Utilization Management Nurse jobs in Indiana

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RN - UTILIZATION MANAGEMENT NURSE 2 - REMOTE - FLORIDA REGION

Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...

CompanyHumana
AddressIndiana, United States
CategoryHealthcare
Salary$69,800 - $96,200 a year
Job typeFull-time
Date Posted 4 days ago See detail

RN - Utilization Management Nurse 2 - Remote - Florida Region

Humana

Indiana, United States

$69,800 - $96,200 a year

Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...

RN - Telephonic Utilization Management Nurse- Medicare- Remote - Southeast Region

Humana

Indiana, United States

$69,800 - $96,200 a year

Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Coordinates and communicates with providers, members, or other parties to facilitate appropriate discharge planning i...

RN - Utilization Management Nurse 2 - Remote - Florida Region

Humana

Vermont, United States

$69,800 - $96,200 a year

Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...

Utilization Management Nurse 2 -Post Acute Pre Auth WEEKENDS

Humana

Louisiana, United States

$69.9K - $88.5K a year

Licensed Registered Nurse (RN) in the state of Florida, or compact license, with no disciplinary action. Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Comprehensive knowledge of...

RN Director Utilization Management ACM - Now Hiring

Ascension

Texas, United States

Department: Case Management. Schedule: Full Time Day Shift. Hospital: Network Services. Location: Seton Administrative Offices. Ensure integration of Utilization Management functions with network strategy and claims processing. O...

RN Managed Care Coordinator I (Utilization Management) New

Bluecross Blueshield Of South Carolina

South Carolina, United States

This position is full time (40 hours/week) Monday-Friday and will be fully remote (W@H). To work from home, you must have high-speed (non-satellite) internet service and a private home office. Work hours: 8:00 am to 5:00 pm, Monda...

Utilization Management Behavioral Health Professional Medicaid

Humana

Indiana, United States

Degree in Nursing or a Master's degree in a Behavioral Health-related field, such as Social Work, Counseling, or Psychology from an accredited university Must be licensed Registered Nurse or a licensed Masters Level Licensed Beha...

Health Nurse - Utilization Review

Alterwood Health

Maryland, United States

$75,000 - $95,000 a year

Research and apply national care guidelines such as Medicare National or Local Coverage Determinations, MCG, or InterQual to concurrent and preservice prior authorization (PA) requests. Process PA requests in a timeline fashion ac...

utilization & case management educator (rn) - Baltimore, United States - LifeBridge Health

Lifebridge Health

United States

Description UTILIZATION & CASE MANAGEMENT EDUCATOR (RN)Baltimore, MDSINAI HOSPITALCARE MANAGEMENTFull-time - Day shift - 8:00am-4:30pmRN Other82791Posted:April 29, 2024Apply Now// Setting the Saved Jobs linkfunction setsavedjobs(e...

Behavioral Health Utilization Management, Remote - Kansas License

Unitedhealth Group

Overland Park, KS

Manage facility-based admissions for mental health and substance abuse through the continuum of care. Effectively collaborate with treating providers and facilities to ensure consumers are receiving treatment in line with best pra...

Manager, Utilization Management Department

Elevance Health

Washington, United States

Engages in the development and implementation of integrated medical management programs across the different member population types covered by the health plan. Ensures continued compliance with specific medical management standa...