• RN Nurse Medical Mgmt I ( UM )

    Elevance Health (Indianapolis, IN)
    …years acute care clinical experience is required. **Preferred Qualifications** + Previous utilization review/ utilization management experience in a managed ... office.** **HOURS** **: Monday - Friday, 8am - 5pm, EST.** The Nurse Medical Management I is responsible to collaborate with healthcare providers and members to… more
    Elevance Health (09/26/24)
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  • Lead, Utilization Management

    Evolent Health (Indianapolis, IN)
    …others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager in supervising the ... operational productivity of the Utilization Management nurses by implementing and maintaining...expert operational and system knowledge and operational guidance to nurse staff in the UM department. +… more
    Evolent Health (10/02/24)
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  • Utilization Management…

    Elevance Health (Indianapolis, IN)
    ** Utilization Management Representative I** **Location** : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint ... Schedule : Monday - Friday 8am - 5pm The ** Utilization Management Representative I** is responsible for...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
    Elevance Health (10/03/24)
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  • RN Transplant Case Manager II (Telephonic)

    Elevance Health (Indianapolis, IN)
    …5:00 pm.** **The Transplant Nurse II** is responsible for providing case management and/or medical management ( UM /UR) for members receiving transplant ... providers, claims or service issues. Assists with development of utilization /care management policies and procedures. + Within...is extremely helpful for this position. + Both Case Management and/or Medical Management ( UM /UR)… more
    Elevance Health (09/26/24)
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  • Family Health Advocate- Remote

    Sharecare, Inc. (Indianapolis, IN)
    …enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management ( UM ) status, including but not limited to ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
    Sharecare, Inc. (09/19/24)
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