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Utilization review nurse jobs in Indiana

- 627 jobs
  • Utilization Management Nurse

    Centerwell

    Utilization review nurse job in Indianapolis, IN

    **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers **Preferred Qualifications** + Education: BSN or bachelor's degree in a related field + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format - HireVue** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Benefits** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $71.1k-97.8k yearly Easy Apply 31d ago
  • Utilization Review RN

    Healthcare Support Staffing

    Utilization review nurse job in Indianapolis, IN

    Anthem, Inc. is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies. One in nine Americans receives coverage for their medical care through Anthem's affiliated plans. We offer a broad range of medical and specialty products. Job Description These candidates will be working in the continued stay review department. They will be looking at emerging urgent inpatient admissions for medical necessity. Strong computer skills, positive attitude, and ability to hit high production goals is what the manager is looking for here. Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources MAJOR JOB DUTIES AND RESPONSIBILITIES 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 precertification, 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. Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process. Collaborates with providers to assess member's needs for early identification of and proactive planning for discharge planning. Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards. Qualifications Must have clear and active RN license in the state of IN 2 years of experience in a acute care clinical environment (The candidate should have a strong ER/Critical Care/Med-Surgical clinical background. ) Knowledge of Millman or Interqual criteria Must have prior UM experience Needs to be flexible to change Experience with reviewing medical records Proficient with computers and using MS applications Strong written and verbal communication skills Additional Information Advantages of this Opportunity: Competitive salary, negotiable based on relevant experience Benefits offered, Medical, Dental, and Vision Fun and positive work environment $30 - $34 per hour Monday - Thursday 8am-5pm EST Friday - 9am - 6pm EST Occasional Saturday rotation (8am-Noon) EST
    $30-34 hourly 11h ago
  • Nurse Case Manager I - OB

    Carebridge 3.8company rating

    Utilization review nurse job in Indiana

    Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The ideal candidate will live within a reasonable distance of our Indianapolis, Indiana office. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Nurse Case Manager I - OB is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How You Will Make an Impact: * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Assists in problem solving with providers, claims or service issues. Minimum Requirements: * Requires BA/BS in a health related field and minimum of 3 years of relative clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities and Experiences: * Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum 3 years experience in acute care setting preferred. * Managed Care experience is preferred. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Strong computer skills (including Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. * Strong organization and time management skills with the ability to work independently. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $67k-85k yearly est. Auto-Apply 60d+ ago
  • PSM/Utility Coordinator

    The Kraft Heinz Company 4.3company rating

    Utilization review nurse job in Kendallville, IN

    Kendallville Plant Are you ready to join a team that produces quality products that are a staple in households across the country? Kraft Heinz Kendallville is excited to help you start your career today! * Non-union plant employing 280 employees across 3 shifts. * Purchased in 1934 from Breyer's Ice Cream and began producing caramel in 1935. * Began producing Marshmallows and Marshmallow Crème in 1961 and Marbits (think dehydrated marshmallows found in cereal) in 1979. * Kendallville is the sole producer of all our product lines. Job Summary: Responsible for leading the delivery of the Process Safety Management (PSM) program(s), including compliance with the OSHA 14 elements of the program. Responsibilities & Duties: Qualifications: * Lift 50 pounds. * Constant bending and twisting; Able to reach above shoulders. * Able to climb ladders, stoop, kneel, and crouch occasionally. * Must have good verbal communication and basic mathematical skills. * Self-motivated and strong drive for results. * Able to become certified to operate a hand truck. * Must possess appropriate tools and toolbox. * Able to work in hot/humid conditions as well as areas that may contain dust/starch particles and egg. * Able to pass their FIT test. s: ) Manage the Management of Change (MOC) process. 2) Coordinate and ensure all PHA's are performed as required. 3) Lead PSM audit and ensure PSM program is audit ready. 4) Lead monthly PSM team meetings and document meeting minutes with meeting minutes. 5) Participate in a 3-year PSM Compliance Audit at another facility at least once every three years. 6) Ensure follow up tracking is documented on all PHA recommendations to closure. 7) Ensure follow up tracking is documented on all Compliance Audit "Exceptions" and "Other Corrective Actions". 8) Schedule and coordinate quarterly updates with the facility manager and affected employees on all PHA open items. 9) Schedule and coordinate quarterly updates to the facility manager and affected employees on all Compliance Audit open Exceptions and Recommendations. 10) Schedule and coordinate quarterly updates to the facility manager and affected employees on all Mechanical Integrity Inspection open defects per the Kraft Heinz responsibility matrix. 11) Assist facility ORM in managing the Hot Work Program and Emergency Action Plan. 12) Ensure proper preventative maintenance procedures are written with detailed long text and revised as necessary on all ammonia equipment. Preventative maintenance execution should be tracked, targeting 100% completion 13) Ensure operating procedures are written on all ammonia equipment and are maintained current and accurate and updated as often as necessary. 14) Ensure operating procedures are certified annually to be current and accurate. 15) Assist in environmental issues related to the Ammonia Refrigeration System. 16) Provide PSM leadership across all shifts in establishing, organizing, planning and implementing PSM programs and corporate ammonia initiatives. 17) Ensure Refrigeration Operators are trained, and training is documented according to the Training Element and site-specific Training Total Curriculum. 18) Revise the facility PSM program according to Kraft Heinz Corporate PSM Team revisions that are sent out periodically. 19) Ensure appropriate PSM documentation and procedures (i.e. MOC, Line Break, and PHA) are followed on all ammonia projects. 20) Coordinate associated ammonia best practices across the plant and facilitate continuous improvement in the Utility group. 21) Participate in monthly Corporate PSM Coordinator conference calls. Ensure timely closure of any open actions 22) Attend the annual Kraft Heinz Ammonia Safety & Best Practices Workshop. 23) Network with the Kraft Heinz PSM Team to remain aligned, up to date on information, and current on the direction being shared across all Kraft Heinz ammonia refrigeration facilities. 24) Ensure PSM scorecard is updated monthly. 25) Have access to up to date "Recognized and Generally Accepted Good Engineering Practices" a. For Ammonia Refrigeration, this is the International Institute of Ammonia Refrigeration (IIAR) b. Associate Membership in the IIAR provides full access to all IIAR Codes & Standards c. Membership can be established after placement in the role of PSM Coordinator * Manage the Process Safety Management (PSM) program for Steam Safety, including at a minimum, compliance with the Kraft Heinz program elements and supporting documentation. * Assist with utility projects with outside contractors and engineering. * Vacation coverage for HVAC technicians * Confirm accuracy of operator logs associated with steam systems, ammonia operations, and PSM program. * Prepare accurate various reports and paperwork with a good understanding of computer skills. * Able to communicate well with a team to support maintenance standards and goals. * Use SAP to track and maintain orders and time worked. * Plan and schedule all utility and upcoming work as needed. Update maintenance plans, manage parts / material requests. * Coordinate with Utility Lead of any upcoming contractor work, inspections, scheduling support for contractors, support for mechanical breakdowns, etc. * Complete operator training to operator 3 level and follow SOPs specific to their responsibilities. * Additional responsibilities beyond the job description required by management. Responsible for upholding the KHMS standards detailed in the plant's KHMS program Benefits & Compensation Overview: * Annual Bonus Program * 12 Paid Holidays per Year * Paid vacation - up to 2 weeks in your first year * Medical with (HRA) Health Reimbursement Account or (HSA) Health Savings Account, Dental, and Vision insurance * 401k with company match * Additional perks: Paid Parental Leave, Discounted YMCA Membership, Product Purchase Program, Employee Assistance Program * Pay: 34.90 Work Schedule: * Daily/Weekly overtime possible * Monday - Friday, 06:30 - 14:30 Kraft Heinz Foods Company is an equal opportunity employer. We value diversity and inclusion in our workforce. We are committed to providing equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law. Kraft Heinz Foods Company is dedicated to providing reasonable accommodations and adjustments to individuals with disabilities to enable them to participate in the application process and perform the essential functions of the job. If you require an accommodation or adjustment, please contact us to discuss your needs. #INDPRM Benefits: Coverage for employees (and their eligible dependents) through affordable access to healthcare, protection, and saving for the future, we offer plans tailored to meet you and your family's needs. Coverage for benefits will be in accordance with the terms and conditions of the applicable plans and associated governing plan documents. Wellbeing: We offer events, resources, and learning opportunities that inspire a physical, social, emotional, and financial well-being lifestyle for our employees and their families. You'll be able to participate in a variety of benefits and wellbeing programs that may vary by role, country, region, union status, and other employment status factors, for example: * Physical - Medical, Prescription Drug, Dental, Vision, Screenings/Assessments * Social - Paid Time Off, Company Holidays, Leave of Absence, Recognition, Training * Emotional - Employee Assistance Program , Wellbeing Programs, Family Support Programs * Financial - 401k, Life, Accidental Death & Dismemberment, Disability Location(s) Kendallville Plant Kraft Heinz is an Equal Opportunity Employer that prohibits discrimination or harassment of any type. All qualified applicants are considered for employment without regard to race, color, national origin, age, sex, sexual orientation, gender, gender identity or expression, disability status, protected veteran status, or any other characteristic protected by law. Applicants who require an accommodation to participate in the job application or hiring process should contact ***********************.
    $31k-44k yearly est. 30d ago
  • Utility Coordinator - Road - Indiana

    American Structurepoint Engineering Traffic Project Manager In Indianapolis, Indiana 4.6company rating

    Utilization review nurse job in Merrillville, IN

    When you join American Structurepoint, you gain more than a career. You become part of a family of talented, passionate, good-hearted people who take pride in going the extra mile for our clients. At American Structurepoint, we are known for making the impossible happen for clients across the world who want help building and bettering their communities. We live by our values-excellence, respect, integrity, innovation, and social responsibility. We encourage our experts to try new things and explore new ideas that turn our client's dreams into reality, even if those ideas are unconventional. We invest in our people by offering excellent benefits and training, development, and mentorship opportunities that lead to a rewarding career path. If you are ready for more than a career, we invite you to explore opportunities to join our team and help us improve the quality of life for the communities we serve. Group: Road Position: Utility Coordinator Location: Indianapolis, IN; Merrillville, IN; Fort Wayne, IN; Evansville, IN Our Road group is looking for a qualified professional to join a growing and diverse team that plays an integral role in identification of utility conflicts through a thorough examination and understanding of existing utility infrastructure and proposed project scope of work. Responsibilities Performs plans reading and acts as liaison between designers, utility agencies and owner on behalf of clients. Identification of utility conflicts through a thorough examination and understanding of existing utility infrastructure and proposed project scope of work. Creation and maintenance of a Utility Conflict Matrix, Relocation Matrix, and utility relocation schedules. Conducts utility coordination meetings, documents meeting minutes and maintains files of all activities for each utility agency. Performs follow-up of meeting action items to assure effective coordination results. Communicates verbally and formally the status of coordination activities so as to keep project team informed regarding utilities. Qualifications 2+ years of construction, utility, engineering or utility coordination experience. Indiana Department of Transportation (INDOT) utility coordination experience is recommended. INDOT UC certification a bonus. Candidates must be sufficient in Microsoft Outlook, Excel, Word, PowerPoint and Teams. The candidate must possess good presentation skills, and most importantly an outgoing personality and strong desire to succeed. Valid driver's license and a reliable vehicle is required, as travel to meetings is often required. Normal office environment with occasional field site visits for progress review and quality control or estimating new work. Other duties/responsibilities as required.
    $37k-47k yearly est. Auto-Apply 41d ago
  • Telephonic Nurse Case Manager II

    Elevance Health

    Utilization review nurse job in Indianapolis, IN

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Monday - Friday 9:00am to 5:30pm EST and 1-2 late evenings 11:30am to 8:00pm EST. * This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. * Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience. * Certification as a Case Manager. * Minimum 2 years' experience in acute care setting. * Managed Care experience. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; New York; New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $76.9k-126.4k yearly 10d ago
  • Utility Coordinator

    Selectek, Inc.

    Utilization review nurse job in Indianapolis, IN

    Selectek is seeking a highly organized and detail-oriented Utility Coordinator with proven experience in utility coordination for civil engineering and construction projects. The ideal candidate will collaborate closely with project managers, engineers, surveyors, utility companies, and municipalities to facilitate timely and compliant utility-related activities throughout project lifecycles. Key Responsibilities: Coordinate utility requirements for civil engineering and construction projects. Work closely with project managers, engineers, and surveyors to identify and manage utility needs. Liaise with utility companies, municipalities, and stakeholders to obtain necessary permits, clearances, and approvals. Ensure all utility work complies with federal, state, and local regulations, as well as safety standards. Maintain comprehensive project records, documentation, and schedules. Monitor and manage utility coordination timelines in alignment with overall project milestones. Utilize GIS and AutoCAD to support utility design and mapping efforts. Qualifications: Bachelor's degree in Civil Engineering or Construction Management (required). Proven experience in utility coordination within the civil engineering or construction industry. Strong knowledge of utility infrastructure, permitting processes, and applicable regulations. Proficiency in GIS and AutoCAD software. Excellent organizational and documentation skills. Strong verbal and written communication skills, with the ability to collaborate across disciplines. Preferred Traits: Detail-oriented with a proactive approach to problem-solving. Ability to manage multiple projects and deadlines simultaneously. Experience working with local municipalities and utility providers. Pay Rate: $40.87 - $57.69 Term: 6-month temp to permanent If you are qualified and interested in this opportunity, please send an updated resume to klankswert@selectek.net OR contact Kyle Lankswert directly by calling 470-203-9801.
    $36k-49k yearly est. 60d+ ago
  • Pediatric Nurse Case Manager I

    Paragoncommunity

    Utilization review nurse job in Indianapolis, IN

    Shift: Monday - Friday 8:00am - 5:00pm EST Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law The Pediatric Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Minimum Requirements: Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. Preferred skills, capabilities, and experiences: Pediatric expereince preferred Case Manager experience preferred. Certification as a Case Manager and a BS in a health or human services related field preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $63k-87k yearly est. Auto-Apply 3d ago
  • Nurse Case Manager - Hospice

    Life's Journey Hospice

    Utilization review nurse job in Indianapolis, IN

    To provide nursing care to the terminally ill Hospice patient as needed. To provide assistance and understanding to the family in the home care situation and in time of bereavement. To work as a member of the Hospice team in providing Hospice care. QUALIFICATIONS: Educational/Degree: Graduate from an accredited school of nursing Training/Licensure: Currently licensed as a registered nurse to practice in the state. Knowledge/Skills/Ability: Ability to work independently, make accurate, and at times, quick judgments. Ability to supervise others appropriately. Ability to respond appropriately to crisis outside of a hospital setting. Acceptance of and adaptability to different social, racial, cultural and religious modes. Completes Hospice training program. Experience: Minimum 2 years of experience as a registered nurse, preferred. Active patient contact within past three years, preferred.
    $63k-87k yearly est. 60d+ ago
  • Nurse - Sub

    Crown Point Community School Corporation 4.2company rating

    Utilization review nurse job in Indiana

    Student Support Services Position Title: School Nurse Location Code: TBD Department: Employee Status: Employee Revision Date: Full-time/ Part time Status: Full Time FLSA Status: Non Exempt Working Period: 9-10-11 Month Bargaining Unit Status: Exempt Date Approved by Board: QUALIFICATIONS: Accredited college or university degree, preferably baccalaureate degree and state licensure as an RN Knowledge and experience in a school health related area Working knowledge and skill in the successful treatment and care of students within the school corporation Communicate well and be able to successfully work with students, staff, teachers and principal PRIMARY FUNCTION: To protect and promote student health, facilitate optimal development and academic success by promoting a safe and healthful environment for all students, faculty, staff and administration by applying principals of healthful living to the school program. Responsibilities: Maintain student health records through the course of the school year and check all student health records to ensure all required immunizations are complete and recorded. Compile data and retain to assist and complete the required School Health Report to the Indiana Department of Education which includes the immunizations, vision and hearing screens. Gives immediate care to injured or ill students, notifies parents, advises and encourages parents on extended care and treatment, assists parent in arranging for transportation to home or hospital. Conduct vision screening for grades 1, 3, 5, and 8 according to Indiana State Law requirements. Students who fail the screening test are given referral notices recommending further examination by their eye physician. Conduct hearing screens on all new students to the corporation and on grade levels 1, 4, 7, & 10 according to Indiana state law requirements. Students who fail the screens are given referral notices recommending further exam by their physician. Exclude from school those students that present signs and symptoms of a communicable disease according to the public health code of the Indiana State Board of Health. Assist with the coordination of kindergarten registration, prepares and distributes necessary form for registration; medical and dental examination. A school accident form is completed by the school nurse for any student as needed. Assists parents or guardians in obtaining financial aid from civic organizations for glasses and dental care. Prepares a Children and Hoosier Immunization Registry Record (CHIRP) on all new, incoming students to the corporation students, including kindergarteners utilizing the information given to physician as to present health status, immunizations and special testing. Maintains this health record throughout the school year. Send a health report with pertinent information on students transferring from Crown Point Community School Corporation including immunization Implement care coordination by providing case management, chronic disease management, education, counseling, nursing delegation, care plans, student self-empowerment, & transition planning. Implement quality improvement by documentation/data collection, evaluation, & research. Supports community/public health by providing access to care, cultural inclusiveness, disease prevention, health education, health promotion, risk reduction, & screening/referrals/follow-up All other health services related duties as assigned by the principal. ADA Physical Demands: The physical demands here are representative of those that must be met by the employee to perform the essential duties and responsibilities of the position successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position requires frequent changes in sitting, standing and walking throughout the day. The employee may also need to do frequent bending and/or kneeling in order to reach technology components. The employee must frequently speak and hear as well as utilize the telephone and computer. The position requires lifting and carrying technology components.
    $44k-54k yearly est. 60d+ ago
  • Substitute Nurse

    North West Hendricks School District

    Utilization review nurse job in Indiana

    Student Support Services/School Nurse PURPOSE: Develops school health program and administers first aid. PERFORMANCE RESPONSIBILITIES: 1. When a student presents as ill, routinely checks degree of illness and makes determination concerning a student's need to return to class or to be sent home. 2. Administers routine first aid in accordance with established first aid procedures. 3. Participates in committee work, i.e., health curriculum committee, AIDS Advisory Committee, and/or wellness committee. 4. Conducts school programs of immunization, physical examinations, and sight and hearing testing. 5. Trains and advises teachers in accordance with students' individual health plans. 6. Maintains up-to-date cumulative health records on all students in building. 7. Reports to parents, school personnel, physicians, clinics, and other agencies about student health matters. 8. Visits student homes when necessary. 9. Assumes authority, in accordance with his or her nursing license, for the care of a student or staff member who has suffered an injury or emergency illness. 10. Makes recommendations to administrators and staff on health needs of individual students. 11. Implements policy on exclusion and re-admission of students in connection with infectious and contagious diseases. 12. Assists school personnel in maintaining sanitary standards in schools. 13. Assists school personnel in maintaining attedance records. 14. Performs such other tasks and assumes such other responsibilities as the Superintendent or his or her designee may assign. Revised: November 2016 EDUCATION/QUALIFICATIONS: Highschool Diploma Experiencing working in the nursing/healthcare field
    $36k-57k yearly est. 60d+ ago
  • Substitute Nurse

    Union Township School Corporation

    Utilization review nurse job in Indiana

    Support Staff Description: To provide assessment, screening, planning, intervention, evaluation, counseling, management and/or referrals concerning the health and medical care needs of students for the purpose of minimizing absences due to illness, maximizing educational opportunities, and creating a healthy school climate in the absence of the school Nurse. Job Summary: Assumes all other duties and responsibilities for a Nurse during the time of the Nurse's absence Good oral and written communication skils. Takes all necessary and reasonable precautions to protect students, equipment, materials, and facilities. Maintain the safety, well-being of students and staff. Maintain accurate, complete, and correct records as required by law, district policy, and administrative regulation. Perform other duties assigned by the principal. Leaves reports when appropriate at the conclusion of each day. Maintain confidentiality. Physical and Mental Demands, Work Hazards: Work in standard school building environment. Exposure to body secretions, blood borne pathogens, medicine and medicinal supplies, illnesses and diseases. Knowledge, Skills and Abilities: Knowledge of medical terminology, anatomy, symptoms, diagnoses, treatments, first aid, illnesses and injuries, nutrition, and related areas. Ability to diagnose and provide care for ill or injured students. Ability to convey appropriate medical information to school district staff or medical professionals to ensure a proper maintenance in the school setting. Ability to add, subtract, multiply and divide, and perform arithmetic operations as needed for position. Ability to understand, apply and use personal computers and software applications (e.g., Word, Excel, Powerpoint, the Internet, Outlook, electronic mail). Ability to problem solve job-related issues. Ability to work with a diverse group of individuals and students with special needs. Ability to follow oral and written orders from supervisors, administrators, physicians, and to coordinate work with principal, teachers and others. Ability to describe orally and in writing school health services provided, issues and concerns regarding school health. Ability to establish and maintain cooperative working relationships with students, staff and others contacted in the course of work. Equipment: Uses medical equipment to provide health care to students/staff, including, but not limited to, blood glucose monitor, stethoscopes, thermometers, sphygmomanometers. Uses personal computers. Qualifications: License or Certificate: Registered professional nurse, designated as R.N. (or LRN) as defined and determined by state law, and currently licensed in the state. Current certification in Cardio-Pulmonary Resuscitation (CPR). Safety Requirements: Adheres to all applicable professional safety standards and practices in the nursing field, including requirements set forth in federal and state law, and Occupational Safety and Health regulations. Implements Board Policy regarding Blood Borne Pathogens and other Board policies regarding the medical or health care of employees and students. Working Conditions: Works in standard office and school building environments. Application Procedure: Apply Online
    $36k-57k yearly est. 60d+ ago
  • Substitute Nurse

    Benton Community School Corporation 4.1company rating

    Utilization review nurse job in Indiana

    Substitute/Substitute Nurse Equal Opportunity Policy: The Benton Community School Corporation is an Equal Opportunity Employer/Educational Institution and does not discriminate on the basis of race, color, religion, sex, national origin (Title VI and VII, Title IX), disability (ADA and Section 504), age (ADEA and IADA), sexual orientation and/or any other protected status as defined by law, in employment and its educational programs. Title VI and VII of the Civil Rights Act of 1964 (Title VI and VII); Title IX of the 1972 Educational Amendments (Title IX); the Americans with Disabilities Act (ADA); Section 504 of the Rehabilitation Act of 1973 (Section 504); the Age Discrimination in Employment Act (ADEA); the Indiana Age Discrimination Act (IADA). For more information on this Equal Educational and Employment Opportunity Policy, or to report violations of this policy, contact the Superintendent, Benton Community School Corporation, P.O. Box 512, 405 S. Grant Ave., Fowler, Indiana 47944. Telephone **************. So resolved this _26_ day of _November_, 2012.
    $42k-50k yearly est. 60d+ ago
  • Field Nurse Practitioner - Marion County, Indiana

    Advantmed 3.6company rating

    Utilization review nurse job in Indianapolis, IN

    Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are seeking a highly skilled and compassionate Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home* wellness risk adjustment assessments for the Medicare population. Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. NP Responsibilities: Perform annual wellness visits and health assessments on a population with chronic conditions Provide patient health education opportunities Assist in closing quality care gaps (i.e. screenings and labs) An enthusiastic collaborator contributing to the enhancement of care delivery Locations: Marion County, Indiana Requirements NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in Previous In-home Risk Assessment experience a plus but not required 3 years patient care experience required. (Experience in primary care/adult/geriatric, EMR skills preferred) Bilingual a plus! Benefits Advantmed offers: Competitive wages (Position is a contractor position based on client visits, ~$100/per assessment) Flexible work schedule Paid mileage
    $58k-87k yearly est. Auto-Apply 2d ago
  • RN Nursing Coordinator

    Destiny's Caring Hands

    Utilization review nurse job in Mishawaka, IN

    Job DescriptionSalary: 40-45 RN Nursing Coordinator Destinys Caring Hands LLC Mishawaka, IN Full-Time or Part-Time | Office + Field Hybrid Pay: $40.00-$45.00/hour (based on experience) About the Role Destinys Caring Hands LLC is seeking a professional, detail-oriented Registered Nurse to provide clinical oversight, care plan management, documentation review, and IHCC compliance monitoring. This position supports our LPN Nursing Coordinator, ensures clinical accuracy across client files, and plays a vital role in maintaining audit-ready standards. Its a structured, leadership-aligned role without the stress of bedside nursing, offering predictable daytime hours and meaningful work. Compensation & Growth Path Starting Pay: $40.00-45.00/hour, based on experience and clinical skill level. 90-Day Raise: Eligible for up to $1.00 increase based on: documentation accuracy oversight reliability responsiveness professionalism compliance readiness Annual Raises: $1.00 increase each year, based on performance. Pay Cap: This role caps at $50/hour, offering long-term professional and financial growth. Core Responsibilities Review and approve IHCC documentation weekly Update and oversee client clinical care plans Conduct clinical assessments and reassessments as required Verify monthly and quarterly documentation accuracy Review and respond to change-in-condition notifications Provide guidance and clinical support to LPNs and field staff Ensure all clinical documentation is audit-ready Collaborate with the Director to uphold clinical standards Support occasional field visits for high-risk or complex clients This Position Is Good For: Experienced RNs who want predictable daytime hours and a structured schedule Nurses who prefer oversight, documentation, and care planning instead of bedside work RNs seeking leadership-aligned roles with autonomy and flexibility Home care, case management, or hospice RNs looking for a calmer environment Returning nurses wanting a supportive, stable role Part-time or full-time nurses seeking meaningful client-centered work RNs who enjoy collaborating with LPNs and mentoring field staff Clinical professionals who value consistency, compliance, and high standards Requirements Active RN license in the State of Indiana Strong clinical judgment and documentation skills Experience in home care or case management preferred Strong organization, critical thinking, and communication skills Reliable transportation for occasional field visits Must pass background check and drug screen Schedule MondayFriday, 9:00 AM5:00 PM (Make your own schedule.) Flexible part-time schedule available No nights, weekends, or major holidays How to Apply Apply at: ***************************
    $40-45 hourly 5d ago
  • Senior Nurse-Immunization Coordinator

    Hamilton County-In 3.4company rating

    Utilization review nurse job in Noblesville, IN

    Hamilton County is one of Indiana's fastest growing, highest educated and wealthiest counties in the state and the Midwest. Two-thirds of the workforce lives and works in the county -- a percent that has remained constant since 2010. Hamilton County is continually recognized in rankings ranging from "Best Cities to Relocate To" and "Best City to Raise a Family" to "Healthiest County in Indiana" and "Happiest Suburbs in the Nation". Come be a part of all Hamilton County has to offer as we work together to serve the citizens of Hamilton County. : POSITION DESCRIPTION COUNTY OF HAMILTON, INDIANA WORK SCHEDULE: 8:00 a.m. - 4:30 p.m., M-F STATUS: Full-time FLSA STATUS: Exempt RATE OF PAY: $42.1099 per hour To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed in this document are representative of the knowledge, skill, and/or ability required. Hamilton County provides reasonable accommodation to qualified employees and applicants with known disabilities who require accommodation to complete the application process or perform essential functions of the job, unless the accommodation would cause an undue hardship. Incumbent serves as Senior Nurse/Immunization Coordinator for the Hamilton County Health Department, responsible for assisting in developing, coordinating, and implementing immunization program to enhance community wellness. DUTIES: Coordinates immunization program according to Indiana State Department of Health (ISDH) guidelines, including interviewing/educating parents, assessing vaccine history, determining/administering vaccines or holding children, maintaining written and computer client records, and preparing/submitting periodic statistical reports for local, state and federal agencies as required. Develops and maintains Hamilton County's immunization policy and procedure manual, all refrigeration requirements set forth by Centers for Disease Control (CDC), monthly ordering and inventory control of vaccines using VTrcks vaccine tracking system and monitoring immunization imports to Children and Hoosiers Immunization Program (CHIRP) via HL7. Oversees yearly audit of immunization program by ISDH staff, provides yearly immunization training of staff and maintains training logs. Trains new staff nurses on policies, procedures, and duties as listed for position of Public Health Nurse. Performs as Senior Nurse in absence of Director of Nursing as point of contact for staff. Performs duties of Public Health Nurse, including: Periodically assisting with tuberculosis (TB) prevention and treatment program, including administering/interpreting Mantoux tests for children and adults; maintaining detailed records; administering medications, counseling/explaining treatment and universal health precautions and monitoring adherence; conducting periodic follow-up tests and testing contacts for disease spread; and communicating with medical personnel regarding patient care. Providing TB medication both latent and active tuberculosis. Performs directly observed therapy (DOT) for all cases of active TB, involving watching individuals take each dose of medication for 6 to 9 months. Periodically assists in investigating reports of communicable diseases according to ISDH and CDC guidelines, including interviewing, educating, and testing patients and their contacts, maintaining records, communicating with/reporting to ISDH, and conducting follow-up interviews. Periodically assists in testing children exposed to lead, including taking blood samples, assisting with forms, forwarding results to parents and physicians, and conducting home visits. Reports elevated levels to ISDH and conducts case management of assigned cases. Periodically performs pregnancy testing, counseling and referrals for women who may be pregnant, including testing urine samples, assisting with forms, giving written documentation, and referrals to agencies to assists with pregnancy. Periodically reports to ISDH as required, Periodically conducts home visits for high risk infants, including assessing and implementing appropriate nursing care plans, educating parents regarding parenting, and making referrals to community service agencies as appropriate. Promotes community health education, including providing oral and printed information to patients and office/clinic visitors. Follows and adheres to all Health Insurance Portability and Accountability Act of 1966 (HIPAA) guideline for protected health information (PHI). Maintains current knowledge of public health issues by periodically attending conferences and seminars. Performs related duties as assigned. I. JOB REQUIREMENTS: Baccalaureate degree in nursing preferred, and current Indiana registered nurse license, and certifications of the American Heart Association Basic Life Support (BLS) and current certification in Basic Tuberculosis and Skin Test Course. Working knowledge of and ability to apply state and local public health regulations, accepted principles, practices and common issues in public health nursing, including, but not limited to, administering immunizations and potential complications, tuberculosis control, communicable disease symptoms/treatment/control, lead screening/testing, and public health education. Working knowledge of standard English grammar, spelling and punctuation, and ability to maintain accurate records, and prepare detailed reports. Ability to effectively examine and screen individuals, assess needs, and provide appropriate information, treatment, assistance, and referrals. Ability to properly use various medical equipment, including stethoscope, sphygmomanometer, syringes, lancets, filter paper, and thermometer. Ability to comply all employer/department policies and work rules, including, but not limited to, attendance, safety, drug-free workplace, and personal conduct. Ability to effectively communicate orally and in writing with co-workers, other County personnel, ISDH, health care providers, school personnel, community organizations, local Family and Social Services Administration, children, and adults, including being sensitive to professional ethics, gender, cultural diversities and disabilities. Ability to properly operate standard office equipment, including computer, printer, telephone, copier, fax machine and scanner. Ability to physically perform essential duties of the position. Ability to work on several tasks at the same time, often under time pressure, and complete assignments effectively amidst frequent distractions and interruptions. Ability to understand and carry out written and oral instructions/directions, and appropriately respond to constructive criticism. Ability to competently serve the public with diplomacy and respect, including occasional encounters with irate/hostile persons. Ability to work alone and with others in a team environment, and maintain appropriate, respectful interrelationships with co-workers. Follows and adheres to all Health Insurance Portability and Accountability Act of 1996 (HIPAA) guideline for protected health information (PHI). Ability to provide public access to or maintain confidentiality of department information/records according to state requirements and HIPAA. Ability to occasionally work extended and/or evening hours, occasionally work weekend hours, and occasionally travel out of town for home visits and conferences, sometimes overnight. Possession of a valid Indiana driver's license and demonstrated safe driving record. As a result of the duties associated with this job, there is the potential of becoming exposed to blood borne pathogens and other potentially infectious diseases. To safeguard employees and eliminate the liability placed on Hamilton County, employees working in this position shall begin the three shot Hepatitis B vaccination and subsequent training within ten days of their initial job assignment per OSHA 29 CFR 1910.1030(f)(2)(i). The initial and two subsequent vaccinations shall be administered by the Hamilton County Health Department and free of charge to the employee. If the employee has previously received the three shot Hepatitis B vaccination, official documentation must be provided to the supervisor identifying the dates in which each shot was appropriately administered. A Temporary Medical Declination may be made for a period of up to six months. A Declination form must be completed, outlining the medical reasons for the temporary declination and forwarded to the Safety & Risk Manager. Employees temporarily declining the vaccine are prohibited from performing any duties in which they may be exposed to a blood borne pathogen or other potentially infectious disease until they are able to begin/continue the series of vaccinations. Failure to comply will result in termination of employment. II. DIFFICULTY OF WORK: Incumbent's duties are broad in scope, involving many variables and considerations. Incumbent performs according to standard practices of the profession and department policies and procedures, exercising independent judgment in adapting to varying work environments, and determining appropriate treatment and referrals for individuals. III. RESPONSIBILITY: Incumbent applies standardized practices to specific cases, discussing unusual/unprecedented situations with supervisor as needed. Incumbent receives general supervision, with work reviewed for technical accuracy, soundness of judgment, and compliance with legal requirements and department policies. IV. PERSONAL WORK RELATIONSHIPS: Incumbent regularly communicates with co-workers, other County personnel, ISDH, health care providers, school personnel, community service organizations, local Department of Family and Child Services, children, and adults, for purposes of exchanging and explaining information, coordinating nursing operations, providing health screening/treatment/education, and supervising and directing personnel. Incumbent reports directly to Director of Nursing. V. PHYSICAL EFFORT AND WORK ENVIRONMENT: Incumbent performs duties in a standard office, clinic, and at various residential sites, such as patient homes and institutions, involving sitting for long periods, standing/walking for long periods, sitting/walking at will, keyboarding, reaching, bending, crouching/kneeling, close vision, depth perception, hearing sounds/communication, speaking clearly, handling/ grasping/fingering objects, pushing/pulling/lifting/carrying objects weighing over 50 pounds, and exposure to noise, odors, and potentially hostile/violent persons. Incumbent is exposed to normal hazards associated with driving, and with public health nursing, such as communicable diseases and blood-borne pathogens, for which universal health precautions must be followed to ensure safety of self and others. Incumbent occasionally works extended and/or evening hours, occasionally works weekend hours, and occasionally travels out of town for home visits and conferences, sometimes overnight. APPLICANT/EMPLOYEE ACKNOWLEDGEMENT The for the position of Senior Nurse/Immunization Coordinator for the Health Department describes the duties and responsibilities for employment in this position. I acknowledge that I have received this , and understand that it is not a contract of employment. I am responsible for reading this job description and complying with all job duties, requirements and responsibilities contained herein, and any subsequent revisions. Hamilton County is an Equal Opportunity Employer. We participate in E-Verify.
    $42.1 hourly 13d ago
  • Nurse- 2nd & 3rd Shift Full time

    Grace Village Retirement Community 3.7company rating

    Utilization review nurse job in Winona Lake, IN

    Job Details Experienced Grace Village Health Care Facility Inc - Winona Lake, IN Full Time $30.00 - $42.00 Hourly None Any Health CareNurse-All Shifts, Full or Part Time Grace Village Retirement Community is looking for Nurses (RN or LPN) who have a passion for the elderly. Any shift, full or part-time available. Do you want to care for those who have cared for others and now need care themselves? You could be caring for a former teacher, lawyer, senator, or musician. Become part of their life story! About Us: Grace Village Retirement Community is a not-for-profit leading provider of senior care services. We are committed to enhancing the quality of life for our residents by providing compassionate and personalized care. We have the highest staff to resident ratio in Kosciusko County. Nurse's (RN or LPN) Scope of Responsibility: Supervise nursing personnel on assigned shifts and to assist with the delivery of excellent, loving care to all our residents. Monitor nursing personnel in the performance of their duties and give timely relevant evaluations of their work. Observe and assess individual resident needs in all areas, including physical, emotional, spiritual, and social and to assist in developing care plans to meet those needs. Assist in the initial and ongoing training of nursing aid staff. Work as a team to meet the needs of our residents and their family members in excellent customer service. Ensure that each resident receives quality care. Promote the mission, vision, and values of Grace Village Assist with the delivery of excellent loving care to all our residents by observing and assessing individual resident needs in all areas, including physical, emotional, spiritual, and social, and to assist in developing care plans to meet those needs Maintain quality assurance of nursing documentation and records Observe and assess residents' needs, notify physicians when necessary. Receive telephone orders, note correctly, and follow through with all new orders. Transcribe all physicians' orders accurately. Make assignments of residents, duties and breaks for nursing staff. Supervise all nursing personnel on shift - monitoring job duties, practices, procedures, behavior, and dress code of nursing staff. Also counseling, disciplining staff when necessary according to the facilities employee manual. Supervise or administer medications and treatments as ordered. Chart all medications and treatments and PRN results. Sign all medication and treatment sheets. Order medications/treatments as ordered and check them off when they arrive. Observe and assess resident's needs, notify physician when necessary (i.e. nursing concerns, change in condition, significant weight change, any accidents or incidents involving residents, questions about any medication or treatment). Receive telephone orders, note correctly, and follow through with all new orders. Transcribe all physicians' orders correctly. Flag all orders for a second nurse to check and initial. Nurse Qualifications Nurse's (RN or LPN) Qualifications: RN or LPN with a current Indiana license in good standing. Experience in Long-Term Care is a plus! Physical Demands: stand/walk/communicate, hear, see, and use of fingers/hands constantly; sit, lift, carry objects, and pushing/pulling occasionally. Nurse's (RN or LPN) Benefits: Pay based on experience. Base pay may increase at $0.25/hour per year up to a maximum of $5.00/hour for previous experience. Shift Diff of $1.50/hour for 2 nd shift and shift diff of $1.00/hour for 3rd shift; and Weekend Diff of $2.00/hour on Saturdays and Sundays for all shifts. Refer a nurse friend after your 90 days and receive a bonus up to $600 when they stay 90 days, conditions apply. Monthly employee celebrations and recognition. Cigna PPO health insurance that begins the 1 st of the month following 30 days of employment HSA Account with employer matching contribution for single ($30) and family ($50) coverages per pay period Dental, vision, life insurance (Begins 1st of the month following 30 days of employment) Company matched 401(k) up to 4% of wages with no vesting schedule, eligible 1st of month following 90 days of employment PTO accrued when you work 40 hours in a 2-week pay period Paid holidays for full-time employees, part-time employees receive holiday pay if they work the holiday Developmental training/Tuition reimbursement Discounted employee meals on site Christmas Club Savings Account Full-time 2 nd shifts are available. Full or part-time 1st and 3rd shifts are available. We offer set schedules. Nurses (RN or LPN) Work Location: In Person at 337 Grace Village Drive, Winona Lake, IN 46590. Grace Village is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected by law. Your Right to Work - In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Apply today to see why life is better at Grace Village.
    $30-42 hourly 60d+ ago
  • 2nd & 3rd Shift Nurse (RN/LPN)

    Christian Care Retirement Community 3.6company rating

    Utilization review nurse job in Bluffton, IN

    We are seeking a 2nd Shift & 3rd shift Nurse to come join our facility who wants to make a difference in our residents' lives. Starting Pay is $34.00/hour for an RN and $30.00/hour for a LPN. We offer an additional $3.00/hour for a 2nd & 3rd shift differential as well as an additional $2.50/hour on weekends worked and double-time pay on holidays worked. This position is open for both full-time and part-time! The nurse in this role will be responsible for providing compassionate, professional nursing care to the residents of Christian Care Retirement Community. As a skilled clinician, they will assess residents' health needs, develop appropriate care plans, administer medications and treatments, and closely monitor residents' conditions. On a typical day, the nurse will review residents' charts and consult with the interdisciplinary care team to determine the most suitable interventions for each resident. They will use their clinical judgement and critical thinking to analyze health data and identify changes or concerns. The nurse will administer residents' medications, treatments and therapies with meticulous attention to detail, ensuring the right care is provided at the right time. They will make regular rounds, checking in on residents to evaluate their response to care. With strong communication skills, the nurse will keep residents and their families updated about health changes, new physician orders, and adjustments to care plans. They will document their assessments, interventions and communications thoroughly in accordance with facility policies and nursing best practices. The nurse will coordinate closely with nurses, certified nursing assistants, therapists, social workers and other staff to provide coordinated, resident-centered care. They will fulfill all other nursing duties required to ensure the wellbeing of residents. Above all, the nurse will carry out their responsibilities with compassion, patience and respect for the residents in their care. They will be a reassuring, friendly presence and advocate for the residents' quality of life and comfort. Additional Information/benefits: Insurance coverage starts on day ONE for fulltime team members! This includes medical, dental, vision and employer paid life insurance. PTO available after 90 days of employment. Fulltime Team Members PTO balance is based on relevant years of experience. Part Time Team Members PTO balance is based on years of service at Christian Care. College assistance available! Perfect attendance and professional development bonuses available if eligible! Have a friend seeking work? We offer referral bonuses! Christian Care Retirement Community is a non-profit, faith-based organization. We truly strive to give our residents the best quality and compassionate care that we can while instilling our Christian values. Our facility offers care for residents who are in different stages of their lives- including Assisted Living, Long-term and Short-term care- we provide daily opportunities for our team members to truly make a difference in someone's life. So, if you're looking for a career as a nurse in a facility that feels more like a home, Christian Care is the place that can make that happen for you! Employment is contingent based on a clear background check and a negative drug screen.
    $30-34 hourly 55d ago
  • Nurse-Part Time

    Digby Place

    Utilization review nurse job in Lafayette, IN

    Digby Place is a clean, quaint, small assisted living facility in Lafayette, IN. We pride ourselves on providing excellent customer service and resident care. We are a vibrant and fun community, and look forward to you joining our team!! About LakeHouse Senior Living: Our company, which was built on our “Pillars of Excellence”, employs over 1,100 team members at communities located throughout Illinois, Indiana, Michigan, Ohio, Pennsylvania and Wisconsin. LakeHouse is a company committed to providing a positive reinforcing work environment and culture that recognizes the value of all team members. As an LPN, you will provide nursing care in accordance with the client's plan of care to include comprehensive health and psychosocial evaluation, monitoring of the client's condition, health promotion and prevention coordination of services. Qualifications: Two years LPN experience required Two years' experience in assisted living or in a nursing home Licensed Practical Nurse license in good standing Ability to ensure community follows all federal, state and local laws and regulations as pertains to resident services and care. Demonstrate good judgment, problem solving and decision-making skills Effective organization, time management, and written and verbal communication skills. The ability to handle multiple priorities and delegate assignments. A dedication to seniors and their well-being is essential. The ability to work nights and weekends. Benefits: In addition to a rewarding career and competitive salary, LakeHouse offers a comprehensive benefits package. Eligible team members are offered a comprehensive benefits package including medical, dental, vision, life and disability insurances, paid time off, and paid holidays. Team members are eligible to participate in our outstanding 401(k) plan with company match our Employee Assistance Program and accident insurance policies. Thank you for your interest in LakeHouse Senior Living careers. If you have any questions about the position you are applying for, please contact the community directly. EOE D/V JOB CODE: 1000406
    $36k-57k yearly est. 60d+ ago
  • New Hire Nursing - Lafayette

    Elder S Journey

    Utilization review nurse job in Lafayette, IN

    Welcome to our Nursing team. You should have received your job description via email from your hiring manager. If you did not receive it, please let you HR representative know during orientation.
    $36k-57k yearly est. Auto-Apply 60d+ ago

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Healthcare Support Staffing

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Top 4 Utilization Review Nurse companies in IN

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