Utilization Review RN
HealthCare Support
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs, or community resources. Applies clinical knowledge to work with facilities and providers for care coordination. Works with medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Qualifications Must have clear and active RN license in the state of IN AS/BS in Nursing or combination of education / experience 2 years of experience in an acute care clinical environment Strong computer skills/ability to navigate multiple systems (MS Outlook/Word/Excel) Additional Information Advantages of this Opportunity: Fun and positive work environment Medical benefits offered Interested in being considered? • Apply now for immediate consideration! You may contact Christine Morta at View phone number on click.appcast.io. #J-18808-Ljbffr
- ...holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families. What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related...SuggestedWork at office
Socket
Indianapolis, IN4 days ago - ...Clinical Review Nurse II (US) Clinical Review Nurse II Sign on Bonus: $3500. Anticipated... ...background. Current unrestricted RN license required. This position is... ...strongly preferred. Medical management or Utilization Review experience is preferred. For...SuggestedFull timeWork experience placementWork at officeLocal areaRelocation packageMonday to FridayDay shift
- ...46250) offices. We are specifically looking for someone who can work the 9:30 am - 6 pm, Monday through Friday shift.* The Medical Review Specialist (MRS) position is integral to ensuring the accuracy and compliance of our drug testing processes. This entry-level role...SuggestedMonday to FridayShift work
i3logix
Indianapolis, IN2 days ago - ...A leading healthcare recruiting firm in Indianapolis is seeking an experienced RN to ensure high-quality care and manage medical necessity for services. The role requires a clear RN license in Indiana, 2 years of acute care experience, and strong computer skills. You...Suggested
HealthCare Support
Indianapolis, IN4 days ago $192k - $230k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. #J-18808-Ljbffr...SuggestedRelocation packageFlexible hoursWeekend workLifestance
Fishers, IN5 days ago$41.5 - $52 per hour
...all prescribed medications Follow CDC/CMS infection control regulations Participate in patient care conferences, rounds and chart reviews Document required patient education efforts Facilitate continuity of care with local hospitals Assist in medication inventory maintenance...Hourly payFull timeFor contractorsLocal areaShift workDialysis Clinic Inc
Indianapolis, IN1 day ago$7.5k
...MDS Coordinator (LPN/RN)We rely on our MDS Coordinator (LPN/RN) to coordinate or assist... ...assessment that capture all resources utilized to ensure appropriate payment by the Medicare... ...company standard systems (Concurrent review when available) to manage the MDS processAssists...Work at officeBrickyard Healthcare
Indianapolis, IN3 days ago$192k - $230k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. #J-18808-Ljbffr...Relocation packageFlexible hoursWeekend workLifestance
Fishers, IN5 days ago- ...including factor replacement therapies as applicable. Utilize the electronic health record (EHR) to accurately review, document, and manage patient information while... ...from an approved nursing program. Valid RN nursing license, able to practice in the state of...Immediate start
Innovative Hematology, Inc.
Indianapolis, IN4 days ago $153.5k - $170.56k
...regimens, and supports standards of psychiatric care through adherence to policies and procedures for admission and transfer, utilization review, and referrals. Assumes responsibility and accountability for individual judgments and actions, and provides input into...Contract workWellpath / Correct Care Solutions
Indianapolis, IN3 days ago$67.2k - $100.8k
...Clinical Review Nurse I - Medicare Part B Location: This role enables associates to work virtually full-time, with the exception of... ...would provide an equivalent background. Current unrestricted RN license required. This position is part of our Wellpoint Federal...Full timeTemporary workWork experience placementWork at officeLocal areaMonday to Friday1 day per weekElevance Health
Indianapolis, IN6 days ago- ...and equipment set-up, prepare for the case utilizing preference cards, and anticipates the... ...available to assist as directed.Consistently reviews charts for completeness, in accordance... ...collection room.Education / Requirements:RN with current, valid Indiana licenseBLS and...Extra incomeFull timeMonday to FridayWeekend work
Prelude Fertility
Indianapolis, IN2 days ago $25 per hour
...clinical team? Join Allisonville Meadows as an RN and focus on quality patient care in a... ...residents and staff. Each day, our nurses utilize their nursing skills to promote the... ...laws. For further information, please review the Know Your Rights notice from the Department...Full timePart timeRelocation packageAfternoon shiftAmerican Senior Communities
Fishers, IN4 days ago- ...Patient Care Technician on the Hemodialysis Treatment Sheet. Reviewing, transcribing, and entering physician lab orders accurately... ...Spectra or alternate lab. Ensuring correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing...ReliefImmediate startShift work
Fresenius Medical Care
Indianapolis, IN3 days ago - ...accurately labels specimens.Maintains inventory control of supplies and medications, including appropriate records and documentation.Reviews and verifies patient information, identification, and chart forms.Supervises and teaches members of the surgical team.Confines and...Full timeShift workWeekday work
Orthoindy
Indianapolis, IN3 days ago - ...applicable standards. # Admits patients to all areas within pre and post-operative and post-anesthesia services, and receives and reviews pre post-operative report. # Sets-up, operates and monitors the use of various systems, equipment and instrumentation required...Shift workWeekday work
- ...you belong and thrive! Position Overview The Dialysis Nurse (RN) is responsible for the delivery of care to patients of all ages... ...by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular...Weekly payLocal area
$34 per hour
...from patient and family and continuously review, and revise the plan of care as patient condition... ...in collaboration with patient/family utilizing available data/resources.Communicate... ...Experience - PreferredRegistered Nurse (RN)- State Licensing Board - RequiredBasic Life...Local areaRelocation packageFranciscan Alliance
Beech Grove, IN3 days ago$2,024 per week
...TRS Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Indianapolis, Indiana. Job Description... ...ICU - Intensive Care Unit Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,...Zero hours contractShift workNight shiftTRS Healthcare
Indianapolis, IN4 days ago$192k - $230k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official...Relocation packageFlexible hoursWeekend workLifeStance Health
Fishers, IN1 day ago$2,146 per week
...Malone Healthcare - Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Indianapolis, Indiana... ...ICU - Intensive Care Unit Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so...Weekly payShift workMalone Healthcare - Nursing
Indianapolis, IN3 days ago$2,095 per week
...TRS Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Indianapolis, Indiana. Job Description... ...ED - Emergency Department Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,...Zero hours contractImmediate startShift workNight shiftTRS Healthcare
Indianapolis, IN1 day ago- ...Registered Nurse (RN)Ready to do what you love—with more heart, more flexibility, and... ...proper home health strategies and procedures utilizing community resources as applicableObserves... ...in clinical record/utilization review of medical records and quality assurance...Weekly payDaily paidNight shiftWeekend workWeekday work
Team Select Home Care
Greenwood, IN2 days ago - ...coordinate care. Participate in care plan meetings, behavioral health reviews, risk assessments, discharge planning, and transitions of care.... ...program. Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN/NP) license in the...Daily paidFull timeContract workPart timeRelief
Sympatico Health Alliance
Indianapolis, IN17 days ago - ...policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.... ...self-care under the supervision of RN. Staff Related ~ Assists in training... ...application in an accurate and timely manner. Review treatment sheets for completeness, ensure...Immediate startRemote work
Fresenius Medical Care
Indianapolis, IN2 days ago - ...policy. • Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.... ...self-care under the supervision of RN. Assist patients in performing self-care as... ...application in an accurate and timely manner. • Review treatment sheets for completeness, ensure...Local areaImmediate start
Fresenius Medical Care
Indianapolis, IN3 days ago - ...according to facility policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. Clerical &... ...designated clinical application accurately and in a timely manner. Reviews health care record for completeness and ensures omitted entries...Immediate startFlexible hours
- ...impact:Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review), including triaging information from the shared mailbox.Provides information regarding network providers...Full timeWork at office
Elevance Health
Indianapolis, IN2 days ago $46.92k
...Salary: $46,917.00 per person (approximately $180,000 total compensation per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance...Full timeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Lawrence, IN16 hours ago- ...coordinate patient care. Deliver in-service training to staff as needed. Participate in facility performance improvement and utilization review activities. Conduct peer reviews and contribute to the development and evaluation of policies and procedures. Assist in...
Boca Recovery Center
Indianapolis, INmore than 2 months ago
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