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33 Jobs

  • Nurse Medical Mgmt II

    INDIANAPOLIS, Indiana
    ... Georgia, Columbus Georgia, Atlanta Description Nurse Medical Management ... . The Medical Management Nurse II is responsible for collaborating with healthcare providers and ...
  • Nurse Care Mgr II

    INDIANAPOLIS, Indiana
    ... . Prior managed care experience preferred. Knowledge of medical management process and ability to ... . Nurse Care Mgr II Job Family: MED > Licensed Nurse Type: Full time Date Posted:Apr ...
  • Nurse Care Manager I

    Indianapolis, Indiana
    ... . Nurse Care Manager I Job Family: MED > Licensed Nurse Type: Full time Date Posted ... Virginia, Norfolk New Hampshire, Manchester Description **Nurse Care ...
  • Nurse Reviewer I

    INDIANAPOLIS, Indiana
    ... utilization management, medical management and/or quality management, and/or call center experience; or any ... . Nurse Reviewer I Job Family: MED > Licensed Nurse Type: Full time Date Posted:Apr ...
  • Nurse Care Mgr I

    INDIANAPOLIS, Indiana
    ... . Nurse Care Mgr I Job Family: MED > Licensed Nurse Type: Full time Date Posted:Apr ... , INDIANAPOLIS FL, Miami Description The Nurse Care Mgr I is responsible for ...
  • Nurse Disease Mgmt I

    INDIANAPOLIS, Indiana
    ... Description Telephonic Nurse Disease Management I Sign-on Bonus: $2000 ... . The Telephonic Nurse Disease Management I is responsible for participating in the delivery of ...
  • Medical Oncology Medical Director - Utilization Review

    Indianapolis, Indiana
    ... Operations Medical Director** **Utilization Management of Medical Oncology Benefits ... , Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in ...
  • Telephonic Nurse Case Manager II

    INDIANAPOLIS, Indiana
    ... effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and ... . Telephonic Nurse Case Manager II Job Family: MED > Licensed Nurse Type: Full time Date ...
  • Nurse Medical Mgmt I (US)

    INDIANAPOLIS, Indiana
    ... . Nurse Medical Mgmt I (US) Job Family: MED > Licensed Nurse Type: Full time Date ... appropriate, high quality, cost effective care throughout the medical management process. Collaborates ...
  • Director of Medical Mgmt, Post Acute Care UM

    INDIANAPOLIS, Indiana
    ... . Director of Medical Mgmt, Post Acute Care UM Job Family: MED > Licensed Nurse Type: Full ... care solutions. Carelon Medical Benefits Management Clinical Operations organization is ...
  • Utilization Management Representative I

    INDIANAPOLIS, Indiana
    ... . Utilization Management Representative I Job Family: CUS > Care Support Type: Full time ... Management Representative I** Location: This position will work a hybrid model (remote and ...
  • Outreach Care Specialist

    INDIANAPOLIS, Indiana
    ... , Capabilities and Experiences:** Certified nurse assistant or certified medical assistant and/or BS ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a ...
  • Outreach Care Specialist

    Indianapolis, Indiana
    ... nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred ... enrolling members in programs. Assesses member compliance with medical treatment plans via telephone or ...
  • Senior Outreach Care Specialist

    Indianapolis, Indiana
    ... :** Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred ... . Assesses member compliance with medical treatment plans via telephone or through on-site visits ...
  • Director of Medical Mgmt - Home Health, DME UM

    INDIANAPOLIS, Indiana
    ... . Director of Medical Mgmt - Home Health, DME UM Job Family: MED > Licensed Nurse Type: Full ... care solutions. Carelon Medical Benefits Management Clinical Operations organization is ...
  • LTSS Service Coordinator - RN

    Indianapolis, Indiana
    ... . LTSS Service Coordinator - RN Job Family: MED > Licensed Nurse Type: Date Posted ... Service Coordinator- RN** is responsible for overall management of member's case within the scope of ...
  • Clinical Review Nurse I (US)

    Indianapolis, Indiana
    ... . Clinical Review Nurse I (US) Job Family: MED > Licensed Nurse Type: Full time Date ... Portland Wisconsin, Waukesha Description **Clinical Review Nurse I ...
  • Medicaid Quality Management Health Plan Director Sr.

    INDIANAPOLIS, Indiana
    ... knowledge of current industry standards, quality improvement activities, and strong medical management ... . Medicaid Quality Management Health Plan Director Sr. Job Family: QLT > Quality Assurance ...
  • BH Case Manager II

    INDIANAPOLIS, Indiana
    ... substance use disorder management, a comprehensive employee assistance program, work/life support, specialty ... BH Case Manager II is responsible for performing case management telephonically and/or by home visits ...
  • Clin Qual Prog Manager

    INDIANAPOLIS, Indiana
    ... medical interventions. Ensures that study methodology is sound and appropriate reporting is in place ... designed to advance our strategy but will also lead to personal and professional growth for our associates ...
  • BH Case Manager II (US)

    INDIANAPOLIS, Indiana
    ... Health Options, offers superior clinical mental health and substance use disorder management, a ... ** Responsible for performing case management telephonically and/or by home visits within the scope of licensure ...
  • Managed Care Coordinator Clinician Non RN

    INDIANAPOLIS, Indiana
    ... assessments for the identification, evaluation, coordination and management of member's needs, including ... designed to advance our strategy but will also lead to personal and professional growth for our associates ...
  • BH Case Manager Lead

    INDIANAPOLIS, Indiana
    ... . BH Case Manager Lead Job Family: MED > Licensed/Certified Behavioral Health Role Type ... superior clinical mental health and substance use disorder management, a comprehensive employee assistance ...
  • Behavioral Health Case Manager II- Indiana

    INDIANAPOLIS, Indiana
    ... management telephonically within the scope of licensure for members with behavioral health and substance ... experience in case management and telephonic and/or in person coaching with members with a broad range of ...
  • Behavioral Health Case Manager II - Indiana

    INDIANAPOLIS, Indiana
    ... Health Case Manager – Indiana** is responsible for performing case management telephonically within the ... territory of the United States required. Previous experience in case management and telephonic and/or ...
  • Clinical Quality Program Director

    INDIANAPOLIS, Indiana
    ... and facilitates the implementation of an annual Quality Management and Improvement program. Identifies ... , management, review and reporting of program outcomes for clinical quality programs. Assures compliance ...
  • Clinical Fraud Investigator II

    INDIANAPOLIS, Indiana
    ... . Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare ... , we are creating a culture that is designed to advance our strategy but will also lead to personal and ...
  • Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500

    Indianapolis, Indiana
    ... . Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500 Job Family: MED > Licensed ... Oklahoma Description **Clinical Operations Associate Medical Director ...
  • Audit & Reimbursement Sr

    INDIANAPOLIS, Indiana
    ... directed by management Participate in development and maintenance of Audit & Reimbursement standard ... reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition ...
  • LTSS Care Coordinator - Clinician (LPN, LCSW)

    Indianapolis, Indiana
    ... assessments for the identification, evaluation, coordination and management of member's needs, including ... management, provider or other capacity, highly preferred. Experience managing a community and/or ...
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