Clinical Care Reviewer
Des Moines, IA · On-site
Refers all cases failing to meet interqual medical necessity criteria to Medical Director for ... Performs other related duties and projects as assigned. Adheres to ACFC policies and procedures.
Des Moines, IA · On-site
Refers all cases failing to meet interqual medical necessity criteria to Medical Director for ... Performs other related duties and projects as assigned. Adheres to ACFC policies and procedures.
Des Moines, IA · On-site
Refers all cases failing to meet interqual medical necessity criteria to Medical Director for ... Performs other related duties and projects as assigned. Adheres to ACFC policies and procedures.
... project delivery. * Engage clinical, administrative, operational, and research stakeholders to ... Develop and direct teams of advanced analysts supporting clinical and operational decision-making ...
... project delivery. * Engage clinical, administrative, operational, and research stakeholders to ... Develop and direct teams of advanced analysts supporting clinical and operational decision-making ...
... project delivery. * Engage clinical, administrative, operational, and research stakeholders to ... Develop and direct teams of advanced analysts supporting clinical and operational decision-making ...
... project delivery. * Engage clinical, administrative, operational, and research stakeholders to ... Develop and direct teams of advanced analysts supporting clinical and operational decision-making ...
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
Iowa City, IA · On-site
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
Iowa City, IA · On-site
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
Iowa City, IA · On-site
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
Iowa City, IA · On-site
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
... clinical operations. The incumbent may independently lead one or multiple medium to large-sized ... Ability to direct project scope, planning, and tracking while meeting timeline and budget goals.
Works closely with the Neonatology Division Director and the Neonatology Research Director to ... Oversees the operation of all neonatal clinical research projects in the Division of Neonatology at ...
Works closely with the Neonatology Division Director and the Neonatology Research Director to ... Oversees the operation of all neonatal clinical research projects in the Division of Neonatology at ...
Washington, IA · On-site
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
Quick apply
Washington, IA · On-site
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
Washington, IA · On-site
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
Washington, IA · On-site
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
Washington, IA · On-site
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
Washington, IA · On-site
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
... direct patient care! Primary schedule: Monday - Friday between 8:00am and 4:30pm, working ... Complete all other assigned project and duties. Knowledge, Skills and Abilities: Education: High ...
New
Quick apply
... direct patient care! Primary schedule: Monday - Friday between 8:00am and 4:30pm, working ... Complete all other assigned project and duties. Knowledge, Skills and Abilities: Education: High ...
New
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
Position Summary The Director of Health Services serves in a critical leadership role within ... and clinical quality. Provides reports (written and oral) to the leadership team and/or project ...
... direct patient care! Primary schedule: Monday - Friday between 8:00am and 4:30pm, working ... Complete all other assigned project and duties. Knowledge, Skills and Abilities: Education: High ...
New
... direct patient care! Primary schedule: Monday - Friday between 8:00am and 4:30pm, working ... Complete all other assigned project and duties. Knowledge, Skills and Abilities: Education: High ...
New
... direct patient care! Primary schedule: Monday - Friday between 8:00am and 4:30pm, working ... Complete all other assigned project and duties. Knowledge, Skills and Abilities: Education: High ...
... direct patient care! Primary schedule: Monday - Friday between 8:00am and 4:30pm, working ... Complete all other assigned project and duties. Knowledge, Skills and Abilities: Education: High ...
Works closely with the Neonatology Division Director and the Neonatology Research Director to ... Oversees the operation of all neonatal clinical research projects in the Division of Neonatology at ...
Works closely with the Neonatology Division Director and the Neonatology Research Director to ... Oversees the operation of all neonatal clinical research projects in the Division of Neonatology at ...
Works closely with the Neonatology Division Director and the Neonatology Research Director to ... Oversees the operation of all neonatal clinical research projects in the Division of Neonatology at ...
Works closely with the Neonatology Division Director and the Neonatology Research Director to ... Oversees the operation of all neonatal clinical research projects in the Division of Neonatology at ...
The Clinical Education Affiliates Coordinator is responsible for supporting the Director of ... reports, etc.), correspondence, project work, and data collection and analysis.Provide ...
Quick apply
The Clinical Education Affiliates Coordinator is responsible for supporting the Director of ... reports, etc.), correspondence, project work, and data collection and analysis.Provide ...
Ottumwa, IA · On-site
$110K - $150K/yr
This role is responsible for driving clinical excellence, ensuring regulatory compliance, and ... Strong organizational and project management skills * Ability to manage multiple priorities and ...
Ottumwa, IA · On-site
$110K - $150K/yr
This role is responsible for driving clinical excellence, ensuring regulatory compliance, and ... Strong organizational and project management skills * Ability to manage multiple priorities and ...
$41.3K - $54.4K
7% of jobs
$54.4K - $67.5K
15% of jobs
$69K is the 25th percentile. Wages below this are outliers.
$67.5K - $80.6K
23% of jobs
The median wage is $84.7K / yr.
$80.6K - $93.8K
14% of jobs
$93.8K - $106.9K
7% of jobs
$106.9K - $120K
5% of jobs
$126.5K is the 75th percentile. Wages above this are outliers.
$120K - $133.1K
5% of jobs
$133.1K - $146.2K
5% of jobs
$146.2K - $159.3K
6% of jobs
$159.3K - $172.4K
5% of jobs
$172.4K - $185.5K
5% of jobs
$41.3K
$102.9K
$185.5K
| Aspect | Clinical Project Director | Clinical Project Manager |
|---|---|---|
| Responsibilities | Oversees multiple projects, strategic planning, high-level decision making | Manages individual projects, coordinates teams, ensures project milestones |
| Required Credentials | Typically requires a clinical research degree, extensive experience, and certifications like PMP | Requires a relevant degree, experience in clinical trials, and often PMP or similar certifications |
| Work Environment | Senior leadership in pharmaceutical or biotech companies, CROs | Project teams within clinical research organizations or pharmaceutical companies |
The Clinical Project Director focuses on strategic oversight and managing multiple projects at a higher level, while the Clinical Project Manager handles day-to-day project execution and team coordination. Both roles require relevant clinical research experience and certifications, but the Director role involves broader responsibilities and strategic planning.
The most popular types of Clinical Project jobs in Iowa are:

Health Care Client
Greetings from Fabergent,
Kindly let me know if you are currently available in the job market
Feel free to browse across through an opening below which matches your profile
Please respond with your updated profile if interested
Clinical Care Reviewer
Interview type: Phone +face 2 face
Location: Des Moines, IA
Duration: 3 months
Required Skills:
3 to 5 years or more experience in a related clinical setting
Active Iowa RN license or LPN
UM Experience / Waiver Knowledge (Home and community based)
Position Qualifications/Requirements:
Education and Training: Associates RN degree required, Bachelor's degree preferred.
Experience:
Two years of experience in managed care quality assurance or utilization review.
RN must have two years of experience in an acute care hospital.
Position Summary:
Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services. Applying criteria to inpatient admissions and performing concurrent review functions, identifying discharge planning needs and referral of members to case management.
Principal Accountabilities:
Evaluates clinical information submitted by providers against plan review criteria and benefit guidelines.
Utilizes clinical information to determine if criteria for medical necessity and benefit guidelines are met.
Utilizes professional judgment to determine if additional information is required, then follows through to obtain additional information prior to making a decision.
Documents all pertinent case information and dispositions for approvals and denials. Refers all cases failing to meet interqual medical necessity criteria to Medical Director for review and final determination.
Communicates with providers to initiate/coordinate outpatient services/discharge planning needs for members.
Acts as a liaison to assure services are provided in the least restrictive, most cost effective and clinically appropriate setting.
Works with the Utilization Management Manager, the Medical Director and providers to ensure that complete medical information is available to allow utilization management decisions to be made within
The Plan's standards for decision making.
Identifies potential members who may benefit from case management services and facilitates referral to the program.
Identifies and resolves any problems that could interfere with provider's continuity and coordination of care of members and refers unresolved problems to Manager.
Creates and maintains monthly reports on inpatient activities.
Performs other related duties and projects as assigned.
Adheres to ACFC policies and procedures.
Supports and carries out our Mission & Values.
*
Best Regards,
Tissa George
Mobile: 770-702-0597
FABERGENT INC
MUST have Bachelors or Assosciates degree in Nursing or any other related filed.
Also must have Active Iowa RN license or LPN
All your information will be kept confidential according to EEO guidelines.
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Recruiting and staffing services
51 - 200 Employees
Mahwah, NJ, US
2005