- Elevance Health (Indianapolis, IN)
- ** Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most… more
- CVS Health (Indianapolis, IN)
- …position does require a weekend schedule. **Required Qualifications** + Registered Nurse + Education: Diploma RN acceptable;Associate degree/BSN preferred, 3+ years ... of experience as a Registered Nurse , 1+ years of clinical experience in acute or...acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must… more
- CVS Health (Indianapolis, IN)
- …all with heart, each and every day. **Position Summary** The **Utilization Management Clinical Nurse Consultant** utilizes clinical skills to coordinate, ... document, and communicate all aspects of the utilization/benefit management program. **Job duties include (but are not limited to):** + Applies critical thinking and… more
- Evolent (Indianapolis, IN)
- …criteria sets (ie, Milliman, InterQual) + Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… more
- Elevance Health (Indianapolis, IN)
- …for employment, unless an accommodation is granted as required by law_ The ** Nurse Disease Management I** is responsible for participating in delivery of ... patient education and disease management interventions and for performing health coaching for members,...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- International Medical Group (Indianapolis, IN)
- …+ Perform Certifications, Concurrent Reviews, Retrospective Reviews, and Medical Evacuations/Repatriations including inpatient and outpatient management ... As one of the world's top International Medical Insurance companies, IMG helps individuals and companies...care settings when appropriate. + Identify potential large case management cases by diagnosis, dollar amount and/or high utilization… more
- Fresenius Medical Center (Indianapolis, IN)
- …care to dialysis patients, in either a chronic or acute setting. + Medical /surgical nursing preferred. + Supervisory or management experience preferred. + ... compliance, and regulatory requirements and programs. As the Charge Nurse , manages the daily decisions to ensure continuity of...direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Medical Oncology & MedSurg + **Schedule:** 12-hour shifts, Full-time, Night shift, Monday - Friday, Saturday & Sunday + **Hospital:** ... Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Indiana Board of Nursing obtained...our Ascension St. Vincent family of dedicated, highly skilled Medical Oncology associates. Together we are a team that… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Medical Oncology Chemotherapy + **Schedule:** 12-hour shifts, Full-time, Night shift, Monday - Friday, Saturday & Sunday + ... of hire date or job transfer date + Registered Nurse credentialed from the Indiana Board of Nursing obtained...our Ascension St. Vincent family of dedicated, highly skilled Medical Oncology associates. Together we are a team that… more
- CenterWell (Indianapolis, IN)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more