- Humana (Indianapolis, IN)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Humana (Indianapolis, IN)
- …community and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization ... on a rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures mandatory reporting completed. Conducts and… more
- 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
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- … nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self-awareness while caring for patients living with ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Humana (Indianapolis, IN)
- …inpatient and subacute activity daily for outcomes related to readmission, utilization , quality of care and provider performance in compliance with Humana/iCare ... an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a...of Wisconsin or have a compact license. + Two ( 2 ) or more years of experience in clinical care.… more
- Community Health Network (Indianapolis, IN)
- …be considered. * **Practice Management :** Supports the Practice Administrator / Nurse Manager in monitoring costs, utilization , and deployment activities by ... a Difference** This position supports the Practice Administrator / Nurse Manager with the daily operations of the practices...communication skills, and a positive attitude toward problem-solving * 2 year / Associate's Degree with 4 years relevant… 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