birth weight rates as well as ethnic/racial disparities in perinatal outcomes in the Healthy Start/Empowerment Project Areas.
Home Health RN Case Manager Suncrest HospiceHome Health RN Case ManagerWest Des Moines, IowaFull timeDetails: The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
Case Manager ( RN / RT / SW / LPN ) Select Medical CorpCase Manager ( RN / RT / SW / LPN )Des Moines, IAWe 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. 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.
Case Manager, Registered Nurse (Oncology experience required) CVS Health CorpCase Manager, Registered Nurse (Oncology experience required)IA$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
NewCase Manager Annuity New Business Sammons Financial GroupCase Manager Annuity New BusinessWest Des Moines, Iowa$42,357–$70,595 / yearFull timeResponsibilities: • Use superior language skills to provide high quality customer service via telephone (inbound and outbound), email or written communication; conduct communication in a professional, pleasant and helpful manner; perceive, distinguish and empathize with emotions of customers. • Look for work process improvement opportunities by analyzing results, monitoring discrepancies and collaborating with team or peers for input in order to identify trends; work to implement solutions with manager guidance.
Home Health RN Case Manager Suncrest Hospice LLCHome Health RN Case ManagerWest Des Moines, IAThe Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
BHIS Case Worker, Lead ORCHARD PLACEBHIS Case Worker, LeadDes Moines, IASUMMARY: The Behavioral Health Intervention Services (BHIS) Case Manager, Lead plays a crucial role in overseeing the BHIS program at Orchard Place, dedicating 40% of their time to direct BHIS casework, 60% to managing key operational tasks such as scheduling, treatment planning, and auditing. Staff Development: Assists with training new BHIS Caseworkers, providing ongoing support, feedback, and coaching to ensure the consistent delivery of high-quality services.
RN Case Manager - Hospice UnityPoint HealthRN Case Manager - HospiceUrbandale, IowaThe RN Case Manager - Hospice delivers patient care directed by the physician as established in the hospice plan of care that is consistent with clinical best practices and results in high quality, improved outcomes and exceptional patient experience. · Delivers quality care consistent with Hospice Conditions of Participation, qualifying hospice criteria, payer coverage criteria, and providing visits/treatments consistent with the plan of care to honor patient/ family values/ wishes .
Bilingual RN Case Manager HealthCheck360Bilingual RN Case ManagerDes Moines, IARemoteThis is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.
Telephonic Case Manager I CorVel CorpTelephonic Case Manager IWest Des Moines, IARemote$63,739–$95,264 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
RN Case Manager Cottingham & ButlerRN Case ManagerDes Moines, IowaOur ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.
ED Case Manager RN Trinity HealthED Case Manager RNDES MOINES, IAIn this role, you will collaborate with interdisciplinary teams to develop, implement, and monitor individualized care plans that promote quality outcomes, patient safety, and efficient resource utilization. Position Summary: MercyOne Trinity is seeking a compassionate and detail-oriented Registered Nurse (RN) Care Coordinator to support patients across the care continuum.
Telephonic Nurse Case Manager Chubb LtdTelephonic Nurse Case ManagerJohnston, IARemoteThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement.
Telephonic Case Manager I CorVel Healthcare CorporationTelephonic Case Manager IWest Des Moines, IARemote$63,739–$95,264 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
Hospice RN Case Manager- Registered Nurse WesleyLifeHospice RN Case Manager- Registered NurseUrbandale, IAA Typical Day for a Registered Nurse Case Manager with WesleyLife At Home Hospice: As an RN Case Manager with WesleyLife at Home Hospice, each day begins with purpose-the opportunity to bring comfort, dignity, and compassionate support to patients and families navigating one of life's most meaningful journeys. WesleyLife Hospice comes to patients wherever they call home - their house or apartment, WesleyLife- or non-WesleyLife-affiliated senior living community, a health center, or a hospital.
Nurse Case Manager - Des Moines TRIUNE Health GroupNurse Case Manager - Des MoinesDes Moines, IowaSummary of Position : The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate. Excellent verbal and written communication skills, including the ability to interact effectively with patients, customers, and fellow employees via phone, email, in-person, and formal presentations.
RN Case Manager Newton IA St. Croix Hospice LLCRN Case Manager Newton IANewton, IAIf you are ready to be part of our deeply compassionate family of caregivers guiding extraordinary life experiences, then we invite you to join our team, where your work truly matters. Partnering with an integrated care team, you will coordinate individualized care plans, support families through complex decisions, and offer comfort with professionalism, empathy, and respect.
RN Case Manager Ankeny IA St. Croix Hospice LLCRN Case Manager Ankeny IAAnkeny, IAYou'll collaborate with a care team to develop a personalized plan of care, lead meaningful end of life conversations, and ensure exceptional symptom management with empathy and clinical excellence. If you are ready to be part of our deeply compassionate family of caregivers guiding extraordinary life experiences, then we invite you to join our team, where your work truly matters.
RN Case Manager West Des Moines IA St. Croix Hospice LLCRN Case Manager West Des Moines IAWest Des Moines, IAIf you are ready to be part of our deeply compassionate family of caregivers guiding extraordinary life experiences, then we invite you to join our team, where your work truly matters. You'll partner with an interdisciplinary team to develop individualized care plans, guide end-of-life conversations, and ensure comfort with professionalism and empathy.
Housing Case Manager - The Project Primary Health Care IncHousing Case Manager - The ProjectDes Moines, IA$18.65–$23.32 / hourDevelops and maintains open communication with community partners, landlords, neighborhood groups, and other organizations to build capacity for affordable housing options, coordinate services and provide education about PHC services. Assists in grant activities associated with housing support grants, such as annual RFA/RFP's, CAPER and grant narratives that demonstrate continued need for housing services.
NewHospice Registered Nurse (RN) Case Manager Resource 1 Homecare StaffingHospice Registered Nurse (RN) Case ManagerIowaThe Hospice Registered Nurse (RN) Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education and experience. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
RN Case Manager - Home Health UnityPoint HealthRN Case Manager - Home HealthUrbandale, IAThe RN Case Manager - Home Health delivers patient care directed by the physician as established in the home health plan of care that is consistent with clinical best practices and results in high quality, improved outcomes and exceptional patient experience. With a flexible schedule and independence, our home care nurses are in charge of everything from patient admission to the care plan to discharge and make it possible for patients to receive care where they're most comfortable - in their homes.
RN Home Health - RN Case Manager UnityPoint HealthRN Home Health - RN Case ManagerUrbandale, IowaThe Home Care RN delivers patient care directed by the physician as established in the home health plan of care that is consistent with clinical best practices and results in high quality, improved outcomes and exceptional patient experience. With a flexible schedule and independence, our home care nurses are in charge of everything from patient admission to the care plan to discharge and make it possible for patients to receive care where they’re most comfortable – in their homes.
Hospice RN - Case Manager (Part-Time) Care InitiativesHospice RN - Case Manager (Part-Time)West Des Moines, IAOur RN Case Managers go above and beyond by meeting patients and families where they feel most comfortable, whether its at home, a long-term care community, assisted living residence, or hospital. Working closely with family members and caregivers, we foster a collaborative environment to honor the needs and wishes of our patients and their loved ones.
Hospice RN - Case Manager Care InitiativesHospice RN - Case ManagerWest Des Moines, IAOur RN Case Managers go above and beyond by meeting patients and families where they feel most comfortable, whether its at home, a long-term care community, assisted living residence, or hospital. Working closely with family members and caregivers, we foster a collaborative environment to honor the needs and wishes of our patients and their loved ones.
Pediatric Homecare RN/LPN Opportunities | Trach, Vent & Complex Care Cases Family First HomecarePediatric Homecare RN/LPN Opportunities | Trach, Vent & Complex Care CasesUrbandale, IowaFamily First Homecare is seeking compassionate Registered Nurses (RN) and Licensed Practical Nurses (LPN) to provide one-on-one skilled nursing care for pediatric patients throughout Iowa. We live by our values of telling the truth, owning the details, and raising the bar, working hard to make your job an experience that you enjoy every day.
NewRelationship Manager – Business Plan Management Team Principal Financial GroupRelationship Manager – Business Plan Management TeamDes Moines, IowaRemote$84,600–$152,400 / yearFull timeTraining, Leadership, and Internal Partnerships – Contribute to strategic initiatives, presentations, and cross-functional projects while providing training, mentorship, and consultation that strengthens team capabilities, improves business processes, and supports overall business results. Relationship Management & Communication – Serve as a trusted advisor to plan sponsors, financial professionals, office staff, and internal partners by providing plan design consultation, business planning support, product expertise, training, and best-practice guidance to enhance customer outcomes and satisfaction.
Senior Director Product Management, Public Sector - Remote Akamai Technologies, Inc.Senior Director Product Management, Public Sector - RemoteDes Moines, IARemote$190,700–$343,300 / yearAs a Senior Director Product Management, you will be responsible for: + Defining and executing the product vision and strategy for our PubSec cloud offerings, existing products, and new development for State, Local, and Education, Federal Civilian, Department of Defense and international frameworks. With the world's most distributed compute platform from cloud to edge we make it easy for customers to develop and run applications, while we keep experiences closer to users and threats farther away.
Care Management Processor Molina Healthcare IncCare Management ProcessorIAFacilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum.
Field Reimbursement Manager - Kidney (North Central - IA, MO, IL) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (North Central - IA, MO, IL)IA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
EHR Support Specialist Primary Health Care IncEHR Support SpecialistDes Moines, IA$51,600–$64,500 / yearAbility to establish and maintain effective working relationships with clinicians, clinical support staff, social services staff, management and peers. The candidate will also participate in the interpretation & documentation of system changes, user requirements, and quality assurance testing to ensure end-user requirements are met with a focus on efficient clinic workflow.
NewManaging Attorney Lutheran Services in IowaManaging AttorneyDes Moines, IAIn addition, the Managing Attorney will demonstrate competency in the following areas:TechnologyAble to use technology that is necessary to perform job responsibilities; use available technology effectively (voice mail, computer software, data information system as required)Client RelationshipsDemonstrate the ability to build and maintain meaningful professional relationships with volunteers using strong interpersonal skills, sensitivity techniques, and rapport‑building abilities, while considering linguistic and cultural factors. What You'll DoThe Managing Attorney will provide strategic leadership for Lutheran Services in Iowa's Immigration Legal Services (ILS) program, ensuring the delivery of high‑quality, compliant, and mission‑driven legal services to immigrant and refugee communities across multiple sites.
Community Health Registered Nurse - FTS8 EverystepCommunity Health Registered Nurse - FTS8Des Moines, IAPhysical activities: Climbing, Kneeling, Reaching, Pushing, Talking, Hearing, Repetitive motions, Balancing, Crouching, Standing, Pulling, Stooping, Crawling, Walking, Lifting, Fingering (picking, pinching, typing, etc.), Grasping (applying pressure with fingers and palm), Feeling (perceiving size, shape, texture, temperature by touching), Visual acuity (field of vision for analyzing data, viewing computer, using measurement devices, operating machines, determining accuracy or neatness, and/or making general observations). Delivers support to pregnant individuals, infants, children, families, and communities to achieve optimal health outcomes through, nursing assessments, education, case management, and care coordination in multiple locations throughout the service area.
License Medical Social Worker LMSW Home Health PRN Elara CaringLicense Medical Social Worker LMSW Home Health PRNIowaAs a Medical Social Worker (MSW), you’ll contribute to our success in the following ways: Ensures that all activities are performed aligned with the vision of Elara Caring’s board of directors, executive team, and the leadership of the Home Health team. Assesses patients to identify the psychosocial, financial, and environmental needs of patients as evidenced by documentation, clinical records, case conferences, team report, call-in logs, and on-site evaluations.
Care Manager, LTSS - RNs OR Exp. Care Managers - Local Travel Required Molina Healthcare IncCare Manager, LTSS - RNs OR Exp. Care Managers - Local Travel RequiredIAAt least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
Hospice Registered Nurse - Community - FT EverystepHospice Registered Nurse - Community - FTDes Moines, IADetails: The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients wherever they call home which could include private homes, Independent Living Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
Registered Nurse - Hospice RN - Community - FT EverystepRegistered Nurse - Hospice RN - Community - FTWinterset, IADetails: The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients wherever they call home, which could include private homes, Independent Living Facilities, and assisted living facilities. • Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
NewSocial Worker Trinity HealthSocial WorkerDES MOINES, IAEssential Functions: Social History & Needs Assessment: Obtain social history information and identify patient needs through interviews with the patient and family, reviewing medical records, consulting with physicians and medical staff, and contacting other relevant sources as needed. The Social Worker is responsible for providing basic evaluative, preventive, therapeutic, restorative, and personal care services to meet the psychosocial needs of Mercy patients and their families.
Chief Deputy Workers' Compensation Commissioner State of IowaChief Deputy Workers' Compensation CommissionerDes Moines, IA$99,964.80–$142,355.20 / yearApplicants must meet at least one of the following minimum requirements to qualify for positions in this job classification: 1) Graduation from an accredited four-year college or university and experience equal to six years of full-time management-level work in finance, human resources, engineering, law, social work, regulation, data processing, or program research or evaluation. A combination of a total of two years of graduate-level education and full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university course work in a public-service-related area (e.g., public or business administration, social work, law, education, engineering) equals one year of full-time experience.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadDes Moines, IARemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Health Advisor Sun Life Financial IncHealth AdvisorDes Moines, IA$76,200–$114,300 / yearPinnacleCare extends a broad range of support for families and organizations to facilitate more efficient access and better outcomes through Comprehensive Health Advisory Memberships for individuals/families, and Connection Group Benefits available through employers/organizations. The opportunity: The Health Advisor role is responsible for providing high-touch customer service to PinnacleCare Members, building strong relationships while helping them to navigate the healthcare system in order to receive the best and most expeditious healthcare available.
NewRegistered Nurse - Hospice RN - Facility - FT 7am - 7pm EverystepRegistered Nurse - Hospice RN - Facility - FT 7am - 7pmDes Moines, IAResponsibilities: Assesses patient/family needs, aware of the physical, emotional, and spiritual aspects and gathers data on social, economic and cultural factors which may influence health, well-being and quality of life at all stages of care from referral to post death. Purpose: Responsible for identifying and coordinating care for terminally ill patients and their families in homes, skilled nursing facilities or residential care facilities.
NewClinical Director (LISW, LMFT, LMHC) Solution Based TherapeuticsClinical Director (LISW, LMFT, LMHC)Johnston, IA$90,000–$100,000 / yearWe are seeking an experienced and dedicated Clinical Director to oversee the clinical operations of an adult, co-ed, dual diagnosis detox/residential treatment center in Des Moines, Iowa. The Clinical Director will work closely with clinical, medical, nursing, operations, and administrative leadership to support a safe, structured, and effective treatment environment.
Marriage and Family Therapist U.S. Department of Veterans AffairsMarriage and Family TherapistDes Moines, IA$75,284–$97,875 / yearVA Central Iowa Health Care System is a multi-campus health care system, with approximately 1700 employees, providing primary care, acute medicine, surgery, behavioral health, nursing home and domiciliary care located on the main campus in Des Moines Iowa, as well as a staffed Community Based Outreach Clinics in Carroll, Fort Dodge, Knoxville, Mason City, and South Des Moines. Marriage and Family Therapist, GS-11 (Full Performance Level) Grade Requirements: 1) Experience, Education and Licensure: In addition to the basic requirements, the GS-11 full performance level requires completion of a minimum of one year of post-masters degree experience in the field of marriage and family therapy work (VA or non-VA experience) and licensure in a State at the independent practice level.