- 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
- CVS Health (Indianapolis, IN)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in Eastern Standard Time… more
- Humana (Indianapolis, IN)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Senior Compliance Nurse reviews utilization management activities and documentation to ensure ... and detect fraud, waste, and abuse. The Senior Compliance Nurse work assignments involve moderately complex to complex issues...Minimum two, ( 2 ) years of experience in utilization management + Intermediate proficiency using Microsoft… 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
- Evolent (Indianapolis, IN)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...business need of nurses providing coverage until 7:00pm CST. 2 days/week 8am - 5pm EST/CST - **Required** +… more
- Ascension Health (Indianapolis, IN)
- …areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise assignments daily to ... **Details** + **Department:** Inpatient Case Management + **Schedule:** Monday-Friday, 8:00AM-4:30PM, with some off shift work + **Hospital:** Ascension St. Vincent… more
- Select Medical (Evansville, IN)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- Community Health Network (Indianapolis, IN)
- …Administrator / Nurse Manager with the daily operations of the 2 Northside practices, non-clinical staff, primarily in the front office. **Exceptional Skills and ... a combination of experience and education will be considered.** + **Practice Management ** : Supports the Practice Administrator/ Nurse Manager in monitoring costs… more
- Ascension Health (Indianapolis, IN)
- …Experience: + 5 years of experience required. + 10 years of experience preferred. + 2 years of leadership or management experience required. + 5 years of ... of assigned areas to best determine the allocation and utilization of services and budgets appropriately according to strategic...One or more of the following required: + Registered Nurse credentialed from the Indiana Board of Nursing obtained… more
- Community Health Network (Indianapolis, IN)
- …Ref 2503290 Category Nursing Job Family Case Manager Department Case Management Schedule Part-time Facility Community Hospital North 7150 Clearvista Drive ... of care to ensure quality patient outcomes and appropriate utilization of health care services. The Case Manager is...required. - Master's Degree in Social Work required. - 2 + years of inpatient, outpatient, or home-base social… more
- State of Indiana (West Lafayette, IN)
- …review, and analyze on budget information and make recommendations to optimize utilization of resources. + Prepare and review compliance reports to submit to ... Monitor and implement programs and activities that support effective human resource management . Provides oversight that such issues are handled in an appropriate and… more
- Ethos Veterinary Health (Fort Wayne, IN)
- …This role involves supervisory responsibilities such as recruitment, performance management , and strategic planning to enhance department efficiency and care ... Monitor workflow and make adjustments to optimize operational efficiency and resource utilization . Confirm that all necessary roles are covered, and that staff are… more