- Elevance Health (Indianapolis, IN)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- Fresenius Medical Center (Noblesville, IN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...our people. We are there when you may need us most, from tuition reimbursement to support your education… more
- Veterans Affairs, Veterans Health Administration (Brownsburg, IN)
- …APN license to practice as an NP in a State, Territory or Commonwealth of the United States , or in the District of Columbia. Basic Certification. All APN (NPs) ... Summary The incumbent practices in Primary Care Service as an Advanced Practice Nurse (APN) - Nurse Practitioner (NP) to provide a full range of services… more
- Elevance Health (Indianapolis, IN)
- …within the scope of licensure in applicable state(s) or territory of the United States required. + Multi-state licensure is required if this individual ... Friday 8:00 am - 5:00 pm. The **Medical Management Nurse ** is responsible for review of the...management experience and requires a minimum of 2 years clinical , utilization review , or managed care experience;… more
- Elevance Health (Indianapolis, IN)
- …within the scope of licensure in applicable state(s) or territory of the United States required. + Multi-state licensure is required if this individual ... major office (PulsePoint) location listed above. The **Medical Management Nurse ** is responsible for review of the...care experience and requires a minimum of 2 years clinical , utilization review , or case management experience;… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care ... services using clinical judgment and refers to internal stakeholders for review depending on case findings. + Educates providers on utilization and medical… more
- BioLife Plasma Services (Indianapolis, IN)
- …approved training requirements for BioLife Medical Support Specialist + Two years in a clinical or hospital setting **More about us :** At Takeda, we are ... with rare and complex diseases. As a Plasma Center Nurse , you get to know our donors while working...fun culture. You can build a lasting career with us and there are opportunities to advance to management.… more
- Fujifilm (Indianapolis, IN)
- **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... training as well as go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with respect to the use of… more
- Cardinal Health (Indianapolis, IN)
- …of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're ... life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Clinical Operations Supervisor leads program staff performing actions including… more
- CVS Health (Indianapolis, IN)
- Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides ... Direct and oversee complex reviews. Ensure timely and accurate reporting of review findings and coordinate with investigative to take appropriate action. Conducts… more
- Lilly (Indianapolis, IN)
- …development of clinical strategies, development plans and study protocol design. 4. Clinical Research /Trial Execution and Support ▪ Review and approve local ... (for example, sample size, patient commitment, timelines, grants, and governance review interactions). ▪ Collaborate with Clinical Research Scientists (CRSs),… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …are deemed to have met the basic requirements of the occupation. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...surgery in a State, Territory, or Commonwealth of the United States , or in the District of… more
- Merck (Indianapolis, IN)
- …including overnight travel 10 - 15%. + Legally authorized to work in the United States . **Preferred Experience and Skills:** + 2+ years of oncology field-based ... ingenious solutions to meet them. Developing your career with us will allow you to join a group of...in certain states and cities within the United States . Final determinations with respect to… more
- Merck (Indianapolis, IN)
- …the salary range for this job in certain states and cities within the United States . Final determinations with respect to salary will take into account a ... ingenious solutions to meet them. Developing your career with us will allow you to join a group of...on the patient. Must understand impact and use of clinical trials in multiple tumor types/therapies, both in impact… more
- Lilly (Indianapolis, IN)
- …development of clinical strategies, development plans and study protocol design. Clinical Research/Trial Execution and Support + Review and approve local ... (for example, sample size, patient commitment, timelines, grants, and governance review interactions). + Collaborate with Clinical Research Scientists (CRSs),… more
- Highmark Health (Indianapolis, IN)
- …**Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware ... **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria… more
- CAI (Indianapolis, IN)
- …and Hybrid. **_Due to our end client and project work, all candidates must be United States citizens._** **_Candidates must reside in the State of Delaware to be ... for a motivated Case Manager, RN ready to take us to the next level! If you have prior...as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+… more
- Humana (Indianapolis, IN)
- …management and/or rehabilitative counseling experience required + Minimum one, (1) year of clinical supervisory such as team lead, charge nurse experience + ... **Become a part of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health ... action. The Utilization Management Behavioral Health Professional 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards… more
- Highmark Health (Indianapolis, IN)
- …Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability, ... consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical ...has a direct impact on the profitabiliy of the company. Review all triaged notices of potential claims and make… more