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Humana
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Indianapolis, Indiana
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comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
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Humana
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Indianapolis, Indiana
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Elevance Health
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Indianapolis, Indiana
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single point of contact) with the clinical healthcare management and interdisciplinary team in order to ... -morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and
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Amergis
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Indianapolis, Indiana
...
)
Notes: IN or compact RN license required. Case Management and Home Health experience required. Mileage ... assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with
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Elevance Health
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INDIANAPOLIS, Indiana
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and project management skills
Strong analytical abilities and insight into healthcare ... development, implementation, and coordination of a clinical audit team for long term services and supports
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Humana
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Indianapolis, Indiana
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healthcare providers, clinical group practice management.
Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Humana
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Indianapolis, Indiana
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medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge
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Humana
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Indianapolis, Indiana
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of services provided by other healthcare professionals in compliance with review policies, procedures ... improving consumer experiences
Preferred Qualifications
Medical utilization management
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Humana
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Indianapolis, Indiana
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Elevance Health
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INDIANAPOLIS, Indiana
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the delivery of quality care management, clinical utilization, and referral services.
How you ... **Manager Behavioral Health Clinical Services
Location: This position will work in
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Humana
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Indianapolis, Indiana
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and determinations whether services provided by other healthcare professionals are in agreement with ... prior experience participating in teams focusing on quality management, utilization management, case
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Humana
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Indianapolis, Indiana
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position with responsibility for utilization management and clinical decision-making as outlined in the ... **
Tasks include, but are not limited to:
70% :
Performing utilization management
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KEPRO
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Indianapolis, Indiana
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health solutions in the public sector.
Acentra is currently looking for a Utilization Management Appeals Nurse – LPN/RN to join our growing team.
Job Summary:
Our Utilization Management
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Takeda Pharmaceuticals
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Indianapolis, Indiana
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present complex clinical and business information on products and services including Gastroenterologists ... resource utilization to maximize overall footprint performance.
Independently and collaboratively
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Humana
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Indianapolis, Indiana
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reviews utilization management activities and documentation to ensure adherence to policies, procedures ... utilization management with MCG Guidelines
Ability to work independently under general instructions and
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Takeda Pharmaceuticals
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Indianapolis, Indiana
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services including Gastroenterologists HCPs and professional or patient groups.
Use insight and ... .
Collaborate with partners on routing and resource utilization to maximize overall footprint performance
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International Medical Group
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Indianapolis, Indiana
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utilization of medical services and refer those identified for large case management.
Document ... necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities
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HealthEdge Software Inc
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Indianapolis, Indiana
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.
About our "Wellframe" Product:
With Wellframe, we reimagine healthcare relationships through a ... need it. We call it Digital Health Management. Our comprehensive suite of Digital Health Management
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Evolent Health
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Indianapolis, Indiana
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Summary:
Under the direction of the Patient Services Manager, the Patient Services Coordinator is ... utilization of computer-generated reports.
Documents contacts with outside individuals on billing issues
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Community Health Network
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Indianapolis, Indiana
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utilization of health care services. Responsible for supporting the healthcare team towards a smooth ... case management, utilization review and management and discharge planning. Has accountability for the
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UnitedHealth Group
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Indianapolis, Indiana
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care services are delivered.
As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and
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Community Health Network
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Indianapolis, Indiana
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utilization of health care services. Responsible for supporting the healthcare team towards a smooth ... case management, utilization review and management and discharge planning. Has accountability for the
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Community Health Network
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Indianapolis, Indiana
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care services. Responsible for supporting the healthcare team towards a smooth transition from one ... management, utilization review and management and discharge planning. Has accountability for the care
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Humana
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Indianapolis, Indiana
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participating in teams focusing on quality management, utilization management, case management, discharge ... Systems, health insurance, other healthcare providers, clinical group practice management
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AECOM
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Indianapolis, Indiana
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infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and ... purpose to deliver a better world. Join us.
About Construction Management – AECOM Hunt
Founded
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Elevance Health
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INDIANAPOLIS, Indiana
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services and resources to improve transitions of care and continuity of services.
Partners with ... clinical and quality outcomes.
Analyzes provider reports pertaining to cost, utilization, and
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CBRE
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Indianapolis, Indiana
...
environment preferred.
Proficient with Quality and Compliance management systems within Healthcare ...
Service line
GWS Segment
Role type
Full-time
Areas of Interest
Facilities Management
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CenterWell
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Indianapolis, Indiana
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care utilization).
Familiarity in integrated care management programs with primary care ... of Transitional Care and High-Risk Patient Management**
The Director of Transitional Care and High
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EY
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Indianapolis, Indiana
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Sciences and Wellness – Health and Supply Chain (SC) Consulting Services team assists clients with SC ... your time focused on providing client services in the following areas: Clinical business transformation
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Oracle
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Indianapolis, Indiana
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
