- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... to make an impact** **Required Qualifications** + Active Licensed Registered Nurse , ( RN ), in your...clinical nursing experience. + 2 years of experience in utilization management with MCG Guidelines + Ability… more
- State of Indiana (Indianapolis, IN)
- …Science degree in Nursing from an accredited college or university. * Current licensure as a Registered Nurse ( RN ) in the State of Indiana. * Two years prior ... experience with utilization management . * Demonstrated competence in quality...practice nursing in the State of Indiana as a Registered Nurse . + Must hold and maintain… more
- Sharecare, Inc. (Indianapolis, IN)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...the disease management program intervention guidelines. An RN is supervised by an Operations Manager (OM). All… more
- International Medical Group (Indianapolis, IN)
- …or tasks as assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute hospital-based experience providing direct ... creating the best experience for travelers. JOB DETAILS + RN License -- Must have an active RN...management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for… more
- Veterans Affairs, Veterans Health Administration (Edinburgh, IN)
- …relevant patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and ... Summary The Licensed Practical Nurse is responsible for observing, recording and reporting...requires a general review of their work by an RN for appropriateness and conformity with license, policies and… more
- BrightSpring Health Services (Mishawaka, IN)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... of business development & growth, achievement of key performance indicators, management of nursing performance and staff development. Responsibilities * Oversees and… more
- Lincoln Financial Group (Indianapolis, IN)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information...looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
- HealthEdge Software Inc (Indianapolis, IN)
- …support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care ... both clinical outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required** ; ideally with… more
- Elevance Health (Indianapolis, IN)
- …+ Licensure is a requirement for this position. + Previous experience in case management / utilization management with a broad range of experience with complex ... will be licensed and domiciled in Indiana. This is hybrid/ remote role where the hired candidate may be asked...equivalent background. + Current active unrestricted license, such as RN , LCSW, LMHC, LPC, LMFT to practice as a… more
- Elevance Health (Indianapolis, IN)
- …managing the clinical operations department. Manages the delivery of quality care management , clinical utilization , and referral services. **How you will make ... **Location:** This position will work in a hybrid model ( remote and office). The ideal candidate must live within...unrestricted license in a mental health field as an RN , PhD, LCSW (as applicable by state law and… more