• Compliance Utilization Management

    Humana (Indianapolis, IN)
    **Become a part of our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization management ... rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures...make an impact** **Required Qualifications** + Active unrestricted Licensed Registered Nurse , ( RN ), in your… more
    Humana (05/04/24)
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  • LTSS Service Coordinator - RN

    Elevance Health (Southport, IN)
    …per week in-person with patients, members or providers The **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 (05/02/24)
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  • Managed Care Coordinator Clinician Non RN

    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
    Elevance Health (05/02/24)
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  • LTSS Transition Concierge Coordinator

    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 (05/02/24)
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  • Manager II GBD Special Programs, LTSS

    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
    Elevance Health (05/02/24)
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