- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- CVS Health (Indianapolis, IN)
- …both verbal and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must have active ... current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- Summary The inpatient medical - surgical Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned patients and oversight of ... total rewards package: https://vacareers.va.gov/wp-content/uploads/sites/5/2025-Total-Rewards-RN-NP-CRNA-VA-Career.pdf The inpatient medical - surgical Registered Nurse (RN) is responsible for providing… more
- CVS Health (Indianapolis, IN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1...or Specialty Pharmacy.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Fresenius Medical Center (Indianapolis, IN)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Sharecare (Indianapolis, IN)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- United Therapeutics (Indianapolis, IN)
- …years of PAH nursing experience, including ICU and critical care of PAH patients + Registered Nurse (RN) - State Licensure and/or Compact State Licensure RN - ... make a difference. The Regional Field Director, RNS Program Management serves as a director of all clinical field...Registered Nurse - State Licensure and/or Compact… more
- Ascension Health (Indianapolis, IN)
- …off shift work + **Hospital:** Ascension St. Vincent + **Location:** Indianapolis, IN Registered Nurse in the State of Indiana. Bachelor's Degree. Leadership & ... utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise...Registration: One or more of the following required: + Registered Nurse credentialed from the Indiana Board… more
- Ascension Health (Indianapolis, IN)
- …/ Certification / Registration: + One or more of the following required: + Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to ... + Strong understanding of: + Discharge planning + Medicare/Medicaid regulations + Utilization review and management + Behavioral health and social determinants… more
- CenterWell (Indianapolis, IN)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Highmark Health (Indianapolis, IN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
- Humana (Indianapolis, IN)
- …experience + 6 or more years of clinical experience + 2 or more years of management experience + Licensed Registered Nurse (RN) in the (appropriate state) ... our caring community and help us put health first** The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the… more
- STG International (Bloomington, IN)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. + Comply ... to ensure compliance and patient safety. + Participate in quality improvement, care management , risk management , peer review, utilization review, clinical… more
- Gentiva (Indianapolis, IN)
- …Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care, home ... budgeting while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain strong relationships… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …goals, provides patient and family health education, after initiated by provider or Registered Nurse , to include self- management , prevention, and wellness. ... based principles. 11. Promotes patient and personnel safety. Demonstrates competence utilization of Safe Patient Handing equipment. 12. Technically proficient in… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …goals, provides patient and family health education, after initiated by provider or registered nurse , to include self- management , prevention, and wellness. ... principles. 11. Promotes patient and personnel safety. Demonstrates competence utilization of Safe-Patient Handling equipment. 12. Technically proficient in… more