Utilization Review Jobs in Iowa

Full-timeDescriptionEssential Duties and ResponsibilitiesManages the parish/school internal review program ensuring that internal controls are reviewed at all parishes and schools of the diocese. Develops and implements risk assessment tools to determine priorities.Develop standards w More...

Join Wellmark as a Marketing Data Analyst to inform and measure marketing strategies and investments.Wellmark is seeking a Marketing Data Analyst to enhance how we measure and optimize marketing campaign investments and return. In this role youll help strengthen our marketing analytic More...

OverviewResponsible for the assessment planning implementation and evaluation of patient care in the outpatient setting for behavioral health home care. Responsible for case coordination of patients and insurance precertification/utilization review. Patients served include adult and g More...

OverviewPreauthorization SpecialistDubuque IAMondayFriday 8:00AM5:00PMFull Time BenefitsObtains insurance eligibility benefits authorizations precertifications and referrals for inpatient and outpatient scheduled and nonscheduled visits. Updates demographic and insurance information i More...

Director of Case Management SeniorLevel RoleJob DescriptionThe Director of Case Management is responsible for overseeing the hospital s case management program including care facilitation utilization management and discharge planning. This leadership role provides education supe More...

At Heartland Family Service we are committed to building a culture that is trauma informed and values and celebrates diversity and inclusion. We believe this allows for better service delivery and innovation as it encourages our employees to bring various experiences and uniqueness to More...

The Ankeny Community School District (CSD) is renowned for its excellence across academics athletics the arts and various activities. Situated in central Iowa just 6 miles from Des Moines Ankeny CSD caters to over 12800 students from preschool through 12th grade making it the 7th larg More...

At Heartland Family Service we are committed to building a culture that is trauma informed values and celebrates diversity and inclusion. We believe this allows for better service delivery and innovation as it encourages our employees to bring various experiences and uniqueness to the More...

OverviewThe Counselor is an important part of high quality behavioral health services provided to both inpatients and outpatients of UnityPoint Health. Services will be provided at St. Lukes Hospital and in the Chemical Dependency office. Foremost among the responsibilities listed bel More...

Use Your Strengths at Wellmark as a Utilization Management Nurse! *This position will require the following schedule: Your choice of any three days between MondayFriday with Saturday and Sunday required. Average schedule of 8:00 am 5:00 pm Central with some flexibility.*About th More...

Are you looking for a parttime job that you can sink your heart intoWould you like to work a flexible scheduleWould you like to earn up to $18 per hour 12 hours a weekAs a Program Coordinator you will be an integral member of our mission to improve the quality of life for individuals More...

About the Role: We are seeking a passionate and experienced Director of Case Management to lead our dynamic team in delivering highquality patientcentered care. This is a leadership opportunity for an RN professional who excels in strategic thinking team collaboration and improving pa More...

Iowa Department of Educations mission is ensuring all students experience a worldclass education. To accomplish our mission we need talented passionate people working together to build an excellent education system that empowers all students to achieve their full potential. We are loo More...

Youve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs youll be immersed in a culture of continuous improvement with the goal of changing health More...

Use Your Strengths at Wellmark as a Utilization Management Nurse! About the role: As a Utilization Management (UM) Nurse you will provide UM services transition of care and support to members and health care providers. You will utilize clinical knowledge and expertise to interpre More...

Residential Based SCL Program Coordinator Hills & Dales is a nonprofit organization committed to building meaningful lives for individuals with disabilities including those with complex behavioral needs. We are seeking a dedicated and compassionate leader to join our team in Dubuq More...

Program Coordinator HCBS Hills & Dales is a nonprofit organization committed to building meaningful lives for individuals with disabilities including those with complex behavioral needs. We are seeking a dedicated and compassionate leader to join our team in Dubuque IA. You would More...

We are looking for a fulltime Director of Utilization Management to join the SRC team!This position will be working in person located at our facility in Center Point Texas.For over 67 years Starlite Recovery Center has been providing adult clients in the heart of the Hill Country in C More...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:A proud member of the Elevance Health family of companies Carelon Behavioral Health formerly Beacon Health Options offers superior clinical mental health and substance use disorder management a comprehe More...

OverviewKey Rehab is looking for a Full TimeProgram coordinator to join our team of health professionals in providing excellent patient care in the New Aldaya area in a SNF setting.About Us:At Key Rehab were shaking up rehab services with a fresh standout approach. We offer a wide ran More...