- Integrity Trade Services (Indianapolis, IN)
- …admissions into Withdrawal Management based on written policies and the Utilization Review manual Record in the client records information and details relating to ... of physical or psychological problems, and report to the Licensed Practical Nurse , Clinical Director, and/or Physician Chart thoroughly all pertinent data, including… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point **Shift** : Monday - Friday, from 9:30 am - 6 pm The ** Nurse Reviewer I** is ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… more
- Elevance Health (Indianapolis, IN)
- **Clinical Review Nurse I - Medicare Part B**...pm EST or CST. Hours are flexible.** The **Clinical Nurse Reviewer I** is responsible for reviewing and ... procedures is highly desired but not required. + Prior experience with claim review of Medicare helpful. + Proficient in basic math calculations with percentages. +… more
- Humana (Indianapolis, IN)
- …first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- Kepro (Indianapolis, IN)
- …the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. Job Summary: Our Utilization Management ... Appeals Nurse - LPN/RN will help orchestrate the seamless resolution...requirements, including timelines. + Presents recommendations based on clinical review , criteria, and organizational policies to physician reviewers for… 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
- CenterWell (Indianapolis, IN)
- …and providing a positive and welcoming environment for all. **Responsibilities:** The Nurse Practitioner (NP) works in our team-based care environment. We are a ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- Humana (Indianapolis, IN)
- …caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- Cardinal Health (Indianapolis, IN)
- …rethink how far their products can go. **_Job Summary_** The Nurse , Individualized Care promotes high-quality patient care and treatment through patient ... treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse (RN) Case Manager - Community South Job Ref 2403182 Category Nursing Job Family Case Manager Department Case Management Schedule Per Diem Facility ... South has a PRN RN Case Manager opportunity available. The Registered Nurse Case Manager is responsible for the assessment, planning, implementation, coordination,… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Medical Management II** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of companies, it's a powerful ... **Shift: Monday - Friday 9:30 am - 6 pm EST.** The **Medical Management Nurse II** is responsible for collaborating with healthcare providers and members to promote… more
- Elevance Health (Indianapolis, IN)
- **"Telephonic" Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... assessment within 48 hours of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II** is responsible for performing care management within the… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Medical Management II** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of companies, it's a powerful ... with 10 am - 7 pm (EST) shift rotation twice a month.** The ** Nurse Medical Management II** is responsible for collaborating with healthcare providers and members to… more
- State of Indiana (Indianapolis, IN)
- Nurse 4 - Days Date Posted: Apr 9,...the State of Indiana are here! Be sure to review our expanded benefit package offerings below. About Neurodiagnostic ... college. + License to practice nursing in the State of Indiana as a Registered Nurse . + Must hold and maintain a CPR certification. + Must stay current with… 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
- 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
- Fresenius Medical Center (Fishers, IN)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more
- Elevance Health (Indianapolis, IN)
- …but are not limited to: + Conducts pre-certification, continued stay review , care coordination, or discharge planning for appropriateness of treatment setting ... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. + Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract. + Consult with clinical… more
- Magnolia Health Systems (Indianapolis, IN)
- …and supervision of direct care staff to assure residents' needs are met. + To review daily assignments of nursing staff on the unit to assure that assigned duties ... are consistent with ability and training. + To coordinate nursing services with other departments: dietary, social services, activities, physical therapy, etc. + That can initiate and update the nursing care plan for residents on the unit . About you: The… more
- Magnolia Health Systems (Shelbyville, IN)
- …and supervision of direct care staff to assure residents' needs are met. + To review daily assignments of nursing staff on the unit to assure that assigned duties ... are consistent with ability and training. + To coordinate nursing services with other departments: dietary, social services, activities, physical therapy, etc. + That can initiate and update the nursing care plan for residents on the unit . About you: The… more
