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14 registered nurse opportunities jobs found in Des Moines

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Lensa
Full time
 
Utilization Management Clinical Nurse Consultant - Prior Authorization
Lensa Des Moines, IA, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Dec 30, 2025
Or
Senior Clinical Consultant
Oracle Des Moines, IA, USA
Job Description As a Senior Clinical Consultant, you will collaborate with customer stakeholders and leaders to build relationships and positively impact clinical performance, satisfaction, and outcomes during projects involving the Oracle Health Workforce and Workload Solution Suite, formerly known as Clairvia, in Acute and Outpatient care. Drawing on your clinical expertise, you will guide customers and internal teams, help design effective clinical workflows, and analyze current and future states to identify gaps and recommend strategies for change adoption to achieve workforce and workload goals. You will own the customer's value measurement plan, support the engagement management team in meeting deliverables and timelines, lead customer meetings to align clinical goals with technology, and foster relationships to drive business outcomes. This role focuses on Oracle Health Workforce and Workload solutions like scheduling, caregiver assignments, acuity-based outcomes, and...

Dec 21, 2025
Humana
Full time
 
Care Manager, Telephonic RN
Humana Des Moines, IA, USA
Become a part of our caring community and help us put health first The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropriate for the care and wellbeing of the member. Job Description Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the condition. The Care Manager uses a range of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. They identify and resolve barriers to effective care and continuously monitor progress through assessments and evaluations to ensure members achieve their desired health outcomes. Role...

Dec 21, 2025
Humana
Prior Authorization RN
Humana Des Moines, IA, USA
Become a part of our caring community and help us put health first Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria if applicable, to promote cost-effective delivery of health care services. Share your talents and develop your skills all while doing your part to improve the lives of others. Essential Duties and Responsibilities: Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient procedures pursuant to applicable Medicare and Medicaid criteria, iCare guidelines, and PA Department policies and procedures. Review PA requests for inpatient medical stays, skilled nursing facility stays, long term acute hospital stays, inpatient...

Dec 21, 2025
Humana
Care Manager, Telephonic Nurse
Humana Des Moines, IA, USA
Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their...

Dec 21, 2025
Wellmark Blue Cross and Blue Shield
Full time
 
Health Services Quality Coach (Remote Eligible / RN Required)
Wellmark Blue Cross and Blue Shield Des Moines, IA, USA
Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here. Job Description Use your strengths as a Health Services Quality Coach for Wellmark’s Federal Employee Program (FEP): About the role: As an integral partner in upholding Wellmark’s compliance and consistency within utilization management and case management processes, you will be responsible for auditing the work of both clinical and non-clinical team members in support of Wellmark’s business portfolio, including FEP. Your...

Dec 18, 2025
Wellmark Blue Cross and Blue Shield
Full time
 
Health Services Quality Coach (Remote Eligible)
Wellmark Blue Cross and Blue Shield Des Moines, IA, USA
Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here. Job Description Use your strengths as a Health Services Quality Coach for Wellmark’s Federal Employee Program (FEP): About the role: As an integral partner in upholding Wellmark’s compliance and consistency within utilization management and case management processes, you will be responsible for auditing the work of both clinical and non-clinical team members in support of Wellmark’s business portfolio, including FEP. Your...

Dec 14, 2025
Wellmark Blue Cross and Blue Shield
Full time
 
Health Services Quality Coach (Remote Eligible)
Wellmark Blue Cross and Blue Shield Des Moines, IA, USA
Company Description Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here. Job Description Use your strengths as a Health Services Quality Coach for Wellmark’s Federal Employee Program (FEP): About the role: As an integral partner in upholding Wellmark’s compliance and consistency within utilization management and case management processes, you will be responsible for auditing the work of both clinical and non-clinical team members in support of Wellmark’s business portfolio,...

Dec 14, 2025
EH
Clinical Reviewer, Nurse
Evolent Health Des Moines, IA, USA
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Job Description As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients'...

Dec 13, 2025
Professional Case Management
Part time
 
Travel RN
Professional Case Management Des Moines, IA, USA
Travel RN Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurse Travels in Iowa Additional Job Description Apply Now and Receive up to $6k in Travel Bonuses! (state specific) Start Your New Adventure Today - Come Travel With PCM! Professional Case Management (PCM), the leader in home healthcare, is now hiring RN Travel Nurses to provide in-home healthcare services to help those who have served our country! Benefit from one-on-one patient relationships and from the satisfaction of enhancing clients' health, quality of life, and peace of mind. Travel Locations: PCM has clients all across the country. Our Staffing team assigns our Travel Nurses to wherever the next highest client need is (within states in which the nurse is eligible to work). However, we are currently focusing on sending travelers to New Mexico, Colorado, Washington, and Nevada . Nurses are not able to choose their location. Benefits of Traveling with PCM: Full-time...

Dec 12, 2025
PT
Part time
 
Registered Nurse Clinical Research
PCM TRIALS Quality Mobile Research Des Moines, IA, USA
Registered Nurse Clinical Research Make a Difference on Your Own Schedule and Terms! The Certified Mobile Research Nurse is a Registered Nursing per diem/PRN position for EmVenio. An EmVenio CMRN is responsible for setting appointments within the required visitation window to complete mobile visits for study participants. You'll work cooperatively with Clinical Project Managers, Coordinators, and site personnel to complete visits and submit accurate source documentation. We are looking for CMRNs to visit an Adult population who can perform the following skills during a mobile visit: Phlebotomy PRN visits must be completed between Mon-Wed during standard business hours Must be willing to travel to Waukee Required Qualifications Minimum of two (2) years of experience as a Registered Nurse (RN) Two (2) years' experience in starting and performing Phlebotomy/Peripheral Blood Draw, IVs, and Subcutaneous Injections (date of last practice within 6...

Dec 12, 2025
PT
Special Investigations Unit (SIU) Investigator - Remote
Prime Therapeutics Des Moines, IA, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Special Investigations Unit (SIU) Investigator - Remote Job Description The Special Investigations Unit (SIU) Investigator is responsible for conducting standard investigations of potential pharmacy, member, and/or prescriber fraud, waste and abuse (FWA). This position conducts claims data mining, fraud analysis and auditing/monitoring activities and proactively identifies improvement opportunities in investigation procedures and FWA prevention efforts ensure proper identification of potential FWA. The SIU Investigator prepares investigative reports for leadership, remediation actions, recovery efforts, internal committees and/or referral to state and federal law enforcement agencies. Responsibilities Develop...

Dec 09, 2025
ID
Medical Policy Program Manager
Iowa Department of Administrative Services Des Moines, IA, USA
Medical Policy Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5158079) Apply ? Medical Policy Program Manager Salary $62,337.60 - $96,699.20 Annually Location Des Moines - 50316 - Polk County, IA Job Type Full-time Job Number 26-01447 Agency 400 Health & Human Services - Medicaid Opening Date 12/02/2025 Closing Date 12/14/2025 11:59 PM Central LinkedIn Tag #LI-POST Point of Contact Jenny Erdman - jenny.erdman@hhs.iowa.gov Description Benefits Questions Job Description Only applicants who meet the Minimum Qualification Requirements and meet all selective requirements (listed below) will be placed on the eligible list. The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Quality Innovation and Medical Policy is seeking aMedicaid Pediatric and Early Prevention, Screening, Diagnosis and Treatment Policy Specialist (EPSDT)to join our team! Job...

Dec 06, 2025
ID
Adult Protective Worker
Iowa Department of Administrative Services Des Moines, IA, USA
Adult Protective Worker Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5157643) Apply ? Adult Protective Worker Salary $53,289.60 - $80,371.20 Annually Location State of Iowa - See Job Description, IA Job Type Full-time Job Number 26-01197 Agency 400 Health & Human Services-Aging & Disability Opening Date 12/02/2025 Closing Date 12/14/2025 11:59 PM Central LinkedIn Tag #LI-POST Point of Contact Anthony Toolin - Anthony.Toolin@hhs.iowa.gov Description Benefits Questions Job Description The Iowa Department of Health and Human Services (HHS), Division of Aging and Disability Services, Bureau of Preventative & Protective Services is seeking an Adult Protective Worker to join our team! This Adult Protective Worker will conduct assessments of allegations of abuse or neglect of dependent adults in the Calhoun, Pocahantas, Humbolt, Wright, Hamilton, Hardin, counties. This may change due to caseloads...

Dec 06, 2025
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