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Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team.

Guidehealth

RN Case Manager - Behavioral Health (Remote)

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Supports the work of quality and safety related to the quality assurance and performance improvement plan, local/region/system strategies, regulatory and accrediting body requirements (i.e., Centers for Medicare and Medicaid Services (CMS), Department of Inspections, Appeals, and Licensure (DIAL), The Joint Commission (TJC),etc.), in conjunction with the hospital's leaders, colleagues and providers. The specialist, under the direction of the Regional Manager, assists in achieving excellence in quality and safety work related to patient outcomes (process and outcome measures), performance improvement strategies and methodologies, culture of safety (TogetherSafe) initiatives, and patient safety organization (PSO) collaboration with risk management that ensures high quality and safe care.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, the Trinity Health system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. In fiscal year 2023, the Livonia, Michigan-based health system invested $1.5 billion in its communities in the form of charity care and other community benefit programs.

Trinity Health

Clinical Integration Specialist

Ensure copies/originals (as required) site documents are available for filing in the Trial Master File (TMF) and verify that the Investigator's Site File (ISF) is maintained in accordance with GCP and local regulatory requirements. Create and maintain appropriate documentation regarding site management, monitoring visit findings and action plans by submitting regular visit reports, generating follow-up letters and other required study documentation.

YEAR

IQVIA Holdings Inc

Clinical Research Associate, Sponsor Dedicated

Manage multiple concurrent trials - screening, recruiting, and enrollment, perform patient/research participant scheduling, coordinate protocol-related research procedures, study visits, and follow-up, collect patient/ research participant history, collect, and maintain source documentation, perform data entry and query resolution, prepare IRB submissions, update required modifications, continuing reviews, and reportable events. Perform clinical functions i.e. phlebotomy, monitoring vital signs of study participants, etc., when warranted; educate family and contribute to the care and evaluation of subjects, including determining preliminary inclusion/ exclusion criteria.

The Iowa Clinic PC

* Clinical Research Nurse (CRN) - Innovo Research in partnership with The Iowa Clinic

Trinity Health Corporation

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Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment . Provides additional back-up support to EP Sales Representatives in the following areas: Sales support; Regional training seminars; Clinical studies/data collection; Trouble Shooting; and, New product in-service training to physicians, nurses and sales representatives.

At Abbott, we are enthusiastic, energetic and committed to doing great work every day. Our employees are passionate about helping to translate science into lasting contributions to health care and the health of people worldwide. At the heart of our organization is our "Promise for Life"&mdash;a statement that embodies our company's commitment to employees, shareholders, local communities and the people who depend on our company and products to live healthier lives.
 
Vital to our promise is the speed in which we act, respond and deliver. As Abbott employees, we are ready to meet change and challenges head-on. As a result, we are a company that adapts quickly, and through our passion for innovation we are able to continually create a pipeline of products that help improve the length and quality of life around the world.
 
We are proud of our rich, more than 120-year history. We continue to be driven to advance leading-edge science and technologies, support diversity, focus on exceptional performance and earn the trust of those we serve.

Abbott

Clinical Specialist II

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Use AI-native development techniques throughout the lifecycle, including code generation, testing, debugging, modernization, documentation, analysis, and operations, and design engineering workflows in which agents can safely perform bounded development and operational tasks. Build agentic systems with tools, memory, context, planning, human intervention, and policy-controlled execution, together with the evaluation frameworks, AI observability, and production safeguards that keep probabilistic components trustworthy inside deterministic enterprise systems.

Accenture Plc

AI Native Software Engineer Manager/Sr. Manager

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. The Clinical Investigator will conduct in-depth analysis, peer analysis trend analysis and statistical analysis to identify providers whose utilization patterns are outside of the expected norm from their peers in their assigned markets.

Sun Life

Iowa Clinical Investigator Consultant - Must Reside in Iowa

Graduate of an accredited school of nursing; Master's degree in Nursing (MSN) with a focus in Clinical Nurse Specialist (CNS), Clinical Leader, Nursing Management, or Nursing Education. Ensures projects affirm scientific merit, protect human subjects, and align with strategic goals, key performance indicators, patient experience, and sustainability objectives.

UnityPoint Health

RN Clinical Practice Leader

FULL_TIME

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Technical Skills: Knowledge of TRICARE policies and procedures, Case Management, Utilization Management, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community resources, alternative funding programs, medical management systems, and protected health information; proficiency with the use of medical necessity criteria to evaluate care requests; working knowledge of medical coding. Problem Solving / Analysis: Thorough knowledge of health care delivery, UM, CM, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations.

TriWest Healthcare Alliance

Manager, CM Special Programs

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Coordinates patient care to better utilize supportive services through patient visit and possible admission, pre-schedules testing, follows up with test results to both patient and physician, obtains medical history, coordinates follow up visit appointment, provides medication, rehab teaching, etc. Independently coordinates and facilitates patient care between multiple disciplines within both the confines of UI Health Care and the local communities (including home health agencies, referring physicians and other community support services).

University of Iowa

Clinical Coordinator - Prep and Recovery - North Liberty Hospital

It means always putting patients first, making a positive impact in the community where we live and work, staying curious and open to new ideas, delivering top-quality care, and doing the right thing—even when it’s hard. You will work with physicians, discharge planners, and patients' families to plan the best continuum of care after an ICU or post-surgical stay by utilizing your strong clinical background, payer knowledge, and problem-solving skills.

Select Specialty Hospital - Des Moines

Clinical Liaison

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He/she provides expertise on drug therapy initiation and monitoring to all customer groups served by MercyOne North Iowa Medical Center, working collaboratively with other health care professionals to devise the most appropriate drug treatment for patients. Provides information to medical staff, nurses, or other health care personnel concerning all aspects of clinical pharmaceutical information pertaining to the patient's care and well-being, keeping in mind the confidential nature of all such information and communication.

Clinical Pharmacist - Part Time

Cross-functional Leadership: Explain AI capabilities, risks and timelines in plain language to product, operations, clinical and executive stakeholders, including when the honest answer is "the AI isn't ready for this yet.". Build & Lead the Team: Hire, onboard and develop a team of Applied AI Engineers across Senior, Staff and Senior Staff levels, and grow it from a single pod into multiple teams as the work expands.

OpenLoop Health

Senior Engineering Manager, AI Platform

Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states. Direct experience with medical weight loss or closely adjacent care models with the ability to quickly build deep fluency in GLP-1 therapies, clinical eligibility criteria, formulary dynamics, and the regulatory landscape.

Lead Programs Manager, Medical Weight Loss

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp

Case Manager II

Operationally and clinically fluent: Understand the operational and clinical processes a system serves (not just its technical components) and can translate a requirement or clinical protocol into patient workflows that reflect how the care actually happens. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

Senior Implementation Manager

Implementation Manager

If you need assistance to navigate Telligen’s careers website or to apply for a position, please send an email to [email protected] We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Experience with reviewing medical codes for coverage determination including establishment of medical policy and demonstrated knowledge of how utilization management and medical policy work together to support evidence-based coverage determinations, and code update implementations including ICD-10 and CMS.

Our Mission: We improve the quality and cost-effectiveness of healthcare for consumers and providers.
 
 Do you deliver healthcare? Or pay for healthcare? No matter your role, Telligen can help you improve quality and lower costs by combining our deep clinical and technical expertise to solve your healthcare challenges. We are passionate about turning raw data into knowledge and knowledge into action, It's what we call "Healthcare Intelligence."
 
 We help you by identifying where and how to drive improvements in members' health. In providers' processes. In how data is leveraged. In how performance is compensated. In how waste is eliminated. And in how resources can be used more efficiently. We have implemented population health management through provider and member engagement and have proven results.
 
 In other words, we help ensure the right care is delivered, in the right setting at the right cost, every time.

Telligen

RN Manager of Health Management

As the Healthcare Consulting Manager on the Mid Revenue Cycle team with a focus on Service Capture, you will: Guide clients in the design, implementation, and optimization of service capture strategies that drive compliance, revenue recovery, and sustainable operational improvements. Oversee the development, review, and quality assurance of all client deliverables, including executive presentations, analytical work products, financial opportunity assessments, and implementation materials to ensure accuracy, consistency, and executive-level quality.

Clinical Data Manager Jobs in Iowa

RN Case Manager - Behavioral Health (Remote) Guidehealth

Clinical Integration Specialist Trinity Health

Clinical Research Associate, Sponsor Dedicated IQVIA Holdings Inc

* Clinical Research Nurse (CRN) - Innovo Research in partnership with The Iowa Clinic The Iowa Clinic PC

Clinical Integration Specialist Trinity Health Corporation

Clinical Specialist II Abbott

AI Native Software Engineer Manager/Sr. Manager Accenture Plc

Iowa Clinical Investigator Consultant - Must Reside in Iowa Sun Life

RN Clinical Practice Leader UnityPoint Health

Manager, CM Special Programs TriWest Healthcare Alliance

Clinical Coordinator - Prep and Recovery - North Liberty Hospital University of Iowa

Clinical Liaison Select Specialty Hospital - Des Moines

Clinical Pharmacist - Part Time Trinity Health

Senior Engineering Manager, AI Platform OpenLoop Health

Lead Programs Manager, Medical Weight Loss OpenLoop Health

Case Manager II Encompass Health Corp

Senior Implementation Manager OpenLoop Health

Implementation Manager OpenLoop Health

RN Manager of Health Management Telligen

Healthcare Consulting Manager - Mid Revenue Cycle Huron Consulting Group Inc

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