- Elevance Health (Indianapolis, IN)
- ** Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most… more
- Elevance Health (Indianapolis, IN)
- ** Medical Management Nurse ** **Hours: 8am-6pm flexible start time** **Location** : This role enables associates to work virtually full-time, with the ... for employment, unless an accommodation is granted as required by law. The ** Medical Management Nurse ** is responsible for review of the most complex or… more
- Humana (Indianapolis, IN)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Indianapolis, IN)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the… more
- Humana (Indianapolis, IN)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… 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 ... denial management and managing clinical denials from Providers to the...Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a… more
- International Medical Group (Indianapolis, IN)
- …+ Perform Certifications, Concurrent Reviews, Retrospective Reviews, and Medical Evacuations/Repatriations including inpatient and outpatient management ... As one of the world's top International Medical Insurance companies, IMG helps individuals and companies...care settings when appropriate. + Identify potential large case management cases by diagnosis, dollar amount and/or high utilization… more
- Fresenius Medical Center (Indianapolis, IN)
- …care to dialysis patients, in either a chronic or acute setting. + Medical /surgical nursing preferred. + Supervisory or management experience preferred. + ... compliance, and regulatory requirements and programs. As the Charge Nurse , manages the daily decisions to ensure continuity of...direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality… more
- Fresenius Medical Center (Indianapolis, IN)
- …and information. + Supervise all documentation of patient information. + Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient ... procedures as outlined in the Technical Services Manual. + Complete Nurse 's Technical Training Program/Water Quality Facility Training. Other: + Assist with… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Medical Oncology Chemotherapy + **Schedule:** 12-hour shifts, Full-time, Day shift, Monday - Friday, Saturday & Sunday + **Hospital:** ... of hire date or job transfer date + Registered Nurse credentialed from the Indiana Board of Nursing obtained...our Ascension St. Vincent family of dedicated, highly skilled Medical Oncology associates. Together we are a team that… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Medical Oncology & MedSurg + **Schedule:** 12-hour shifts, Full-time, Night shift, Monday - Friday, Saturday & Sunday + **Hospital:** ... Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Indiana Board of Nursing obtained...our Ascension St. Vincent family of dedicated, highly skilled Medical Oncology associates. Together we are a team that… more
- Ascension Health (Indianapolis, IN)
- …effective implementation of health plan. + Act as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and ... for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer date required. +… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …service. The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and ... creative approaches to management of complex HBPC care. Responsibilities Functions or Scope...care. Responsibilities Functions or Scope of Assigned Duties: This nurse provides direct Veteran care and care coordination, as… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …IN within the Primary Care Service. The Progressive Care Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and ... creative approaches to management of complex patient care. Responsibilities Functions or Scope...or Scope of Assigned Duties: The Progressive Care Registered Nurse (RN) is responsible and accountable for all elements… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …L. Roudebush VAMC Indianapolis, IN within the Dialysis Clinic. The Dialysis Registered Nurse (RN) is a professional nurse with specialized knowledge and skills ... disease (CKD). Responsibilities Functions or Scope of Assigned Duties: The Dialysis Registered Nurse (RN) is a professional nurse with specialized knowledge and… more
- Fresenius Medical Center (Indianapolis, IN)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, ... three years of Interventional Radiology, scrub experience preferred. + Supervisory or management experience within a medical or vascular access environment… more
- Humana (Indianapolis, IN)
- …the medical and behavioral health spectrum. They will also coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM ... Manager will be a member of the In-Home Case Management Team, providing a comprehensive, holistic approach for case...achieve desired clinical outcomes and to enhance quality of medical care. The **Telephonic Nurse Case Manager**… more
- Humana (Indianapolis, IN)
- …of the appropriate courses of action. The Utilization Management Behavioral Health Nurse 2 completes medical record reviews from medical records sent ... community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical...determination of the appropriate courses of action. + Complete medical record reviews + Assess discharge plans + Review… more
- CenterWell (Indianapolis, IN)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
- BioLife Plasma Services (Indianapolis, IN)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Manager as applicable) for operational guidance and under the management of the Center Physician for medical … more