- Evolent (Indianapolis, IN)
- …mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer , Nurse , you will be a key member of the utilization management ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Reviewer I** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Respect, and Excellence VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- Amergis (Indianapolis, IN)
- Salary: $40 / Hour Are you a nurse seeking a fresh opportunity or change of pace? Do you have a passion for student health and well-being? Step into an exciting role ... as a School Nurse and make a meaningful impact on the lives...plans by including assessment planning, health history or medical review for the student + Promotes healthy practices and… more
- BioLife Plasma Services (Indianapolis, IN)
- …hundreds of thousands of people with rare and complex diseases. As a Plasma Center Nurse , you get to know our donors while working in a modern, fast-paced, yet ... Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary… more
- CVS Health (Indianapolis, IN)
- …medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital setting. + ... A Registered Nurse that holds an active, unrestricted license in their...levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred.… more
- CVS Health (Indianapolis, IN)
- …Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital setting - ... A Registered Nurse that holds an active, unrestricted license in their...levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized accreditation preferred… more
- St Croix Hospice (Indianapolis, IN)
- Registered Nurse (RN) Case Manager Job Details Level Experienced Job Location Indianapolis IN - Indianapolis, IN Education Level 2 Year Degree Job Shift Day Job ... Category Nurse Description We are continuously seeking top talent for this role and review applications on a rolling basis. By applying, you will be added to our… more
- Sharecare (Indianapolis, IN)
- …To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and objectives of the ... manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and all...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse (RN) Case Manager - East Emergency Department Job Ref 2501140 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time ... Case Manager position available in the Emergency Department. The Registered Nurse Case Manager is responsible for the assessment, planning, implementation,… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Appeals - Medicare** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... some shifts from Tuesday to Saturday and coverage on certain holidays. The ** Nurse Appeals - Medicare** is responsible for investigating and processing and medical… more
- BioLife Plasma Services (Indianapolis, IN)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Fresenius Medical Center (Indianapolis, IN)
- …therapy for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and evaluation of patient care. Responsible for ... intravenous medication in accordance with physician orders and state nurse practice laws. + Perform and document pre, interim,...+ Perform and document pre, interim, and post treatment review of patient condition. + Initiate basic CPR measures… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the… more
- Help at Home (Indianapolis, IN)
- Title: Admission/Quality Nurse Date Created: December 20, 2021 Reports to (Title) State Quality & Compliance Lead Direct Reports: None Indirect Reports: N/A ... 4. Conducts random OASIS form audits 5. Conducts RC review for staff with poor quality scores 6. Serves...vacations occur 7. Participate in QAPI committee Qualifications: Registered Nurse with valid license in state of IN Demonstrate… more
- BioLife Plasma Services (Kokomo, IN)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Fresenius Medical Center (Noblesville, IN)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more
- Fresenius Medical Center (Lebanon, IN)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work… more
- McLaren Health Care (Indianapolis, IN)
- …for utilization management functions. This includes but is not limited to review and authorization of services, utilization of medical policy, utilization of ... standard screening techniques, and utilization of behavioral change techniques. Works with the PCP, the member and management to promote the delivery of quality services at the most appropriate and cost-effective setting. Performs as the member advocate with… more
- Lilly (Indianapolis, IN)
- …the reporting of adverse events as mandated by corporate patient safety; review process for protocols, study reports, publications and data dissemination for ... brands. + By offering scientific and creative input, contribute to the development, review , and approval of promotional materials for the brand team. + Support… more