- Elevance Health (Indianapolis, IN)
- ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... an accommodation is granted as required by law. The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …utilizes all aspects of the nursing process to provide optimal quality review of surgical care provided to patients undergoing operative procedures using defined ... Affairs Surgery Quality Improvement Program (VASQIP) Quality Consultant Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to… more
- Sharecare (Indianapolis, IN)
- …To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the ... manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered and...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… 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
- 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 of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Lincoln Financial (Indianapolis, IN)
- …proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Sunrise Senior Living (Carmel, IN)
- …NAME** Sunrise on Old Meridian **Job ID** 2025-233208 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... Resident Assessment/Evaluation process in accordance with state/provincial regulatory requirements + Review Physician Reports of all new residents as directed by… 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 ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,...have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization… more
- CVS Health (Indianapolis, IN)
- …healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical ... to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic documentation,… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (Indianapolis, IN)
- **Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of required ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Appeals** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... employment, unless an accommodation is granted as required by law._ The ** Nurse Appeals** is responsible for investigating and processing and medical necessity… 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)
- ** Nurse Case Manager I - OB** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... an accommodation is granted as required by law._ The ** Nurse Case Manager I - OB** is responsible for...learn new computer programs/systems/software quickly. + Ability to manage, review and respond to emails/instant messages in a timely… more
- Elevance Health (Indianapolis, IN)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… 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
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …and relevant patient information. Completed work should only need a general review by an RN or Provider for appropriateness and conformity with established ... full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (ie, Puerto Rico), of the United… more
- Insight Global (Indianapolis, IN)
- …of our Indianapolis office. Our client is seeking a full-time Occupational Health Nurse to manage employee health and injury care across multiple metals recycling ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… 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 ... and hospital staff members to ensure effective and efficient treatments. Other: + Review and comply with the Code of Business Conduct and all applicable company… more
- Evolent (Indianapolis, IN)
- …The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the ... appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for… more