• Care Coordinator , RN Field Based

    Humana (Greenwood, IN)
    …functional, social, and environmental services . + Works collaboratively with the Service Coordinator , Transition Coordinator , and other care team staff ... Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and...care. + Responsible for the coordination of all the member 's needed medical and non-medical services , including… more
    Humana (12/12/25)
    - Related Jobs

  • Program Coordinator

    Healthfirst (IN)
    …& Responsibilities:** + Verifies reward requests based on required preventive services appropriate for the members age, gender and other accepted demographics ... as outlined via the Member Reward Card Program Guidelines, HEDIS/QARR Technical Specifications, and...+ Experience processing reward card requests highly preferred. + Bilingual in English and one or more language(s): Spanish,… more
    Healthfirst (12/30/25)
    - Related Jobs

  • SNF Utilization Management RN - Compact Rqd

    Humana (Indianapolis, IN)
    …to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members,...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
    Humana (12/12/25)
    - Related Jobs

  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Indianapolis, IN)
    …Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key ... plans, polices, procedures and regulatory standards while assessing benefits and/or member 's needs to ensure appropriate administration of benefits. + Applies… more
    CVS Health (01/03/26)
    - Related Jobs