- Elevance Health (Indianapolis, IN)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Elevance Health (Indianapolis, IN)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Community Health Network (Indianapolis, IN)
- …Community South Job Ref 2406222 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility Community Hospital South 1402 ... Nurse (RN) Case Manager -...cost effectiveness through the integrating and functions of case management , utilization review and management and… more
- Community Health Network (Indianapolis, IN)
- …care, simply delivered - and we couldn't do it without you. **Make a Difference** The RN Nurse Manager will oversee nursing at Fairbanks. The Nurse ... RN Nurse Manager , Fairbanks Job Ref 2404985..., Fairbanks Job Ref 2404985 Category Leadership Job Family Nursing Department Adult Inpatient Detox Schedule Full-time Facility Fairbanks… more
- International Medical Group (Indianapolis, IN)
- …large case management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for large case management ... TN status) for this position. JOB SUMMARY The Case Manager will evaluate medical necessity, appropriateness, and efficiency of...or tasks as assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum… more
- Elevance Health (Indianapolis, IN)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager Senior** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- Elevance Health (Indianapolis, IN)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Fresenius Medical Center (Indianapolis, IN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Elevance Health (Indianapolis, IN)
- …1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Fresenius Medical Center (Indianapolis, IN)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...performing Acute treatments as needed or directed by Program manager . Assumes the provision of quality patient care to… more
- Prime Therapeutics (Indianapolis, IN)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Elevance Health (Indianapolis, IN)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
- Elevance Health (Indianapolis, IN)
- …2 years acute care clinical experience is required. **Preferred Qualifications** + Previous utilization review/ utilization management or care management ... rotation coverage once every 8-9 weeks is required.** The Nurse Medical Management I is responsible to...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Avon, IN)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Highmark Health (Indianapolis, IN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- Community Health Network (Indianapolis, IN)
- …NICU/OB- North Job Ref 2402941 Category Nursing Job Family Case Manager Department Case Management Schedule Part-time Facility Community Hospital North 7150 ... of care to ensure quality patient outcomes and appropriate utilization of health care services. The Case Manager...for service line care management team, and nursing department personnel. - Collaborates with nurse … more
- Elevance Health (Indianapolis, IN)
- …is provided during regular business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case management and/or medical ... problem solving with providers, claims or service issues. Assists with development of utilization /care management policies and procedures. + Within the medical … more
- Elevance Health (Southport, IN)
- …facility-based care management case load, highly preferred. + MA/MS in Health/ Nursing preferred. + Travels to worksite and other locations as necessary. Please ... per week in-person with patients, members or providers. The **Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator - Clinician)** has… more
- Elevance Health (Southport, IN)
- …days per week in-person with patients, members or providers The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management of ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- STERIS (Westfield, IN)
- …C-suite (CEO, CFO, CMO), OR leadership, Risk Management , Materials Management , Bio-Medical, Infection Prevention Practitioners, Surgeons and nursing staff. * ... Surgical Account Manager Req ID: 42538 Job Category: Sales Westfield,...and specialty surgical tables, surgical and examination lights, equipment management systems, operating room storage cabinets, warming cabinets, scrub… more