Clinical Care Reviewer UM
- Location
- Des Moines, IA · On-site
- Job type
- Full-time
- Level
- Senior
- Experience
- 3+ years
- Listed
- 31 days ago
Skills & highlights for this role
- RN license
- utilization review
- clinical care review
- home and community based waiver knowledge
About the role
Job-Related Experience and Skills
- 3 or more years’ experience in a related clinical setting.
- Registered Nurse graduated from an accredited program.
- Current unrestricted Iowa Registered Nurse license
- Valid Driver’s License and reliable automobile transportation for on-site assignments and off-site work related activities.
Competencies
- Excellent oral and written communication skills.
- Ability to identify problems and recommend solutions.
- Self-directed/Ability to work independently.
- Excellent decision making skills.
- Excellent time management skills, prioritizing work and meeting timelines.
- Ability to advocate for member/member family needs.
- Dedicated to meeting the expectations and requirements of internal and external customers.
- Obtains continuing education required to maintain professional licensure.
- Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to Peer).
Physical Effort/Working Conditions
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
- Primarily works in a climate controlled office based setting. May require driving or commuting to health care facilities. Some positions may require a large amount of walking within the health care facility.
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)
Additional Information
All your information will be kept confidential according to EEO guidelines.
About the Company
vTech can help you avoid the daunting task of writing and posting job offers, shifting through resumes and laboring through the lengthy interview process. Our Staffing solutions will allow you to elude those tasks and place topnotch, high-caliber professionals in the position you need to fill.
We use our expertise, knowledge, and global resources to deliver top-quality candidates and tailor our IT and Non-IT recruitment services to your needs. This allows us to deliver the required results in a timely manner that meets your schedule at a substantially reduced cost.
We pride ourselves for having one of the fastest growth rate and also the lowest turnover rates in the industry just 2.5 percent annually. We focus on the training and retaining qualified professionals with high personal and work ethics. With the help of our extensive database of internal candidates and CATS applicants tracking system, we can provide quality resources within the limited time frame.
We have also successfully placed hundreds of candidates in the areas related to Information Technology, Engineering, professional, Scientific & Clinical, etc. for both our commercial and government clients.
Source: A recruiter sources candidates from various sources; the search starts from our proprietary database. Using advanced sourcing methods like social media, professional networking media, internal, and 3rd party job boards, we identify qualified candidates.
Validate: A recruiter validates the candidates’ experience and skill sets against our client’s position.
Initial Screening: Based on the position and the client’s work culture, the recruiter uses initial screening questions to determine the most suitable candidates.
Submit: the recruiter will submit to the technical team qualified candidates who have passed the initial screening.
Technical Screening: The technical team then prepares a matrix of the particular requirements and required experience for the position and using a list of questions and the results, re-validates the candidates’ technical skills.
Background Check: Administrative personnel will provide a detailed background check, as required, per client agreement.
On board: On successfully completing the above steps, the candidates are welcomed on board and assisted to ensure a smooth integration at the client’s location.
From vTech Solution's careers page, first listed on Rolev.ai on October 10, 2026. Rolev.ai is not the employer.
How Rolev.ai helps with this application
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Common questions
Where is the Clinical Care Reviewer UM job at vTech Solution located?
This Clinical Care Reviewer UM position at vTech Solution is located in Des Moines, IA (On-site). Always check vTech Solution's application page for specific state eligibility or relocation policies.
What qualifications are required for Clinical Care Reviewer UM at vTech Solution?
For the Clinical Care Reviewer UM role, vTech Solution highlights 3+ years of relevant experience; experience with utilization review, clinical care review, home and community based waiver knowledge. Rolev.ai can score your existing resume against these requirements and show any skill gaps before you apply.
How do I apply for the Clinical Care Reviewer UM position at vTech Solution?
This listing links directly to vTech Solution's SmartRecruiters application page. You can apply directly on vTech Solution's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the SmartRecruiters application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.