- Elevance Health (Indianapolis, IN)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Elevance Health (Indianapolis, IN)
- **Clinical Review Nurse I - Medicare Part B**...pm EST or CST. Hours are flexible.** The **Clinical Nurse Reviewer I** is responsible for reviewing and ... procedures is highly desired but not required. + Prior experience with claim review of Medicare helpful. + Proficient in basic math calculations with percentages. +… more
- Ascension Health (Indianapolis, IN)
- …date required. American Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire ... more of the following is required: + Certified Registered Nurse specializing in Transport obtained within 24 Months (2...to: PHTLS, AMLS, ACLS, PALS, BLS, EVOC, Audit and Review , and NRP. EMT's and Paramedics are able to… more
- Ascension Health (Indianapolis, IN)
- …date required. American Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire ... or more of the following required: + Certified Registered Nurse specializing in Transport obtained within 24 Months (2...to: PHTLS, AMLS, ACLS, PALS, BLS, EVOC, Audit and Review , and NRP. **Shifts available:** Full time (36 hours… more
- BioLife Plasma Services (Indianapolis, IN)
- …hundreds of thousands of people with rare and complex diseases. As a Plasma Center Nurse , you get to know our donors while working in a modern, fast-paced, yet ... Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary… more
- CenterWell (Indianapolis, IN)
- …teamwork and providing a positive and welcoming environment for all. Responsibilities: The Nurse Practitioner (NP) works in our team-based care environment. We are a ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- BrightSpring Health Services (Carmel, IN)
- …dedicated team + Drive and deliver profitable growth Essential Job Responsibilities + Review daily appointment needs: packets completed and available to staff + ... Review daily nursing calendar, schedule, attend if possible. Ensure...accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's… more
- Elevance Health (Indianapolis, IN)
- **Medical Management Nurse ** **Federal Employee Program - FEP** , a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and ... (EST) shift rotation twice a month.** The **Medical Management Nurse ** is responsible for reviewing the most complex or...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
- Community Health Network (Indianapolis, IN)
- Pre-Op Caller Licensed Practical Nurse (LPN) - Community Endoscopy Center Job Ref 2500297 Category Nursing Job Family Licensed Practical Nurse Department ... it without you. **Make a Difference** The Pre-Op Caller Licensed Practical Nurse (LPN) completes Pre-Operative calling for the Community Endoscopy Center located at… more
- Fresenius Medical Center (Indianapolis, IN)
- **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered ... months from date of hire. + Performs ongoing, systematic review and analysis of dialysis data for Home Therapy...Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: + Successful completion… more
- Highmark Health (Indianapolis, IN)
- …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and evaluates nursing care ... for individuals or families for whom the nurse is responsible. The Registered Nurse is...in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. +… more
- Humana (Indianapolis, IN)
- …that supports the goal to put health first? The Prior Authorization, Registered Nurse , RN, Intern will review prior authorization requests for appropriate care ... onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN, Intern will utilize Humana's Medicaid training and engage formerly… more
- 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
- Community Health Network (Indianapolis, IN)
- Registered Nurse (RN) Case Manager - North Job Ref 2500061 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility Community ... has a full-time RN Case Manager position available. The Registered Nurse Case Manager is responsible for the assessment, planning, implementation, coordination,… more
- Intermountain Health (Indianapolis, IN)
- **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health care team ... state of practice. + Two years of hospital floor clinical nursing experience and/or Nurse Care Management experience. + Able to multitask and manage quick pace, high… more
- Lincoln Financial Group (Indianapolis, IN)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… 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 ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
- Elevance Health (Indianapolis, IN)
- ** Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Fresenius Medical Center (Indianapolis, IN)
- …therapy for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and evaluation of patient care. Responsible for ... intravenous medication in accordance with physician orders and state nurse practice laws. + Perform and document pre, interim,...+ Perform and document pre, interim, and post treatment review of patient condition. + Initiate basic CPR measures… more
- Elevance Health (Indianapolis, IN)
- …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 ... improvement activities. + Assists team members, as appropriate, with review of the most challenging and complex cases, as...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more