- 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 ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Kepro (Indianapolis, IN)
- …partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. ... Job Summary: Our Utilization Management Appeals Nurse -...Compact license. + Previous healthcare/managed care Appeals experience. + 2 + years of healthcare/managed care experience, preferably in the… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Utilization Management + **Schedule:** Full time, Mon-Fri 8am-5pm + **Hospital:** Ascension St Vincent + **Location:** Remote Must ... with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing… more
- Fresenius Medical Center (Carmel, IN)
- …fulfillment of prescriptions for FKC patients. + Under the supervision of Registered Nurse , assists FKC clinic staff with medication management tasks such as ... AND SCOPE:** Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and… more
- Community Health Network (Anderson, IN)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and management and discharge planning. Has ... Job Ref 2401150 Category Nursing Job Family Case Manager Department Case Management Schedule Part-time Facility Community Hospital Anderson 1515 N. Madison Ave.… more
- Humana (Indianapolis, IN)
- …+ Ensures the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and ... us put health first** The Transition Coordinator (Care Coach 2 ) evaluates member's needs and requirements to achieve and/or...wellness programs(s), care management and complex case management notes. +… more
- Intrepid USA (Avon, IN)
- …program/payer rules and physician orders + Responsible for efficient and effective utilization management in accordance with client needs, physician orders and ... coordination of caregivers through case conferences and scheduling process and appropriate utilization of services + Assures current and accurate clinical records in… more
- BrightSpring Health Services (Mishawaka, IN)
- …of business development & growth, achievement of key performance indicators, management of nursing performance and staff development. Responsibilities * Oversees and ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...professional consultants and direct care in coordination with Operations management * Provides feedback to Operations management regarding… more
- Community Health Network (Anderson, IN)
- …Job Ref 2400288 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility Community Hospital Anderson 1515 N. Madison Ave. ... United States Shift Evening Job Hours Monday - Friday, 2 :30 pm -11:00 pm No On-Call Rotation **Join Community**...of care to ensure quality patient outcomes and appropriate utilization of health care services. The Case Manager is… more