Utilization Review Jobs in Iowa
1 - 9 of 9
Search Results - Utilization Review Jobs in Iowa
Humana Inc-Des Moines
and Physicians with Inpatient or Utilization Review Experience
Role Overview
• Provide expert clinical review of inpatient medical records and determine medical necessity based on national guidelines, CMS requirements, Humana policies, and clinical standards...
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Confidential Recruiting Partners-Ottumwa (IA)
throughput, and patient experience.
• Provide strategic and operational leadership for case management, utilization review, and discharge planning.
• Monitor patient flow, care coordination, and resource utilization to support timely, safe transitions of care...
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Humana Inc-Des Moines
A leading healthcare organization is seeking a Medical Director to provide clinical review of inpatient records and support medical necessity determinations. This role demands proactive collaboration with physicians, ensuring care aligns...
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BlackStar-Ottumwa (IA)
Director (RN) to join our healthcare leadership team in Ottumwa, Iowa. In this pivotal role, you will oversee and advance our case management, utilization review, and discharge planning programs, ensuring top-quality care, regulatory compliance...
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Confidential Careers-Cedar Rapids
management
• Demonstrated leadership experience managing case management or utilization review teams
• Strong knowledge of utilization management, discharge planning, and care coordination processes
• Experience with InterQual, MCG, or similar utilization...
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Dubuque
Oak View Group’s compliance with all provisions of the management contract as it pertains to the Conference Center.
• Aggressively works in coordination with the CVB in promoting the use of the facility to maximize its utilization.
• Reviews all lease...
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icims.com -
Confidential Careers-Des Moines
management
• Demonstrated leadership experience managing case management or utilization review teams
• Strong knowledge of utilization management, discharge planning, and care coordination processes
• Experience with InterQual, MCG, or similar utilization...
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Confidential Careers-Davenport
management
• Demonstrated leadership experience managing case management or utilization review teams
• Strong knowledge of utilization management, discharge planning, and care coordination processes
• Experience with InterQual, MCG, or similar utilization...
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Molina Healthcare-Des Moines
and externally.
• Responsible for investigation of adverse incidents and quality of care concerns.
• Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications...
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