- Highmark Health (Indianapolis, IN)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... required depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case … more
- Sharecare, Inc. (Indianapolis, IN)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Community Health Network (Indianapolis, IN)
- RN Nurse Manager, Fairbanks Job Ref 2404985...years of assuming the role. + Licensed as a Registered Nurse by the Indiana Professional Licensing Agency ... care, simply delivered - and we couldn't do it without you. **Make a Difference** The RN Nurse Manager will oversee nursing at Fairbanks. The Nurse Manager… more
- Elevance Health (Cumberland, IN)
- …patients, members or providers The ** RN Case Manager** **(LTSS Service Coordinator- RN )** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Elevance Health (Indianapolis, IN)
- … health experience in a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management experience is highly preferred. ... **Manager I, GBD Special Programs LTSS ( RN /LCSW)** **Location: This position is an Indiana field-based...which Indiana members' needs are identified, including physical health, behavioral health, and social services for older adults, LTSS… more
- Highmark Health (Indianapolis, IN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Elevance Health (Cumberland, IN)
- …telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... **How you will make an impact:** + Assists responsible RN in identifying members for high risk complications. +...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, ... pm, or 2:30 pm - 11 pm EST.** The **Telephonic** **N** **urse Disease Management II** will be responsible for telephonic outreach, enrollment, and management of… more
- Intermountain Health (Indianapolis, IN)
- …team meetings. + Reviews data summary on regular basis. **Minimum Qualifications** + Current RN license for state in which the nurse practices. + BLS ... **Job Description:** The Nurse Care Manager works collaboratively with physicians and...institution. Degree will be verified. + Experience in case management , utilization review, or discharge planning. **Physical… more