- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license… more
- Evolent Health (Indianapolis, IN)
- …direct oversight of centralized telephonic review process of all necessary utilization management components. + Partner with leadership to mentor staff. ... - Required and Preferred:** + Active clinical license such as Registered Nurse ( RN ), Physical/Occupational/Speech/Radiation Therapist or Chiro,… 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 ... scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case, as required by the IN PathWays for Aging program;… more
- Marriott (Indianapolis, IN)
- …with supervisor keeping him/her informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational health nurse ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely,… more
- Sharecare, Inc. (Indianapolis, IN)
- …for supporting goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....will follow company policy to transfer call to an RN or appropriate colleague when member needs are outside… more
- Elevance Health (Cumberland, IN)
- …within the scope of licensure including, for example, assisting with telephonic or face-to-face assessments for the identification, evaluation, coordination and ... management of member's needs, including physical health, behavioral health,...**How you will make an impact:** + Assists responsible RN in identifying members for high risk complications. +… more
- Elevance Health (Indianapolis, IN)
- …+ Licensure is a requirement for this position. + Previous experience in case management / utilization management with a broad range of experience with complex ... abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Primary duties may include but are not… more