RN Case Manager
Asbury, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Asbury, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Des Moines, IA · Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Des Moines, IA · Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Quick apply
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Des Moines, IA · On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Des Moines, IA · On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Dubuque, IA · On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Dubuque, IA · On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Insurance Verifier
Cedar Rapids, IA · On-site
Notify and inform Utilization Review staff of authorization information to insure timely concurrent review * Validates or update insurance codes and priority for billing accuracy. * Works with ...
Insurance Verifier
Cedar Rapids, IA · On-site
Notify and inform Utilization Review staff of authorization information to insure timely concurrent review * Validates or update insurance codes and priority for billing accuracy. * Works with ...
UR Coordinator
Clive, IA · On-site
... insurance offering, a physician network and various related services located all over the U.S ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.
UR Coordinator
Clive, IA · On-site
... insurance offering, a physician network and various related services located all over the U.S ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.
Bilingual RN Case Manager
Des Moines, IA · On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Des Moines, IA · On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Des Moines, IA · Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Quick apply
Bilingual RN Case Manager
Des Moines, IA · Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Dubuque, IA · On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Quick apply
Bilingual RN Case Manager
Dubuque, IA · On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
UR Coordinator
Clive, IA · On-site
... insurance offering, a physician network and various related services located all over the U.S ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.
UR Coordinator
Clive, IA · On-site
... insurance offering, a physician network and various related services located all over the U.S ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.
Bilingual RN Case Manager
Asbury, IA · On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Bilingual RN Case Manager
Asbury, IA · On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Certified Coder & Auditing (NEVADA-BASED ONLY - MUST RESIDE)
Nevada, IA · On-site
$21.25 - $29/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Employees receive basic life insurance, short‑term disability, and long‑term disability ...
Certified Coder & Auditing (NEVADA-BASED ONLY - MUST RESIDE)
Nevada, IA · On-site
$21.25 - $29/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Employees receive basic life insurance, short‑term disability, and long‑term disability ...
Certified Coder & Auditing (NEVADA-BASED ONLY - MUST RESIDE)
Nevada, IA · On-site
$21.25 - $29/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We ...
Certified Coder & Auditing (NEVADA-BASED ONLY - MUST RESIDE)
Nevada, IA · On-site
$21.25 - $29/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We ...
Physician Medical Director - Competitive Salary
Des Moines, IA · On-site
$50K/yr
Facilitate effective communication among physicians, case management, utilization review, and care teams* Establish and maintain peer-to-peer review protocols with insurance providers* Opportunity to ...
Physician Medical Director - Competitive Salary
Des Moines, IA · On-site
$50K/yr
Facilitate effective communication among physicians, case management, utilization review, and care teams* Establish and maintain peer-to-peer review protocols with insurance providers* Opportunity to ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Dubuque, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Des Moines, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
RN Case Manager
Des Moines, IA · On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...
Weekday Insurance Utilization Review information
What is the difference between Weekday Insurance Utilization Review vs Weekday Claims Processor?
| Aspect | Weekday Insurance Utilization Review | Weekday Claims Processor |
|---|---|---|
| Primary Role | Assessing medical necessity and appropriateness of services | Processing and reviewing insurance claims for payment |
| Credentials | Often requires healthcare or insurance certifications | Typically requires insurance or administrative experience |
| Work Environment | Healthcare settings, insurance companies | Insurance companies, healthcare offices |
| Focus | Medical review and authorization | Claims data entry and verification |
Weekday Insurance Utilization Review focuses on evaluating medical necessity, while Weekday Claims Processors handle the administrative processing of insurance claims. Both roles are essential in the insurance industry but serve different functions related to claims management and healthcare authorization.
What are popular job titles related to Weekday Insurance Utilization Review jobs in Iowa?
For Weekday Insurance Utilization Review jobs in Iowa, the most frequently searched job titles are:
- Remote Utilization Management Nurse
- Home Based Utilization Review Nurse
- Part Time Utilization Review Nurse
- Freelance Utilization Review Nurse
- Behavioral Health Utilization Review
- Utilization Management Coordinator
- Therapist Utilization Review Remote
- Remote Utilization Review Rn
- Evening Optum Health Utilization Review
- Remote Behavioral Health Utilization Review
What job categories do people searching Weekday Insurance Utilization Review jobs in Iowa look for?
The top searched job categories for Weekday Insurance Utilization Review jobs in Iowa are:
What cities in Iowa are hiring for Weekday Insurance Utilization Review jobs?
Cities in Iowa with the most Weekday Insurance Utilization Review job openings:
RN Case Manager
Asbury, IA • On-site
HealthCheck360
• Fitness and Sports Centers • 201 - 500 employees201 - 500 employees
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 7 days ago
Job description
RN Case Manager
Dubuque, Iowa, United States
RN Case Manager
Location: Onsite in Dubuque, IA.
We are seeking a compassionate and detail-oriented RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.
Key Responsibilities:
- Provide telephonic case management and utilization review for assigned consumers.
- Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
- Collaborate with healthcare providers, payors, and internal teams to coordinate care.
- Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.
- Track and report case outcomes, including cost savings and quality improvements.
Qualifications:
- Education: RN licensure in the State of Iowa required. BSN or higher preferred.
- Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.
- Skills: Strong communication, problem-solving, and computer skills. Ability to work independently.
Full-Time Benefits - Most benefits start day 1
- Medical, Dental, Vision Insurance
- Flex Spending or HSA
- 401(k) with company match
- Profit-Sharing/Defined Contribution (1-year waiting period)
- PTO/Paid Holidays
- Company-paid ST and LT Disability
- Maternity Leave/Parental Leave
- Subsidized Parking
- Company-paid Term Life/Accidental Death Insurance
About HealthCheck360
HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.
About HealthCheck360
Sourced by ZipRecruiter
Industry
Fitness and sports centers
Company size
201 - 500 Employees
Headquarters location
Dubuque, IA, US
Year founded
2007