• Utilization Review Registered

    Community Health Network (Indianapolis, IN)
    Utilization Review Registered Nurse (RN) Job Ref 2407583 Category Nursing Job Family Remote / Work from Home / Virtual Department Utilization ... - and we couldn't do it without you. **Make a Difference** The Utilization Review Registered Nurse is responsible for the assessment, monitoring… more
    Community Health Network (11/19/24)
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  • Clinical Manager Registered Nurse

    CenterWell (Avon, IN)
    review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (10/30/24)
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  • Registered Nurse (RN) Case Manager…

    Community Health Network (Indianapolis, IN)
    Registered Nurse (RN) Case Manager - Community North Job Ref 2406693 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time ... has a full-time RN Case Manager position available. The Registered Nurse Case Manager is responsible for...effectiveness through the integrating and functions of case management, utilization review and management and discharge planning.… more
    Community Health Network (10/22/24)
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  • Acute Dialysis Services Charge Registered

    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 (09/11/24)
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  • Utilization Management Behavioral Health…

    Humana (Indianapolis, IN)
    …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... and external customers and stakeholders. **Preferred Qualifications** + Experience with utilization review process. + Experience with behavioral change, health… more
    Humana (11/13/24)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Indianapolis, IN)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (11/02/24)
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  • Nurse Case Manager I

    International Medical Group (Indianapolis, IN)
    …efficiency of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the ... assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute...PREFERRED SKILLS + BSN Preferred + Minimum two years utilization review with a managed care or… more
    International Medical Group (09/18/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Indianapolis, IN)
    …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred ... for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
    Lincoln Financial Group (10/16/24)
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  • Manager-Case Management

    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 ... Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff… more
    Ascension Health (11/19/24)
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  • HT Clinical Quality Manager

    Fresenius Medical Center (Indianapolis, IN)
    …may be required. **SUPERVISION:** None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing Orders, clinical… more
    Fresenius Medical Center (10/09/24)
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