- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case -manager utilization - review ... an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years… more
- Community Health Network (Indianapolis, IN)
- …East has a PRN RN Case Manager position available. The Registered Nurse Case Manager is responsible for the assessment, planning, implementation, ... Registered Nurse ( RN ) Case Manager... Registered Nurse ( RN ) Case Manager - Community East...and cost effectiveness through the integrating and functions of case management, utilization review and… more
- Kepro (Indianapolis, IN)
- …other information applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse ( RN ) or Licensed Practical Nurse ... the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/ RN...and champion continuous care for our members. From meticulous case reviews to serving as a subject matter expert,… more
- Universal Health Services (Bloomington, IN)
- Responsibilities The Manager of Utilization Review is responsible for managing the Utilization department staff members, executing and managing the UR ... timely, included but not limited to the implementation of case management scenarios, consulting with all services to ensure...Degree in Nursing from an accredited school as a Registered Nurse . Experience: A minimum of five… more
- Centerwell (Avon, IN)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Elevance Health (Beech Grove, IN)
- …or ask you for payment as part of consideration for employment. **LTSS Service Coordinator - RN ** + Job Family: MED > Licensed Nurse + Type: + Date Posted:Mar ... Service Coordinator- RN ** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non- RN… more
- Elevance Health (Valparaiso, IN)
- …behavioral health experience in a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management experience is highly preferred. ... consideration for employment. **Manager I GBD Special Programs, LTSS ( RN / LCSW)** + Job Family: BSP > Program/Project...How you will make an impact: + Manages resource utilization to ensure appropriate delivery of care to members,… more
- Marriott (Indianapolis, IN)
- …with Claims department regarding case management. + Collaborate with UNM on utilization review issues. + Refer catastrophic cases in coordination with claims ... from case management to meet jurisdictional needs. Utilization Review + Provide initial clinical ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Fresenius Medical Center (Carmel, IN)
- …in a timely manner. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Under the guidance of registered nurse , takes the appropriate actions to ensure the accuracy of ... SCOPE:** Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient...prescriptions for FKC patients. + Under the supervision of Registered Nurse , assists FKC clinic staff with… more
- Elevance Health (Beech Grove, IN)
- …**LTSS SERVICE COORDINATOR - CLINICIAN** is working under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
- Universal Health Services (Jeffersonville, IN)
- …addition to our in-patient services, we offer out-patient programs as well. The Utilization Review Coordinator is responsible for executing the UR function, ... which includes the implementation of case management scenarios, consulting with all services to ensure...Degree in Nursing from an accredited school as a Registered Nurse or LPN. Experience: A minimum… more
- Elevance Health (Indianapolis, IN)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Disease Mgmt II (US)** + Job Family: MED > Licensed Nurse + Type: ... + Ohio, Cincinnati + Virginia, Norfolk + New York **Description** **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products… more
- Elevance Health (Indianapolis, IN)
- …States. + Requires minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or any combination ... you for payment as part of consideration for employment. ** Nurse Medical Mgmt II** + Job Family: MED >...are not limited to: + Conducts precertification, continued stay review , care coordination, or discharge planning for appropriateness of… more
- Elevance Health (Indianapolis, IN)
- …and monitors program schedule, budget, and resources plan. + Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage ... in a managed care setting preferred. + Indiana licensed RN , LCSW or LMHC strongly preferred. + Experience in...+ Excellent managerial and leadership skills strongly preferred. + Case Management experience is preferred. Please be advised that… more