• Utilization Review Clinician - Behavioral…

    Centene Corporation (Indianapolis, IN)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (08/29/24)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Indianapolis, IN)
    …oversight for this program is provided by the Manager, Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical ... experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan...- Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State… more
    Prime Therapeutics (09/15/24)
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  • RN Nurse Medical Mgmt I (UM)

    Elevance Health (Indianapolis, IN)
    …2 years acute care clinical experience is required. **Preferred Qualifications** + Previous utilization review/ utilization management or care management ... **LOCATION** **: This is primarily a remote position (occasional in-person team meetings required); however,...rotation coverage once every 8-9 weeks is required.** The Nurse Medical Management I is responsible to… more
    Elevance Health (09/17/24)
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  • Nurse Case Manager I

    International Medical Group (Indianapolis, IN)
    …or tasks as assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute hospital-based experience providing direct ... creating the best experience for travelers. JOB DETAILS + RN License -- Must have an active RN...management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for… more
    International Medical Group (09/18/24)
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  • Clinical Program Manager, Content Operations

    HealthEdge Software Inc (Indianapolis, IN)
    …support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care ... both clinical outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required** ; ideally with… more
    HealthEdge Software Inc (09/14/24)
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  • Senior Investigator

    Elevance Health (Indianapolis, IN)
    **Senior Investigator (Investigator Sr)** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one ... of business and/or state. + May interface internally with Senior level management and legal department throughout investigative process. + May assist in training… more
    Elevance Health (09/17/24)
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