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Social Worker II - Social Services - Mercy Medical Center','Full-time','Professional Clinical/Allied Health','Days','Days','80','80','None','None','IOWA-DES MOINES-MERCY MEDICAL CENTER','','!*!GENERAL SUMMARY: Applies advanced psychosocial theory and methods to individuals of all ages as well as couples, ..
Social Worker II- Social Services PRN (Weekends)','Part-time','Professional Clinical/Allied Health','Weekend Days','Weekend Days','0','0','Every','Every','IOWA-DES MOINES-MERCY MEDICAL CENTER','','!*!GENERAL SUMMARY: Applies advanced psychosocial theory and methods to individuals of all ages as well as couples, families ..
HR Business Partner - Human Resources','Full-time','Professional Non-Clinical','Days','Days','80','80','None','None','IOWA-DES MOINES-MERCY MEDICAL CENTER','','!*!GENERAL SUMMARY: Functions as a fully integrated member of service line business operation by providing comprehensive human resource consultation and support services ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana UM Medical Director - Conviva in Davenport Iowa Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Social Worker I - Social Services','Full-time','Professional Clinical/Allied Health','Days','Days','80','80','Occasional','Occasional','IOWA-DES MOINES-MERCY MEDICAL CENTER','','!*!GENERAL SUMMARY: Responsible for the provision of basic evaluative, preventive, therapeutic, restorative and personal care services to assist in meeting the ..
Job Information Kindred at Home Intake Specialist - LPN in Cedar Rapids Iowa As an LPN Intake Specialist , you will: Receive and respond to incoming calls from referral sources or ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Davenport Iowa Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
