• Utilization Management Nurse…

    Humana (Indianapolis, IN)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (12/17/25)
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  • Utilization Management Nurse

    CenterWell (Indianapolis, IN)
    …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
    CenterWell (11/22/25)
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  • SNF Utilization Management RN…

    Humana (Indianapolis, IN)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (12/12/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Indianapolis, IN)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
    CVS Health (12/16/25)
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  • Clinical Reviewer, Nurse (Medical Oncology)

    Evolent (Indianapolis, IN)
    …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
    Evolent (12/10/25)
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  • RN Clinical Manager

    CenterWell (Avon, IN)
    …+ Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. + Home ... : Avon, IN **This is not a remote or work-from- home position. This position requires you to sit on-site...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates… more
    CenterWell (11/25/25)
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  • Family Health Advocate - Remote

    Sharecare (Indianapolis, IN)
    …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
    Sharecare (12/13/25)
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