- Elevance Health (Indianapolis, IN)
- ** Clinical Review Nurse I** **National Government Services** is a proud member of Elevance Health's family of brands. We administer government contracts for ... Friday 8 am - 5 pm EST or CST. Hours are flexible.** The ** Clinical Review Nurse I** is responsible for reviewing and making medical determinations as… more
- CenterWell (Avon, IN)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... community and help us put health first** The RN ** Clinical Manager** coordinates and oversees all direct care patient...Utilization Review staff. Upon completion of the assessment, creates and… more
- Elevance Health (Indianapolis, IN)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Indianapolis, IN)
- ** Nurse and CPC - Clinical Fraud...opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records ... locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Fresenius Medical Center (Fishers, IN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Elevance Health (Indianapolis, IN)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse (RN) Case Manager/ Utilization Review - North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department Case Management ... **Make a Difference** Community North has a part-time RN Case Manager/Utilization Review position available in the Emergency Department. The Registered Nurse … more
- Sharecare (Indianapolis, IN)
- …participate in the orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required for all Sharecare ... clinicians. **Essential Job** **Functions:** **Achievement of Clinical Objectives** + Reviews status of participant's preventive health...impact of the health care delivery system on the clinical and financial outcomes of the member population and… more
- ICW Group (Carmel, IN)
- …**PURPOSE OF THE JOB** The purpose of this job is to perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic ... Nurse Case Manager will negotiate and coordinate appropriate medical...the case management process. + Performs initial and ongoing clinical assessment via telephone calls to relevant parties that… more
- CenterWell (Indianapolis, IN)
- …teamwork and providing a positive and welcoming environment for all. Responsibilities: The Nurse Practitioner (NP) works in our team-based care environment. We are a ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- Lincoln Financial Group (Indianapolis, IN)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... claims. In this role you will act as a clinical resource for Group Protection benefit specialists and claim...for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state… more
- BioLife Plasma Services (Indianapolis, IN)
- …hundreds of thousands of people with rare and complex diseases. As a Plasma Center Nurse , you get to know our donors while working in a modern, fast-paced, yet ... Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary… more
- Fresenius Medical Center (Indianapolis, IN)
- **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered ... months from date of hire. + Performs ongoing, systematic review and analysis of dialysis data for Home Therapy...Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: + Successful completion… more
- Highmark Health (Indianapolis, IN)
- …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and evaluates nursing care ... for individuals or families for whom the nurse is responsible. The Registered Nurse is...in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. +… more
- Fresenius Medical Center (Indianapolis, IN)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, and ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- Help at Home (Indianapolis, IN)
- …**_Job Summary:_** The Nurse Manager, under the direct supervision of the Clinical Leader, will be responsible for managing all clinical processes in ... and mentor RN Case Managers + Evaluate, monitor and review all productivity metrics and KPI's that have been...survey readiness and escalate any potential concerns to the Clinical Leader **_Education and Experience:_** + Graduate of an… more
- Wellpath (Indianapolis, IN)
- …the SOAP method and EMR. * Participate in Quality Management and Peer Review activities, attend administrative meetings, and provide clinical support for other ... a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We...of care support. **How you make a difference** The Nurse Practitioner or Physician Assistant works under the direct… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care...a BA/BS in a health-related field; 5 years of clinical experience; or any combination of education and experience,… more
- McLaren Health Care (Indianapolis, IN)
- …about MDwise, Inc. at https://www.mdwise.org/ **Position Summary:** Responsible for the review and authorization of all services to the members, utilizing expert ... knowledge of screening criteria, clinical criteria and research ability if no criteria exists....LCSW, LMHC, LMSW, LMFT, LPC. + Two (2) years clinical experience. + One (1) year experience in Utilization… more
- Lilly (Indianapolis, IN)
- …a related, relevant graduate degree such as DVM, PharmD, PhD, or MSN with advanced clinical specialty ( Clinical Nurse Specialist, Nurse Practitioner) + ... geographic location. The anticipated wage for this position is $168,000 - $294,800 ** Clinical Design Scientist - Clinical Design** Purpose: Clinical Design… more