Senior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantIARemote$78,400–$107,800 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligibleDes Moines, IARemote$95,000–$135,000 / yearLocation: Any state with an Eide Bailly office Work Arrangement: In-office, hybrid, or remote with the ability to come into an Eide Bailly office as needed Typical Day in the Life In this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety of healthcare facilities, while also supporting other reimbursement initiatives as needed. A typical day as a Healthcare Reimbursement Manager might include the following: Overseeing cost report preparation and reimbursement engagements to ensure objectives are met, including supporting staff development, addressing client needs, and maintaining engagement profitability.
HYBRID\REMOTE | Holter Tech Scanner | Iowa Heart Trinity HealthHYBRID\REMOTE | Holter Tech Scanner | Iowa HeartIowaRemoteParticipates in professional development activities and maintains professional affiliations Operates required vehicle(s) in a safe manner to perform required duties of the position Travels to other MercyOne Iowa Heart Center offices or MercyOne campuses as needed Performs other work related duties as required. Documents symptoms, records monitor strips, & routes reports to the appropriate doctor for interpretation Transports, ambulates, and transfers patients as needed Accurately and completely documents in EHR and billing system in a timely manner.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseIARemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
After Hours Hospice Triage Registered Nurse Graham Healthcare GroupAfter Hours Hospice Triage Registered NurseIowaRemoteCoordinate/direct after-hours care for the assigned home care and hospice regions, including coordination of referrals; contacting patients/interdisciplinary team members as needed or directed; staffing; and scheduling of after-hours visits, DME /IV, supplies, etc. Triage after-hours calls with the goal of problem resolution, patient satisfaction, patient safety, symptom management, positive patient outcomes, and reduction of preventable ER/hospital admissions; initiate communication with attending physicians, other team members, and agencies when needed .
UM BH Registered Nurse Humana IncUM BH Registered NurseIARemoteYou will utilize training and engage formerly acquired skillsets to complete medical necessity reviews for behavioral health requested services using clinical judgment and provides referrals to internal stakeholders for further review depending on case findings. The DOW SkillBridge Internship Program provides transitioning military service members time to gain civilian work experience while still on active duty with an employer for a period approved by their command and the DOW, with an average timeline of 90 days.
Nurse Practitioner-Remote Weekend On-Call American Health Companies IncNurse Practitioner-Remote Weekend On-CallDes Moines, IARemoteTruHealth is seeking an advanced practice provider, either a nurse practitioner (NP) or physician assistant (PA) with experience in primary care or internal medicine, preferably with geriatrics focus. If you are an advanced practice registered nurse (APRN or NP) or physician assistant (PA) who enjoys working with the aging population, consider joining the TruHealth team.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorDes Moines, IowaRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Des Moines, IARemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationDes Moines, IARemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Utilization Management Nurse Consultant (Weekend) CVS Health CorpUtilization Management Nurse Consultant (Weekend)IARemote$29.10–$62.32 / hourEducation: Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience. Position Summary: Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
Behavioral Health Consultant Principal Financial Group IncBehavioral Health ConsultantDes Moines, IARemote$69,300–$126,000 / yearWichita, KS: $69,300 - $94,500 / year Des Moines, IA: $73,150 - $99,750 / year Charlotte, NC: $77,000 - $105,000 / year Chicago/Minneapolis: $84,700 - $115,500 / year Los Angeles/New York City: $92,400 - $126,000 / year Time Off Program Flexible Time Off (FTO) is provided to salaried (exempt) employees and provides the opportunity to take time away from the office with pay for vacation, personal or short-term illness. Must hold an active RN license in good standing and have 2+ years of relevant professional experience Master's level degree or equivalent: Required LMHC (licensed mental health counselor) or LISW (Licensed Independent Social Worker) in good standing.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorDes Moines, IARemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerDes Moines, IARemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.