- 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
- State of Indiana (Indianapolis, IN)
- … (RN) in the State of Indiana. * Two years prior experience with utilization management . * Demonstrated competence in quality assurance and case management ... Utilization Review Coordinator Date Posted: May 31, 2024...staff, patients, families, and physicians. * Use effective relationship management , coordination of services, resource management , education,… more
- Veterans Affairs, Veterans Health Administration (IN)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Provides direct care and counseling for patients...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Audit Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
- Intermountain Health (Indianapolis, IN)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates, educates and coaches… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus**...am - 7:30 pm, 12:30 pm - 9 pm, or 2 :30 pm - 11 pm EST.** The **Telephonic** **N** **urse ... Disease Management II** will be responsible for telephonic outreach, enrollment,...for multiple managed conditions to ensure cost-effective and efficient utilization of health services. Conducts assessment, planning, implementation, coordination,… more
- Community Health Network (Fishers, 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
- Wellpath (Indianapolis, IN)
- …the organization's Code of Conduct. + Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of ... Graduation from an accredited School of Nursing Experience + 2 years of supervisory experience in an acute setting...+ Have and maintain current licensure as a Registered Nurse within the state of employment. + Obtain and… more