- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case...cost effectiveness through the integrating and functions of case management , utilization review and management ... 2501284 Category Nursing Job Family Case Manager Department Case Management Schedule Per Diem Facility Community Hospital North 7150...PRN RN Case Manager opportunity available. The Registered Nurse Case Manager is responsible for… more
- Fresenius Medical Center (Noblesville, IN)
- …while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans ... looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Sharecare (Indianapolis, IN)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare… more
- Community Health Systems (Fort Wayne, IN)
- **Job Summary** RELOCATION ASSISTANCE AVAILABLE ** Registered Nurse Care Management ** **Full time: 1.0 (M-F 8-430p)** **Welcome Bonus eligible up to ... and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role...tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse -… more
- Community Health Systems (Fort Wayne, IN)
- …problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... Bonus | Relocation Assistance | Student Loan Repayment Available!** **Job Summary** The RN Charge oversees the operations of a nursing unit during assigned shifts,… 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 ... your skills to make an impact** **Required Qualifications:** + Registered Nurse with a Bachelor's degree in...action + Minimum two, (2) years of experience in utilization management + Intermediate proficiency using Microsoft… more
- Trinity Health (Mishawaka, IN)
- …SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination ... **Employment Type:** Part time **Shift:** 12 Hour Day Shift **Description:**...support and staff development activities that provide the bedside nurse with the knowledge, skills, and confidence to manage… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...make an impact** + Active Florida license or Compact Registered Nurse Clinical license without restrictions. +… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- Humana (Indianapolis, IN)
- …Family Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **( RN )** or other professional license. + ... **Become a part of our caring community and help us...first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who… more
- Humana (Indianapolis, IN)
- …+ Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time ... + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards… more
- CenterWell (Avon, IN)
- **Become a part of our caring community and help us...transportation. + Two years as a Registered Nurse with at least one-year of management ... sit on-site at our Avon, IN branch location.** The ** RN Clinical Manager** coordinates and oversees all direct care...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Community Health Systems (Fort Wayne, IN)
- …of care with special focus on the clinical components of care/medical management , utilization /resource management and insurance issues. Collaborates with ... Under the direction of the Division Director, Case Management , serves as a coordinator of an interdisciplinary approach to guide patients through the continuum… more
- Community Health Network (Indianapolis, IN)
- …is required within 5 years of assuming the role. + Licensed as a Registered Nurse by the Indiana Professional Licensing Agency is required. + Certification ... Manager Nursing ( RN ), PCU, North Job Ref 2502949 Category Leadership...couldn't do it without you. **Make a Difference** The Nurse Manager position will oversee Progressive Care (PCU) at… more
- Community Health Network (Indianapolis, IN)
- …is required within 5 years of assuming the role. + Licensed as a Registered Nurse by the Indiana Professional Licensing Agency is required. + Certification ... Manager Nursing ( RN ), Maternity East Job Ref 2502532 Category Leadership...couldn't do it without you. **Make a Difference** The Nurse Manager will achieve the goals and objectives of… more
- Elevance Health (Mishawaka, IN)
- …ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** RN Case Manager** is responsible for overall management of member's ... ** RN Case Manager (LTSS Service Coordinator- RN...face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- HCA Healthcare (Terre Haute, IN)
- …communication skills in all forms . Graduate of an approved school of nursing . Licensed Registered Nurse in the State of Indiana . BSN or higher required. . ... with Terre Haute Regional Hospital you can be a part of an organization that is devoted to giving...direct the activities and functions of the Quality Resource Management Department. Will share in the responsibility with the… more
- Elevance Health (Indianapolis, IN)
- **Managed Care Coordinator Clinician Non- RN ** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6 pm ... CST. The **Managed Care Coordinator Clinician Non- RN (US)** is responsible for working under the direction/supervision of an RN , with overall responsibility for… more
- Guardian Life (Indianapolis, IN)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Evolent (Indianapolis, IN)
- …As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts...and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors… more