- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- Centene Corporation (Indianapolis, IN)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… 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 ... areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise assignments daily to… 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 (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
- Elevance Health (Indianapolis, IN)
- …program in which Indiana members' needs are identified, including physical health, behavioral health, and social services for older adults, LTSS populations and ... and oversees program operations in support of corporate and health plan management . + Directs and collaborates with functional managers to develop and implement… more
- Highmark Health (Indianapolis, IN)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… 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
- Burrell Behavioral Health (Indianapolis, IN)
- …in the community. Experience and Education Qualifications: + Must have a valid Registered Nursing License ( RN ). + Experience with psychiatric nursing or related ... development activities of the organization. + Is sensitive and responsible to management needs, such as data collection, program evaluation, development of grant… more