- Elevance Health (Indianapolis, IN)
- …accommodation is granted as required by law. ** Must be an Indiana resident ** The ** Medical Management Nurse ** is responsible for review of the most complex ... whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do...Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …impacting patients and/or employees. Is assigned responsibility for their assigned quality management program area activities for the Medical Center and all ... VAMC Indianapolis, IN within the Quality, Safety Value Service. The Nurse Quality Manager demonstrates leadership, experience, and creative approaches to improvement… more
- CVS Health (Indianapolis, IN)
- …And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health of Texas by ... Improvement Projects (PIPs), ANE oversight, and policy development. The QM Nurse collaborates across teams to analyze data, implement interventions, and monitor… more
- Humana (Indianapolis, IN)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Indianapolis, IN)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the… more
- Cognizant (Indianapolis, IN)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... denial management and managing clinical denials from Providers to the...Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a… more
- Fresenius Medical Center (Indianapolis, IN)
- …care to dialysis patients, in either a chronic or acute setting. + Medical /surgical nursing preferred. + Supervisory or management experience preferred. + ... compliance, and regulatory requirements and programs. As the Charge Nurse , manages the daily decisions to ensure continuity of...direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality… more
- International Medical Group (Indianapolis, IN)
- …+ Perform Certifications, Concurrent Reviews, Retrospective Reviews, and Medical Evacuations/Repatriations including inpatient and outpatient management ... As one of the world's top International Medical Insurance companies, IMG helps individuals and companies...care settings when appropriate. + Identify potential large case management cases by diagnosis, dollar amount and/or high utilization… more
- Fresenius Medical Center (Indianapolis, IN)
- …and information. + Supervise all documentation of patient information. + Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient ... procedures as outlined in the Technical Services Manual. + Complete Nurse 's Technical Training Program/Water Quality Facility Training. Other: + Assist with… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Medical Oncology Chemotherapy + **Schedule:** 12-hour shifts, Full-time, Day shift, Monday - Friday, Saturday & Sunday + **Hospital:** ... of hire date or job transfer date + Registered Nurse credentialed from the Indiana Board of Nursing obtained...our Ascension St. Vincent family of dedicated, highly skilled Medical Oncology associates. Together we are a team that… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Medical Oncology & MedSurg + **Schedule:** 12-hour shifts, Full-time, Night shift, Monday - Friday, Saturday & Sunday + **Hospital:** ... Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Indiana Board of Nursing obtained...our Ascension St. Vincent family of dedicated, highly skilled Medical Oncology associates. Together we are a team that… more
- Ascension Health (Indianapolis, IN)
- …effective implementation of health plan. + Act as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and ... for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer date required. +… more
- Gentiva (Indianapolis, IN)
- …to be an EEO employer + We maintain a drug-free workplace Related Job Titles nurse practitioner AIM, advanced illness management NP, palliative care nurse ... We are seeking a compassionate and skilled Palliative Care Nurse Practitioner to join our interdisciplinary team. In this...the highest quality of life possible while managing complex medical needs. You will work autonomously in collaboration with… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …VAMC Indianapolis, IN within the Nursing, Perioperative (SDS/PACU) service. The Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) with supervisory ... operating procedures (SOP). VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- Fresenius Medical Center (Indianapolis, IN)
- …to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Assesses patients pre, during and ... Recognition preferred, but not required. + Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing… more
- BioLife Plasma Services (Indianapolis, IN)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Manager as applicable) for operational guidance and under the management of the Center Physician for medical … more
- Ascension Health (Fishers, IN)
- **Details** + **Specialty:** Certified Nurse Midwife + **Subspecialty Interest:** Women's Health + **Schedule:** 3 clinic days - 8:00 am - 4:30 pm + **Call ... of the offer._ **Responsibilities** Ascension Lawrence OB/GYN is looking for a Certified Nurse Midwife for our OB/GYN department. This is a great opportunity for the… more
- Fresenius Medical Center (Indianapolis, IN)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, ... three years of Interventional Radiology, scrub experience preferred. + Supervisory or management experience within a medical or vascular access environment… more
- CVS Health (Indianapolis, IN)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in ... URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management services that support… more
- CenterWell (Indianapolis, IN)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more