- Prime Healthcare (Bloomington, IN)
- …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- Community Health Network (Anderson, IN)
- Case Manager RN Emergency U/R -...and cost effectiveness through the integrating and functions of case management, utilization review and ... Community Anderson Job Ref 2401150 Category Nursing Job Family Case Manager Department Case Management... opportunity available. Primary role will be to complete Utilization Review for Community Anderson Emergency Room… more
- McLaren Health Care (Indianapolis, IN)
- …state providing services. + Two(2)yearsclinicalnursingexperience. + One (1) year previous case management or utilization review experience. **Preferred:** ... We are looking for a Case Manager , RN to join us...care, disease management and PCP treatment plans. Monitors member's utilization patterns for identification of high risk, and under… more
- Wolters Kluwer (Indianapolis, IN)
- …to set utilization goals and benchmark success, leveraging tools (reports, case studies, client references, etc.) to win and maintain customer support + ... lead role in managing and driving our customer's product utilization across the Clinical Effectiveness (CE) product portfolio. You...their growth and development. You will report to the Manager , Customer Success. The territory will be clients in… more
- CenterWell (Avon, IN)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and… more
- Marriott (Indianapolis, IN)
- …with Claims department regarding case management. + Collaborate with UNM on utilization review issues. + Refer catastrophic cases in coordination with claims ... from case management to meet jurisdictional needs. Utilization Review + Provide initial clinical ...nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required… more
- Deloitte (Indianapolis, IN)
- Deloitte Technology-US (DT-US) PMO - Senior Project Manager As a Manager in the Deloitte Technology-US (DT-US) Office of the CIO (OCIO) PMO team, you will play a ... May 31, 2024. Work you'll do As a DT-US Manager , you will work directly with the DT-US PMO...processes, project plans/schedules and budgets, influencing decisions on resource utilization and allocation at key project lifecycle decision points.… more
- Trinity Health (South Bend, IN)
- …third party payer authorizations, referrals) and will contact the physician/office and Case Management/ Utilization Review colleagues as necessary. Ensures ... of diagnosis and/or test(s)/procedure(s). May prepare special reports as directed by the Manager to document utilization of the Pre-Service unit's services and… more
- Intrepid USA (Columbus, IN)
- …suggestions for changes in the plan of care to the client's physician and Case Manager + Prepares clinical records (initial evaluations - including OASIS, care ... modifications to the physician + Participates in the development, review , and updating of the care plan + Observes,...Participates as a member of the interdisciplinary team in case conferences and in planning and evaluating the total… more
- Elevance Health (Indianapolis, IN)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients office visits with providers and external physicians.… more