- Elevance Health (Indianapolis, IN)
- …role. However, one must reside within 50 miles of an Elevance Health PulsePoint . The ** Medical Management Nurse Lead ** will be responsible for serving ... as the team lead , coach, and technical resource for a team of either Medical Management Nurses or Medical Management Clinicians. Contributes on… more
- CenterWell (Indianapolis, IN)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and… more
- Zurich NA (Indianapolis, IN)
- …professional expertise by staying current with industry trends and contributing to medical management education Required Qualifications: + Associate Degree in ... Nurse , you will play a key role in ensuring that our preferred Nurse Case Management (NCM) vendors meet the highest standards. You'll work closely with… more
- Elevance Health (Indianapolis, IN)
- ** Medical Management Nurse ** **Federal...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... with 10 am - 7 pm (EST) shift rotation twice a month.** The ** Medical Management Nurse ** is responsible for reviewing the most complex or challenging cases… more
- Elevance Health (Indianapolis, IN)
- …+ Prior managed care and case management experience preferred. Knowledge of medical management process and ability to interpret and apply member contracts, ... experience, disease management experience, and minimum of 1 year in Nurse Care Mgr II role or equivalent experience; or any combination of education and… more
- Fresenius Medical Center (Fishers, IN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care... Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
- Elevance Health (Indianapolis, IN)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Elevance Health (Indianapolis, IN)
- …personalized support throughout the consumer's treatment journey._ **Title** : Clinical Nurse Coordinator **Location:** This position will work a hybrid model ... need. **Build the Possibilities. Make an Extraordinary Impact.** The **Clinical Nurse Coordinator** is responsible for collaborating with healthcare providers and/or… more
- Elevance Health (Indianapolis, IN)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or call ... + Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management .… more
- Elevance Health (Indianapolis, IN)
- …+ Verifies benefits and/or eligibility information. + May act as liaison between Medical Management and internal departments. + Responds to telephone and written ... **Title: Utilization Management Representative II** **Location:** This position will work...given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +… more
- Elevance Health (Indianapolis, IN)
- Job Description **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will ... within 50 miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification… more
- Abbott (Indianapolis, IN)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...life through the design and provision of device and management solutions for the treatment of STRUCTURAL HEART disease.… more
- Evolent (Indianapolis, IN)
- …is a key leader in the Clinical Services organization reporting directly to the Chief Medical Officer. The CCO will lead the Clinical Operations team and work ... to achieve better outcomes for people with complex health conditions. Working across medical specialties and primary care, we seek to ensure that care plans align… more
- Community Health Network (Indianapolis, IN)
- …Certified Professional Healthcare in Quality (CPHQ), or Certified Professional in Healthcare Risk Management (CPHRM) + Licensed as a Registered Nurse (RN) with a ... RN-South Job Ref 2500598 Category Nursing Job Family Registered Nurse Department Quality and Safety Acute Schedule Full-time Facility...+ Ability to perform as a Quality Resource Risk Management representative to Medical Staff Committees, as… more
- GE Aerospace (Indianapolis, IN)
- …Leader will be the owner of the productivity KPI/metric. Using both project management and strategic leadership skills, this role will be responsible for creating ... **Job Description** **Job Description** : + Own the commodity productivity KPI/metric. + Lead creation of a cost strategy to achieve business targets in partnership… more
- Public Consulting Group (Indianapolis, IN)
- …satisfaction + Model best practices in terms of client, project, and change management + Lead client engagements/interactions (eg, status update meetings) + ... Teams. This role must effectively integrate capabilities in client management and project management in addition to...Highly organized and skilled at prioritization + Ability to lead virtual and in person trainings on EDPlan Innovations… more
- GE Aerospace (Indianapolis, IN)
- …projects that require in-depth techno-functional knowledge in the SAP Materials Management modules. **Job Description** **Role and Responsibilities** In this role ... years Enterprise Resource Planning experience + Experience in implementing Materials Management processes in major integrated ERP NOTE: Military experience is… more
- Community Health Network (Indianapolis, IN)
- …Mental Health Clinic which houses our psychiatry residency, multiple Psychiatrists, Nurse Practitioners, 4 Psychologists, over 40 therapists, and multiple levels of ... include: . Competitive compensation and benefits package, including a **signing bonus** , medical , dental & liability insurance, 401(k) with up to 6% matching and… more
- CVS Health (Indianapolis, IN)
- …convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible ... strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor a team certified coders who support fraud detection… more