- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- …EDRP participants ineligible to apply. Responsibilities The Inpatient Mental Health (MH) Registered Nurse (RN) provides and leads the provision of competent, ... nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self-awareness while caring for patients living with… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse (RN) Case Manager - North Job Ref 2500061 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility ... has a full-time RN Case Manager position available. The Registered Nurse Case Manager is responsible for...cost effectiveness through the integrating and functions of case management , utilization review and management … more
- Humana (Indianapolis, IN)
- …internship that supports the goal to put health first? The Prior Authorization, Registered Nurse , RN, Intern will review prior authorization requests for ... of professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN, Intern will utilize Humana's Medicaid training and… more
- CenterWell (Avon, IN)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Trinity Health (Mishawaka, IN)
- …SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination ... support and staff development activities that provide the bedside nurse with the knowledge, skills, and confidence to manage...and their family members to assist them in the management of their individual wound care needs. Ultimate responsibility… more
- Humana (Indianapolis, IN)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- Fresenius Medical Center (Mishawaka, IN)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… 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
- Fresenius Medical Center (Portage, IN)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Lafayette, IN)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Ascension Health (Indianapolis, IN)
- …Licensure / Certification / Registration: One or more of the following required: + Registered Nurse credentialed from the Indiana Board of Nursing obtained prior ... **Details** + **Department:** Case Management + **Schedule:** Full time, Mon-Fri days, occasional...utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise… more
- Intermountain Health (Indianapolis, IN)
- …REGISTRATION, LICENSE (*indicates primary source verification requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access ... Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + Minimum of 2 years'...experience in acute clinical nursing setting + Knowledge of utilization management and case management … more
- Ascension Health (Indianapolis, IN)
- …/ Certification / Registration: + One or more of the following required: + Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to ... of assigned areas to best determine the allocation and utilization of services and budgets appropriately according to strategic...hire date or job transfer date. + Registered Nurse credentialed from the American Nurses… more
- Parkview North Hospital (Auburn, IN)
- …Must have training/knowledge in regulatory requirements/standards. Licensure/Certification Requires current Registered Nurse (RN) licensure or must obtain ... Experience Recent (1 - 2 years) Quality Improvement experience in quality management , regulatory compliance, utilization review, infection control, risk … more
- Columbus Regional Hospital (Columbus, IN)
- …our patients. + The Clinical Care Coordinator role integrates and coordinates utilization management , care facilitation and discharge planning function in ... of direct experience required + Indiana License as a Registered Nurse . + Within 30 days of...experience in a clinical practice area + Knowledge of utilization review and InterQual (CRH provides training & time… more
- STG International (Bloomington, IN)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. + Comply ... to ensure compliance and patient safety. + Participate in quality improvement, care management , risk management , peer review, utilization review, clinical… more
- Parkview Health (Fort Wayne, IN)
- …recognition program + Ask about our Hotel Program! Qualifications: + Valid Indiana Registered Nurse license required. + Additional certifications may be required ... bed tracking, scheduling, and ED software preferred. Experience in pre-certification, utilization , or case management desirable. Previous coding experience… more
- Community Health Systems (La Porte, IN)
- …for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... huddles. + Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient rounding to evaluate… more
- Community Health Systems (Fort Wayne, IN)
- …for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... huddles. + Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient rounding to evaluate… more