• RN , Utilization Management

    Humana (Indianapolis, IN)
    …health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge ... and Utilization Management experience. The Utilization Management Behavioral Health Nurse ...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
    Humana (04/25/24)
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  • Utilization Management

    Humana (Indianapolis, IN)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...to make an impact** **Required Qualifications** + Licensed unrestricted Registered Nurse ( RN ) in the… more
    Humana (04/27/24)
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  • LTSS Service Coordinator - RN

    Elevance Health (Beech Grove, IN)
    …or ask you for payment as part of consideration for employment. **LTSS Service Coordinator - RN ** + Job Family: MED > Licensed Nurse + Type: + Date Posted:Mar ... 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… more
    Elevance Health (03/20/24)
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  • Managed Care Coordinator Clinician Non RN

    Elevance Health (Indianapolis, IN)
    …within the scope of licensure including, for example, assisting the responsible RN with telephonic assessments for the identification, evaluation, coordination ... of consideration for employment. **Managed Care Coordinator Clinician Non RN ** + Job Family: MED > Licensed/Certified - Other...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (04/20/24)
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  • Staff Professional-Risk Mgmt

    Marriott (Indianapolis, IN)
    …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... with supervisor keeping him/her informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational health nurse more
    Marriott (04/23/24)
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  • Clinical RD - Comprehensive Care (Part-Time)

    Sharecare, Inc. (Indianapolis, IN)
    …for supporting goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....will follow company policy to transfer call to an RN or appropriate colleague when member needs are outside… more
    Sharecare, Inc. (04/23/24)
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  • Transition Coordinator

    Humana (Indianapolis, IN)
    …+ Ensures the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and ... wellness programs(s), care management and complex case management notes. +...2) shall **meet** **one** of the following qualifications: + Registered nurse , a licensed practical nurse more
    Humana (04/27/24)
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  • LTSS Care Coordinator - Clinician (LPN, LCSW)

    Elevance Health (Beech Grove, IN)
    …within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, ... - CLINICIAN** is working under the direction/supervision of an RN , with overall responsibility for the member's case, as...evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
    Elevance Health (04/22/24)
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  • LTSS Transition Concierge Coordinator

    Elevance Health (Indianapolis, IN)
    …(such as LTSS/IDD), behavioral health or physical health needs. + Submits utilization /authorization requests to utilization management with documentation ... supports. **How you will make an impact:** + Responsible for performing telephonic and/or virtual outreach to individuals in specialized programs, providers, or… more
    Elevance Health (04/16/24)
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