- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management , RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of ... Inc. at https://www.mdwise.org/ **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Prime Healthcare (Bloomington, IN)
- …work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to April 1, 2015. Minimum ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Elevance Health (Cumberland, IN)
- …patients, members or providers The ** RN Case Manager** **(LTSS Service Coordinator- RN )** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Elevance Health (Portage, IN)
- … health experience in a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management experience is highly preferred. ... **Manager I, GBD Special Programs LTSS ( RN /LCSW)** **Location: This position is an Indiana field-based...which Indiana members' needs are identified, including physical health, behavioral health, and social services for older adults, LTSS… more
- Elevance Health (Indianapolis, IN)
- … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Sharecare, Inc. (Indianapolis, IN)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- BrightSpring Health Services (Mishawaka, IN)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic staff in partnership with the Executive Director. The Director… more
- Elevance Health (Richmond, IN)
- …telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... - CLINICIAN)** is working under the direction/supervision of an RN , with overall responsibility for the member's case, as...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Elevance Health (Indianapolis, IN)
- …LTSS/IDD), behavioral health or physical health needs. + Submits utilization /authorization requests to utilization management with documentation ... a risk is identified related to the members LTSS, physical or behavioral health supports (including, but not limited to, potential for high-risk complications).… more
- Elevance Health (Indianapolis, IN)
- …delivery coordination, discharge planning, or behavioral health experience in a managed care setting preferred. RN license in Indiana is strongly preferred. ... program in which Indiana members' needs are identified, including physical health, behavioral health, and social services for older adults, LTSS populations and… more
- Parkview North Hospital (Fort Wayne, IN)
- Summary Coordinates, verifies, negotiates alternatives and manages the care of Parkview Behavioral Health (PBH) patients to facilitate the achievement of quality and ... group. Participates in quality improvement and evaluation processes related to the management of care. Provides mentoring with staff in understanding and working in… more