- Centene Corporation (Indianapolis, IN)
- …assigned + Complies with all policies and standards We are seeking a Clinical Review Nurse - Concurrent Review to join our team! The ideal candidate ... member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions...Compact State License + Post Acute Care Experience + Clinical Review Experience + Problem Solving Skills… more
- International Medical Group (Indianapolis, IN)
- …of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the Insured, the ... Tuition reimbursement plan DUTIES AND RESPONSIBILITIES + Perform Certifications, Concurrent Reviews, Retrospective Reviews, and Medical Evacuations/Repatriations including inpatient… more
- Centene Corporation (Indianapolis, IN)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… more
- Oracle (Indianapolis, IN)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
- Elevance Health (Indianapolis, IN)
- … clinical staff. + Conducts and may approve pre-certification, concurrent , retrospective, out of network and/or appropriateness of treatment setting reviews ... not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians....equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. +… more
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