- 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 ... action. + Minimum one, (1) year of experience in Behavioral Health Nursing (inpatient outpatient, psych, substance...Nursing experience + Previous experience in utilization management with ASAM knowledge + Health Plan… more
- Evolent (Indianapolis, IN)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, … more
- Community Health Network (Westfield, IN)
- …and facilitates trainings on specific bio-psychosocial approaches for the team. Assists with management of urgent behavioral health needs with medical ... Behavioral Health Consultant- LCSW, LMHC, or...required. - 2 + years of experience providing mental health treatment required. - Utilization of conventional… more
- Ascension Health (Indianapolis, IN)
- …to hire date or job transfer date. + Social Worker credentialed from the Indiana Behavioral Health and Human Services Licensing Board obtained prior to hire date ... areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise assignments daily to… more
- Highmark Health (Indianapolis, IN)
- …of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... health status/severity and clinical needs; and assesses health management needs of the assigned member...clinical care is being provided. **Preferred** + Certification in utilization management or a related field +… more
- Liberty Healthcare Corporation (Indianapolis, IN)
- Behavioral health professionals are encouraged to consider an outstanding career opportunity with Liberty Behavioral Health Corporation. A full-time ... is available with Liberty and the Indiana Sex Offender Management and Monitoring Program. The mission of the Indiana...to help a significant number of people improve their behavioral health , prevent sexual abuse and victimization,… more
- Parkview Health (Fort Wayne, IN)
- Summary Coordinates, verifies, negotiates alternatives and manages the care of Parkview Behavioral Health (PBH) patients to facilitate the achievement of quality ... group. Participates in quality improvement and evaluation processes related to the management of care. Provides mentoring with staff in understanding and working in… more
- Elevance Health (Wilkinson, IN)
- … under the CFSP Care Management model, including coordination across physical health , behavioral health , I/DD, LTSS, pharmacy, and unmet health ... have access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy, Intellectual/Developmental Disabilities (I/DD)… more
- Elevance Health (Franklin, IN)
- …member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation… more
- Elevance Health (Indianapolis, IN)
- …chronically ill patients, chronically ill pediatric patients, and patients with IDD. + Home Health , Utilization Management or Case Management experience ... care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational… more
- Elevance Health (Indianapolis, IN)
- …patients, patients with IDD and patients with special needs is preferred. + Home Health , Utilization Management or Case Management experience strongly ... care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational… more
- Community Health Systems (Fort Wayne, IN)
- …and agenda for improvement in clinical outcomes, as well as resource utilization , patient-centered care coordination, and patient experience so as to optimize the ... and northwestern Ohio. Accredited by The Joint Commission and part of Lutheran Health Network, we are dedicated to providing compassionate, quality care with the… more
- Community Health Network (Fishers, IN)
- Social Worker- Lic MSW- ProCare at Home- Fishers Job Ref 2501752 Category Behavioral Health Job Family Social Worker Department Community ProCare at Home ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Elevance Health (Goshen, IN)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... engagement. The **RN Case Manager** is responsible for overall management of member's case within the scope of licensure;...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a… more
- Community Health Network (Indianapolis, IN)
- Social Worker Lic MSW- HATS Geriatrics- East/South Job Ref 2500953 Category Behavioral Health Job Family Social Worker Department Touchpoint HATS Schedule ... Care Services policies and procedures. - Participates in Aggressive Behavior Management appropriate to the population served. See Behavioral Care Services… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …when appropriate. Based on the patient's goals, provides patient and family health education, to include self- management , prevention, and wellness. Interacts and ... the patient-driven holistic care plan for life. Responsibilities Total-Rewards-of-an-Allied- Health -VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf Duties include… more
- Elevance Health (Indianapolis, IN)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For… more
- Highmark Health (Indianapolis, IN)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
- Elevance Health (Muncie, IN)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... care team, to ensure cost effective and efficient utilization of health benefits. + Decision making...management case load, highly preferred. + MA/MS in Health /Nursing preferred. + Travels to worksite and other locations… more
- Highmark Health (Indianapolis, IN)
- …and leadership from more senior Delivery Owners. The incumbent provides project management leadership and facilitates the delivery of system changes from approval ... through to release to production. The leadership provided includes all project management outputs as well as extensive communication with business stakeholders both… more