- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case Manager - South Job Ref 2403303 Category Nursing Job Family Case Manager Department Case Management Schedule Per Diem ... Community South has a PRN 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 (Fishers, 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
- 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
- McLaren Health Care (Indianapolis, IN)
- …+ Two(2)yearsclinicalnursingexperience. + One (1) year previous case management or utilization review experience. **Preferred:** + Two (2) years' experience ... We are looking for a Case Manager , RN to join us in...care, disease management and PCP treatment plans. Monitors member's utilization patterns for identification of high risk, and under… more
- Sharecare, Inc. (Indianapolis, IN)
- …support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... according to the disease management program intervention guidelines. An RN is supervised by an Operations Manager ...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… 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
- Sharecare, Inc. (Indianapolis, IN)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... appropriate total healthcare management. RD colleague is supervised by an Operations Manager . All Sharecare clinicians (including the RD colleagues) are required to… 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