- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case Manager - Community Heart & Vascular Job Ref 2402103 Category Nursing Job Family Case Manager Department Case Management ... and Vascular has a full-time RN Case Manager position available. The Registered Nurse...effectiveness through the integrating and functions of case management, utilization review and management and discharge planning.… 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...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Humana (Indianapolis, IN)
- …duties as assigned **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the states of TN, AL, LA, MS, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing uses clinical knowledge, communication skills, and… more
- CenterWell (Avon, IN)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Prime Therapeutics (Indianapolis, IN)
- …drives every decision we make. **Job Posting Title** Senior Project Solution Manager ( Utilization Management) - Remote **Job Description Summary** Responsible ... and assigns resources needed and oversees individual responsibilities. + Review 's deliverables prepared by team before passing to project...+ For clinical related roles, clinical licensure (eg, LPN, RN , LCSW, LMSW) is preferred. + 7+ years of… more
- International Medical Group (Indianapolis, IN)
- …efficiency of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the ... assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute...PREFERRED SKILLS + BSN Preferred + Minimum two years utilization review with a managed care or… more
- Marriott (Indianapolis, IN)
- … Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance & ... losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Elevance Health (Indianapolis, IN)
- …working with patients with a substance use disorder strongly preferred. + Strong utilization review experience within a facility preferred. Note: this role will ... and insightful analytics to improve the delivery of care.** **BH Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse… more
- Elevance Health (Indianapolis, IN)
- …may be asked to work in office as needed.** The **Behavioral Health Care Manager I** - **Indiana** is responsible for managing psychiatric and substance abuse or ... facility-based and outpatient professional treatment health benefits through telephonic or written review . Primary duties may include but are not limited to: + Uses… more
- CenterWell (Indianapolis, IN)
- …+ Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and procedures + Human ... Graduate of an accredited school of nursing and current RN state license in good standing OR a graduate...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more