- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... Inc. at https://www.mdwise.org/ **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Community Health Network (Indianapolis, IN)
- Utilization Review Registered Nurse ( RN ) Job Ref 2407583 Category Nursing Job Family Remote / Work from Home / Virtual Department Utilization ... couldn't do it without you. **Make a Difference** The Utilization Review Registered Nurse is...Bachelor's Degree: In Nursing (Preferred) + Licensed as a Registered Nurse ( RN ) with a… more
- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...30 miles of Lexington or Louisville, Kentucky.** + Licensed Registered Nurse ( RN ) in the… more
- Humana (Indianapolis, IN)
- …Family Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **( RN )** or other professional license. + ... us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health… more
- McLaren Health Care (Indianapolis, IN)
- …as the member advocate with emphasis on education regarding managed care, disease management and PCP treatment plans. Monitors member's utilization patterns for ... We are looking for a Case Manager RN to join us in leading our organization...services. + Two(2)yearsclinicalnursingexperience. + One (1) year previous case management or utilization review experience. **Preferred:** +… more
- International Medical Group (Indianapolis, IN)
- …or tasks as assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute hospital-based experience providing direct ... creating the best experience for travelers. JOB DETAILS + RN License -- Must have an active RN...management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for… more
- Humana (Indianapolis, IN)
- …in clinical strategy and/or HealthPlan operations + Professional clinical license (eg, MD, Registered Nurse or Pharmacist) or advanced degree such as Masters ... to bring forth a pipeline of potential initiatives. **Location:** remote In this lead role you'll have the opportunity...medical coding and medical claims. + Experience with how utilization management (UM) and regulatory guidance can… more
- Lincoln Financial Group (Indianapolis, IN)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... Hampshire); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
- Elevance Health (IN)
- **Be Part of an Extraordinary Team** ** Nurse Medical Management I** **Location:** Remote - Candidates must reside within 50 miles or 1-hour commute each way ... experience. **Preferred skills, qualifications and experiences:** + Prior experience in inpatient Utilization Management , preferred. + 3-5 years of experience in… more
- Elevance Health (Indianapolis, IN)
- ** Nurse Medical Management II** **Location:** This...of 3 years acute care clinical experience or case management , utilization management or managed ... position will work a hybrid model ( remote and office). The Ideal candidate will live within...of one of our Elevance Health PulsePoint locations. The ** Nurse Medical Management II** will be responsible… more
- Veterans Affairs, Veterans Health Administration (IN)
- Summary As part of the Health Information Management Section (HIMS), the Clinical Document Improvement Specialist (CDIS) provides expertise, guidance and direction ... monthly/quarterly reports for presentation to the medical staff and/or management . Based on these findings, makes recommendations, and persuades physicians/service… more