- Elevance Health (Indianapolis, IN)
- …payment as part of consideration for employment. **Director of Medical Mgmt, Post Acute Care UM ** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... Operations organization is looking to hire a **Director of Medical Management .** This people leader will manage...clinical operations business inside a health plan or a UM /benefits management firm -Utilization management … more
- Humana (Indianapolis, IN)
- …update training for UM nurses. + Develops programs to improve UM nurse competencies (critical thinking skills, interpreting criteria, communication with ... Training programs may include, but not be limited to, Pre-Certification, Care Management , Utilization Management , and/or Compliance. + Plans, coordinates, and… more
- Humana (Indianapolis, IN)
- …+ Serves as subject matter expert on NCQA Health Plan Accreditation UM requirements, advising stakeholders on compliance, and facilitating NCQA UM ... 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File Review Universes and timeliness reports +… more
- Humana (Indianapolis, IN)
- …(3) years of clinical and Utilization Management experience. The Utilization Management Behavioral Health Nurse completes medical record reviews from ... us put health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and… more
- Elevance Health (Indianapolis, IN)
- …check, or ask you for payment as part of consideration for employment. **Utilization Management Representative I** + Job Family: CUS > Care Support + Type: Full time ... + VA, ROANOKE + Georgia, Atlanta + Ohio **Description** **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model… more