- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...make an impact** + Active Florida license or Compact Registered Nurse Clinical license without restrictions. +… more
- CVS Health (Indianapolis, IN)
- …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
- CVS Health (Indianapolis, IN)
- …skills, both verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + 1+ years ... post-acute setting + Must have active current and unrestricted RN licensure in state of residence + Must be...to work Monday through Friday, 8:00am to 5:00pm CST. Utilization management is a 24/7 operation. Work… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Senior Compliance Nurse reviews utilization management activities and documentation to ensure ... your skills to make an impact** **Required Qualifications:** + Registered Nurse with a Bachelor's degree in...action + Minimum two, (2) years of experience in utilization management + Intermediate proficiency using Microsoft… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case...cost effectiveness through the integrating and functions of case management , utilization review and management ... 2501284 Category Nursing Job Family Case Manager Department Case Management Schedule Per Diem Facility Community Hospital North 7150...PRN RN Case Manager opportunity available. The Registered Nurse Case Manager is responsible for… more
- Fresenius Medical Center (Indianapolis, IN)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN , for a limited period of time, ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- Fresenius Medical Center (Lebanon, IN)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Indianapolis, IN)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… more
- Fresenius Medical Center (Indianapolis, IN)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Community Health Systems (Fort Wayne, IN)
- **Job Summary** RELOCATION ASSISTANCE AVAILABLE ** Registered Nurse Care Management ** **Full time: 1.0 (M-F 8-430p)** **Welcome Bonus eligible up to ... and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role...tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse -… more
- Trinity Health (Mishawaka, IN)
- …SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination ... support and staff development activities that provide the bedside nurse with the knowledge, skills, and confidence to manage...and their family members to assist them in the management of their individual wound care needs. Ultimate responsibility… more
- Community Health Systems (Fort Wayne, IN)
- …problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... Bonus | Relocation Assistance | Student Loan Repayment Available!** **Job Summary** The RN Charge oversees the operations of a nursing unit during assigned shifts,… more
- Fresenius Medical Center (Mishawaka, IN)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday-Friday 8.00am-5.00pm EST with rotating weekends and holidays + **Hospital:** ... Room or Case Management required.** **A minimum of 5 years Utilization Management experience also preferred.** **Benefits** Paid time off (PTO) Various… more
- Humana (Indianapolis, IN)
- …Family Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **( RN )** or other professional license. + ... health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health knowledge… more
- Highmark Health (Indianapolis, IN)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... required depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case … more
- CenterWell (Avon, IN)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... sit on-site at our Avon, IN branch location.** The ** RN Clinical Manager** coordinates and oversees all direct care...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Community Health Network (Indianapolis, IN)
- …is required within 5 years of assuming the role. + Licensed as a Registered Nurse by the Indiana Professional Licensing Agency is required. + Certification ... Manager Nursing ( RN ), PCU, North Job Ref 2502949 Category Leadership...couldn't do it without you. **Make a Difference** The Nurse Manager position will oversee Progressive Care (PCU) at… more
- Community Health Network (Indianapolis, IN)
- …is required within 5 years of assuming the role. + Licensed as a Registered Nurse by the Indiana Professional Licensing Agency is required. + Certification ... Manager Nursing ( RN ), Maternity East Job Ref 2502532 Category Leadership...couldn't do it without you. **Make a Difference** The Nurse Manager will achieve the goals and objectives of… more
- HCA Healthcare (Terre Haute, IN)
- …communication skills in all forms . Graduate of an approved school of nursing . Licensed Registered Nurse in the State of Indiana . BSN or higher required. . ... to plan, organize, and direct the activities and functions of the Quality Resource Management Department. Will share in the responsibility with the VP of Quality for… more