Utilization review nurse jobs in Indianapolis, IN - 287 jobs
All
Utilization Review Nurse
Nurse
Nurse Case Manager
Utilization Coordinator
Traveling Nurse
Consultant Nurse
Field Nurse
Utilization Review Coordinator
Travel RN - PCU Travel Nurse Job in Indianapolis, IN, Nights (3x12), $2,043 Wk
Advantis Medical Staffing
Utilization review nurse job in Indianapolis, IN
PCU travel nurse job inIndianapolis, IN - earn $2,043/week on a 13 week, Nights shift at a travel-friendly hospital with Advantis Medical. Looking for PCU travel nursing jobs near you? This contract follows a (3×12) schedule and offers high pay, clinical experience, and the full support of the #1 rated travel nurse agency.
Whether you're planning your next assignment inIndiana or searching for "PCU travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near Indianapolis, IN.
Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel PCU nurse jobs near you.
Job Details
Facility: IU Health - Methodist Hospital
Location: Indianapolis, IN 46202
Explore the area! See our local guide and an interactive map further down this page.
Contract Length: 13 Weeks
Shift: Nights (3×12)
Travel Nursing Requirements:
2+ years of recent PCU nursing experience.
Active Indiana RN License or Compact License (if applicable)
Benefits
Day One Benefits - Medical, Dental, Vision & 401(k)
Relocation and Travel Reimbursement
Dedicated team to help with travel & housing accommodations
Weekly Direct Deposit
$500 Referral Bonuses
Near Indianapolis, INIndianapolis, Indiana combines its role as state capital with a healthcare market that consistently supports traveling professionals. Nurses considering travel RN jobs near me will find opportunities across a broad network of specialties. During downtime, visit the Indianapolis Museum of Art, catch a Colts game at Lucas Oil Stadium, or stroll along the Canal Walk. Travel nursing jobs are also available in nearby Carmel, Greenwood, and Fishers, adding variety within a short drive. With national events like the Indy 500 alongside accessible neighborhoods and a thriving food scene, Indianapolis, IN provides a lively assignment setting rooted in Midwestern hospitality.
FAQs - PCU Travel Nurse Jobs Near Indianapolis, IN
Expand All
Are there PCU travel nursing jobs near Indianapolis, Indiana?
Yes! Advantis Medical frequently staffs PCU travel RN jobs inIndianapolis and nearby areas like Carmel (46032), Bloomington (47401) and Lafayette (47905). This assignment offers $2,043 per week and is one of our top current opportunities.
Is Indianapolis a good location for PCU travel nursing jobs?
Yes. With competitive pay, career-boosting clinical environments, and great local lifestyle perks, Indianapolis is a top destination for PCU travel nurse jobs inIndiana.
What are the licensing requirements for working as a travel nurseinIndiana?
Indiana Board of Nursing
Contact information
Website: https://www.in.gov/pla/professions/nursing-home/nursing-board/
Phone: 317.234.2043
Fees
License by Exam: $50 (+$200 exam fee)
License by Endorsement: $50 (+$25 if ENLC)
Renewal: $50
Temporary License: $10 w/copy of current license
Timing
Processing Time: 3 - 8 weeks
Valid for: 90 days (temp); 2 years (perm)
Renewal Schedule: by October 31st odd years
General Information
Nurse Licensure Compact: Yes
Nursys: Yes
CEU Requirements: CEU Requirements: none
Helpful Links
Apply Now
Check Status
Verify License
Travel Nursing Jobs With Advantis Medical - The Gold Standard
At Advantis Medical Staffing, we take great pride in our commitment to caring for travel nurses. We are dedicated to connecting nurses with the best travel nursing jobs nationwide, while providing exceptional service that fosters a trusted partnership for life. Our mission is to deliver the "Gold Standard" in service -not only by securing your first assignment but by advocating for your long-term career goals and well-being. Experience our gold standard level of service as we create a stress-free and rewarding journey for you.
View Similar PCU Jobs ⟶
Travel Nursing Job inIndianapolis, IN
Weekly Pay: $2,043
This pay combines taxable wages and tax-free stipends. For a full, transparent breakdown, submit the "I'm Interested" form, & a recruiter will send you the details. ×
Location: Indianapolis, IN 46202
Explore the area! See our local guide and an interactive map further down this page. ×
Facility: IU Health - Methodist Hospital
Specialty: PCU
Duration: 13 weeks
Shift: Nights (3x12)
I'm Interested
Have a question? Call us at 214-305-6445
$2k weekly 7d ago
Looking for a job?
Let Zippia find it for you.
Travel Labor and Delivery Nurse
Malone Healthcare-Nursing
Utilization review nurse job in Franklin, IN
Malone Healthcare - Nursing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Franklin, Indiana. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Duration: 13 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
About Malone Healthcare - Nursing With a commitment to providing a higher standard of service and experience in patient care, Malone Healthcare places expert nurses and allied health professionals in rewarding careers throughout the United States. As a leading healthcare staffing agency, Malone's focus on compliance and integrity translates to a seamless experience for our team members and partner facilities. When you work with Malone Healthcare, you can rely on over 50 years of proven experience placing exceptional professionals in quality healthcare settings.
Benefits Weekly pay
Holiday Pay
Guaranteed Hours
Continuing Education
401k retirement plan
Pet insurance
Referral bonus
Medical benefits
Dental benefits
Vision benefits
License and certification reimbursement
Life insurance
$68k-127k yearly est. 23h ago
Utilization Management Nurse
Centerwell
Utilization review nurse job in Indianapolis, IN
**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.
Conviva Care Solutions is seeking a RN who will collaborate with other health care givers inreviewing 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.
**Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX
**Use your skills to make an impact**
**Role Essentials**
+ Active Unrestricted RN license
+ Possession of or ability to obtain Compact Nursing License
+ A minimum of three years clinical RN experience;
+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience
+ Demonstrates Emotional Maturity
+ Ability to work independently and within a team setting
+ Valid driver's license and/or dependable transportation necessary
+ Travel for offsite Orientation 2 to 8 weeks
+ Travel to offsite meetings up to 6 times a year as requested
+ 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
+ Available for On Call weekend/holiday rotation if needed
**Role Desirables**
+ Education: BSN or bachelor's degree in a related field
+ Experience with Florida Medicaid
+ Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures
+ Compact License preferred
+ Previous experience inutilization management within Insurance industry
+ Previous Medicare Advantage/Medicare/Medicaid Experience a plus
+ Current nursing experience in Hospital, SNF, LTAC, DME or Home Health.
+ Bilingual
**Additional Information**
We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more.
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 required; 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.
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: 02-18-2026
**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 12d ago
Utilities Coordinator, Entry-level
Opus Services 4.6
Utilization review nurse job in Indianapolis, IN
Job Description
Chance for an entry-level candidate to enter the world of office-based civil engineering work performing and managing utility coordination related work for super varied projects. You'll coordinate utilities related work for a wide range of Civil Engineering projects across transportation and roadway design and construction, structural projects, aviation, parks, bridges, and more. We are happy to train and invest in someone new to Utilities Coordination work, and just need someone with great communication and documentation skills who has general knowledge of the Civil world or related construction. Just getting into the field and thinking about managing utilities related projects? This could be for you. Working in the field for construction or survey related work and want to move primarily into an office setting? This could be a perfect fit. Join a team of experienced pros to collaborate with and learn from, and work for a manager who doesn't micromanage and invests in the team.
Target pay of $50,000 to $62,000 ($24-30 per hour) with any OT paid at 1.5 on top. Great benefits, 401K, and profit sharing.
REQUIRED:
Excellent verbal and written communication skills
MS Office skills, including Word and Excel
Civil Engineering industry knowledge or experience
Strong organization skills
Please reach out ASAP if interested. No visa sponsorship available for this role.
$50k-62k yearly 2d 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 1d ago
Utilization Review Coordinator
Neuropsychiatric Hospitals 3.8
Utilization review nurse job in Indianapolis, IN
About Us Healing Body and Mind.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations inIndiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
Overview
NeuroPsychiatric Hospitals of Indianapolis and Medical Behavioral Hospital of Indianapolis are looking for a PRN UtilizationReview Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
This position will be PRN (per diem) and work between both hospitals inIndianapolis and Greenwood on an as-needed basis.
Benefits of joining NPH
Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart
Responsibilities
Filing documents as needed.
Initial Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensures that CON's/RON's and CMS certifications are completed by provider.
Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
Complies with hospital expectations regarding ethical behavior and standards of conduct.
Complies with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provides education to nursing staff. ;eadership team, and providers regarding documentation.
Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilizationreview experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW
$33k-46k yearly est. Auto-Apply 14d 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 late evening 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.
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 21d 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 12d ago
Utility Coordinator - Civil Engineering - Base Salary to 30.00/hour - Indianapolis, IN
Allsearch Professional Staffing
Utilization review nurse job in Indianapolis, IN
AllSearch has a client that strives to provide the best results for civil engineering services to government and businesses within their community. They are looking for a Utility Coordinator to support and manage utility coordination activities for local, INDOT, and LPA infrastructure projects, including roadways, trails, bridges, airports, and water resource projects. This role focuses on tracking utility coordination activities, maintaining documentation, and ensuring utility-related milestones stay on schedule. The Utility Coordinator works closely with internal project teams, public agencies, and utility companies to support on-time project delivery.
Responsibilities:
Coordinate with Utility Coordinators, Project Managers, municipal clients, INDOT representatives, and utility company staff to support accurate and timely utility coordination.
Maintain utility correspondence logs for active projects with minimal supervision.
Prepare, submit, and document Indiana 811 Design and Dig Tickets.
Track utility correspondence deadlines, file downloads, and responses for major request items prior to scheduled due dates.
Follow up with utility companies when files are not downloaded or responses are overdue.
Update Project-Level and Overall Utility Relocation Gantt Charts to ensure relocations remain on schedule.
Track prerequisite activities for utility relocations, including right-of-way clearing, staking, and related field activities.
Proactively contact utility companies to confirm and remind them of upcoming action items.
Maintain accurate utility involvement lists based on 811 Design and Survey Locate Tickets.
Assist with drafting and distributing utility coordination letters, notices to proceed, and related correspondence.
Complete assigned tasks on schedule and within project budgets.
Follow established QC/QA procedures and documentation standards.
Qualifications:
High school diploma or equivalent professional experience.
Working knowledge of civil engineering or infrastructure projects.
Proficiency with Microsoft Word, Microsoft Excel, and Adobe Acrobat.
Ability to follow written, verbal, and diagram-based instructions.
Strong attention to detail and documentation accuracy.
Compensation:
Base salary in the 24.00 - 30.00/hour
Vacation pay
Health insurance
Dental insurance
Life insurance
Long term care coverage
Wellness program and health coaching
401k plan
Bonuses and profit sharing
Professional dues and subscriptions
Tuition reimbursement
Flexible work hours
#INDALL
#zr
$36k-49k yearly est. 6d 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 inutility 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 inutility 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
Utility Coordinator - Civil Engineering - Base Salary to 30.00/hour - Indianapolis, IN
Allsearch Recruiting
Utilization review nurse job in Indianapolis, IN
AllSearch has a client that strives to provide the best results for civil engineering services to government and businesses within their community. They are looking for a Utility Coordinator to support and manage utility coordination activities for local, INDOT, and LPA infrastructure projects, including roadways, trails, bridges, airports, and water resource projects. This role focuses on tracking utility coordination activities, maintaining documentation, and ensuring utility-related milestones stay on schedule. The Utility Coordinator works closely with internal project teams, public agencies, and utility companies to support on-time project delivery.
Responsibilities:
Coordinate with Utility Coordinators, Project Managers, municipal clients, INDOT representatives, and utility company staff to support accurate and timely utility coordination.
Maintain utility correspondence logs for active projects with minimal supervision.
Prepare, submit, and document Indiana 811 Design and Dig Tickets.
Track utility correspondence deadlines, file downloads, and responses for major request items prior to scheduled due dates.
Follow up with utility companies when files are not downloaded or responses are overdue.
Update Project-Level and Overall Utility Relocation Gantt Charts to ensure relocations remain on schedule.
Track prerequisite activities for utility relocations, including right-of-way clearing, staking, and related field activities.
Proactively contact utility companies to confirm and remind them of upcoming action items.
Maintain accurate utility involvement lists based on 811 Design and Survey Locate Tickets.
Assist with drafting and distributing utility coordination letters, notices to proceed, and related correspondence.
Complete assigned tasks on schedule and within project budgets.
Follow established QC/QA procedures and documentation standards.
Qualifications:
High school diploma or equivalent professional experience.
Working knowledge of civil engineering or infrastructure projects.
Proficiency with Microsoft Word, Microsoft Excel, and Adobe Acrobat.
Ability to follow written, verbal, and diagram-based instructions.
Strong attention to detail and documentation accuracy.
Compensation:
Base salary in the 24.00 - 30.00/hour
Vacation pay
Health insurance
Dental insurance
Life insurance
Long term care coverage
Wellness program and health coaching
401k plan
Bonuses and profit sharing
Professional dues and subscriptions
Tuition reimbursement
Flexible work hours
#INDALL
#zr
$36k-49k yearly est. 7d ago
Nurse Consultant
New Hope of Indiana 4.1
Utilization review nurse job in Indianapolis, IN
New Hope of Indiana is seeking a licensed LPN or RN Nurse Consultant to join our growing team serving individuals with developmental and intellectual disabilities. If you're looking for a place where you can grow your career while helping individuals live their best life, this is the place.
About Us:
We've been voted a Top Workplace by IndyStar for the last 7 years in a row and we truly care about our associates at New Hope.
We have been in the Indy community for over 40 years and we remain committed to supporting individuals and families, encouraging them to live their most independent, fulfilling lives. We are making an impact in our communities every day through services for individuals with disabilities and advocacy efforts.
The Benefits We are Proud to Offer: The New Hope difference:
New Hope recognizes the importance of a work environment that fosters respect, dignity, diversity, teamwork, personal growth, training, and development. We maintain a compassionate culture that supports work/life balance and we believe in the power of our associates. Each associate enjoys benefits including:
403(b) Retirement Plan with Employer Match
Attractive Medical/Dental/Vision plans
100% employer paid short-term/long-term disability
100% employer paid basic life and AD&D insurance
Generous Paid Time Off accrual
Tuition Reimbursement
Employee Assistance Program
Employee Referral Bonus
About the Job: Nurse Consultant
You will be responsible for the clinical evaluation and treatment of clients to promote health and well-being. In this position you will supervise medical and/or nursing care services as prescribed by the physician. You will provide consultation to the program in regulation interpretation and in pursuing the optimal level of health care services available. You will work in coordination with the Manager of Nursing Services.
What you your day to day looks like: Nurse Consultant:
Establishes medical guidelines with the medical director in accordance with facility values and applicable regulations.
Provide inclusive instruction and training to associates, ensuring diverse and equitable approaches in the delivery and monitoring of client health care/needs.
Provides clinical oversight to Nurse Consultant LPNs when Manager, Nursing Services is unavailable.
Provides input to the client conferences as needed. Ensures each client receives optimal medical services.
Monitors medication processes for all clients which includes but is not limited to:
Medication side effects
Teaching & training of associates in a supportive and inclusive environment
Auditing medications sheets
Auditing the documentation on MARs and TARs
Ensuring medications are stored correctly
Auditing/monitoring and destroying controlled substances with appropriate staff person
Communicates health care coordination with other staff and professionals involved in each client's care.
Intercedes with physicians when needed to insure coordination of client health care and communication.
Provides on-call coverage on a rotating basis, in addition to assigned caseload.
Ensures documentation of Nurse Consultant intervention with client health care.
Coordinates client medical needs in accordance with state and federal ICF/ID regulations.
Performs other duties as may be assigned.
What you bring to the table: Nurse Consultant
Must have a minimum of a Licensed Practical Nursing (LPN) degree from an accredited college or university
Current license to practice from the Indiana State Board of Registration for Licensed Practical Nurses
At New Hope of Indiana, we are not just an organization; we are a community dedicated to empowering individuals with disabilities to live their most fulfilling lives. Established as the largest not-for-profit provider of residential services in Marion County, we pioneer transformative initiatives that foster inclusivity, independence, and a culture of compassion.
Our mission is clear: to actively support individuals with disabilities through comprehensive services and unwavering advocacy for human dignity. We envision a world where everyone belongs, and our community embraces and welcomes individuals with disabilities, making inclusion the norm.
What we hold sacred at New Hope of Indiana:
Communication: The ability to express ideas and facts in a clear, organized, and convincing manner in a style, tone, and level appropriate for the audience. Conveys information in a professional, precise, and easy-to-understand way.
Compassion: Caring about others and behaving toward them with affection, generosity, and concern. Demonstrates the intent to contribute to the happiness and well-being of others.
Collaboration: Effectively interacting, working, and developing relationships with people of various cultural backgrounds and abilities. This includes respecting, seeking to understand, and valuing differences and promoting cooperation and commitment with peers to achieve goals and deliverables.
Flexibility: The ability and willingness to work effectively within a variety of diverse situations, adapting to and remaining open to new ideas and approaches. Includes compromise and openness to change.
Trust: Builds positive relationships by demonstrating honesty and credibility, doing what is committed to, having positive intent, and a track record of reliability. Has others' best interests in mind.
Our Commitment to Diversity, Equity and Inclusion:
New Hope of Indiana provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
$49k-60k yearly est. 6d ago
Field Nurse Practitioner - Marion County, Indiana
Advantmed 3.6
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 proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network.
In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities.
Learn more about our primary purpose here
Follow us on LinkedIn:
******************************************
NP Responsibilities:
In-home Clinical Assessments
Travel to members' homes and conduct comprehensive health evaluations
Conduct Annual Wellness Visits and health assessments for members with chronic conditions.
Perform:
Medical history and physical examinations
Review of systems
Vital signs collection
Medication review and reconciliation
Possible preventive health screenings
Hemoglobin A1C
Spirometry
KED (Kidney Health Evaluation)
DRE (Diabetic Retinal Exam)
FIT
Patient Education & Engagement
Deliver preventive health education and counseling opportunities.
Educate patients on ongoing health monitoring, medication adherence, and chronic condition management.
Support informed decision-making and ensure true, informed consent.
Engage in goals of care discussions when appropriate.
Care Coordination & Quality Support
Identify clinically relevant diagnoses for care management and risk adjustment documentation.
Communicate findings used to generate post visit summaries for the primary care provider.
Identify and help close quality care gaps (e.g., screenings, labs, follow-ups).
Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience.
Compliance & Professional Standards
Adhere to HIPAA regulations and safeguard protected health information (PHI).
Maintain accurate, timely, and compliant EMR documentation.
Perform additional duties as assigned in alignment with organizational goals.
An enthusiastic collaborator contributing to the enhancement of care delivery
Providers are expected to commit a minimum of 30 hours per month
Locations:
Marion County, Indiana
Requirements
Travel Requirements
Daily travel expectations remain within a 55-mile radius of the assigned home location.
NP Qualifications:
Must have a valid unencumbered NP License for the state you will be working in
This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county
Preference is given to weekday schedules
Preference is given to standard working hour schedules
Previous in-home risk assessment experience preferred
Previous 1099 (PRN) experience is preferred but not required
3 years patient care experience preferred (primary care/adult/geriatric, EMR)
May be requested to obtain additional NP licensure supported by Advantmed
Access to reliable transportation that will enable you to travel to members' homes within a designated area
Strong ability to work within our EMR system
Ability to work independently
Bilingual is a plus
Benefits
Advantmed offers:
Competitive compensation of ~$100 per completed in-home health assessment
Paid mileage
Flexible work schedule, choose your own schedule
No on call
Visits ready to be scheduled immediately
Appointment confirmation support
Dedicated coordinator support
Advanced member scheduling coverage
State of art technology
$58k-87k yearly est. Auto-Apply 47d ago
Nurse
Job Bridge Global
Utilization review nurse job in Indianapolis, IN
Job Description
Job Title: Registered Nurse
Employment Type: Full-time
Please Note: You will never be charged a fee at any stage of this process. Job Bridge Global does not charge recruitment or registration fees. All costs are covered by the employer. This role is based in the United States.
Requirements
Position Overview
We are seeking dedicated and compassionate Registered Nurses to join a large hospital in Michigan and Indiana. This is an exciting opportunity to make a real impact on patient lives, working within a supportive and professional environment.
All visa and registration costs are covered, plus a signing on bonus, relocation assistance, health benefits, and opportunities to advance your nursing career all with a promise of a good work to life balance.
As a Registered Nurse, you will deliver high-quality, patient-centered care while collaborating with interdisciplinary medical teams to ensure the well-being and recovery of your patients.
Key Responsibilities
Direct Patient Care: Deliver safe, effective, and empathetic care in accordance with established clinical standards.
Clinical Assessments: Monitor patient conditions, perform assessments, administer medications, and track vital signs.
Care Planning: Develop and implement individualized care plans in coordination with physicians and other healthcare professionals.
Team Collaboration: Work closely with doctors, specialists, and therapists to ensure comprehensive patient care.
Patient Communication: Educate and support patients and their families on treatment plans and health management.
Documentation: Maintain accurate and up-to-date medical records in line with facility and regulatory requirements.
Compliance: Follow all relevant healthcare laws, regulations, and facility policies to maintain high safety and ethical standards.
Candidate Requirements
Education: Bachelor's Degree inNursing (BSN).
Experience: A minimum of 1-2 years of experience is preferred. Newly qualified nurses are also encouraged to apply.
Skills: Strong clinical knowledge, attention to detail, effective communication skills, and the ability to thrive under pressure.
Attributes: Compassionate, empathetic, and committed to high standards of patient care.
Language: Proficiency in English (reading, writing, speaking, and listening) is essential.
Benefits
What's on Offer
Competitive pay: Starting at $37 per hour but could be higher depending on experience
Visa sponsorship and full relocation support
Career growth opportunities
Professional training and ongoing development
Supportive and inclusive work environment
Health, dental, and vision insurance
Generous paid time off (PTO)
Retirement plans with employer contributions
Tuition reimbursement & ongoing education opportunities
Opportunities for advancement in a growing health system
How to Apply
Submit your application through our online form. A member of our team will be in touch to guide you through the next steps.
$37 hourly 30d ago
Nurse (Evenings)
TLC Management 4.3
Utilization review nurse job in Indianapolis, IN
Nurses join us at Creekside Health and Rehabilitation to make a difference!
*Sign-on Bonus for Evening Shift
$10,000 FT
If you are looking for a career that can make a difference, then Creekside Health and Rehabilitation is the place for you. Our work family is made up of a variety of talented and committed team members who are dedicated to making a difference in the lives they serve. Each employee contributes their unique skills and abilities with the key goal of enabling our residents to reach and maintain their highest functional abilities. Every job matters at Creekside Health and Rehabilitation Center. We believe in what we do and know our hands make a difference.
As a nursein our facility, look at what benefits you can enjoy:
Competitive starting wage with additional pay for experience
$1,000 new employee referral program
$2 Shift Differential. $2 Weekend Bonus Program
DailyPay! Work today, get paid today!
Monthly Celebrations and recognitions
Quarterly Education Bonus Program
Medical, Vision, and Dental
401k
Paid life insurance
Tuition Reimbursement up to $5000 per year
Licensed Practical Nurse (LPN) Primary Responsibilities
The LPN is responsible for providing for the daily care, health needs, safety and comfort of the residents. Including providing professional assessments and documentation of the residents health and assisting with the management of the assigned nursing units staff.
Responsibilities
Licensed Practical Nurse (LPN) Essential Functions
LPN's will supervise, perform and provide written/verbal care assignments, routine skills and procedures to ensure the quality of care to residents
Participate in the development and implementation of resident care plans, maintaining up to date nursing care plans, documenting progress and making recommendations for revisions to care plans according to facility policy and procedure
LPN's will make daily and periodic visits to observe for symptoms, reactions to medication and/or treatment
Obtaining and documenting vital signs, intake and output, weights, diet supplements and replacements, cultures, etc.
Assisting with the orientation and on-going training of staff to assure required skill levels are maintained for all staff
Reporting and documenting resident and/or visitor incidents, accidents, complaints or allegations according to the facility's policy and procedure using the designated occurrence reporting system
IND123
Qualifications
Licensed Practical Nurse (LPN) Qualifications
A graduate of an accredited school of nursing and possess a valid LPN License in good standing according to State and Federal requirements
Have a thorough understanding of the principles of safe effective nursing practices within the State of Indiana
Have basic computer skills along with knowledge of such programs as Excel, Word, etc.
Personal integrity and the ability to deal tactfully with residents, family members, visitor, government agencies and personnel
$40k-53k yearly est. Auto-Apply 6d ago
NP Medical Rounding Opportunity in Indianapolis
Healthwaze
Utilization review nurse job in Indianapolis, IN
We're hiring an NP in our tight knit facility inIndianapolis who's ready to lead care, work independently, and still have time for life outside of work. The Schedule
Monday \- Friday
8:00 am to 5:00 pm
Built\-in flexibility to enjoy your time off
What You'll Do
Lead daily rounds and assessments
Coordinate care with providers and families
Educate patients on health plans
Document clearly and confidently
What You Bring
Active NP license (Indianapolis)
Independent drive with a collaborative mindset
Passion for patient\-first care
Why You'll Love It Here
Competitive salary + full W\-2 benefits
Health insurance and generous PTO
Flex schedule that supports real\-life balance
Supportive, tight\-knit care team
Apply today and find out what it feels like to work in a role that respects your time and your talent.
"}}],"is Mobile":false,"iframe":"true","job Type":"Full time","apply Name":"Apply Now","zsoid":"681892850","FontFamily":"PuviRegular","job OtherDetails":[{"field Label":"Job Specialty","uitype":100,"value":"Nurse Practitioner"},{"field Label":"Industry","uitype":2,"value":"Medical"},{"field Label":"City","uitype":1,"value":"Indianapolis"},{"field Label":"State\/Province","uitype":1,"value":"Indiana"},{"field Label":"Zip\/Postal Code","uitype":1,"value":"46254"}],"header Name":"NP Medical Rounding Opportunity inIndianapolis","widget Id":"**********00072311","is JobBoard":"false","user Id":"**********00235003","attach Arr":[],"custom Template":"3","is CandidateLoginEnabled":true,"job Id":"**********12342008","FontSize":"15","google IndexUrl":"https:\/\/healthwaze.zohorecruit.com\/recruit\/ViewJob.na?digest=R7OE9kcl7@SEvw8byZXTq@92iD3Pcap.HvYYT6TMUDA\-&embedsource=Google","location":"Indianapolis","embedsource":"CareerSite","indeed CallBackUrl":"https:\/\/recruit.zoho.com\/recruit\/JBApplyAuth.do","logo Id":"egevpa7c0a961d0cb45208ac9d3f986287815"}
$35k-57k yearly est. 60d+ ago
MDS Nurse (Licensed Practical Nurse/LPN)
Westside Village Nursing Center
Utilization review nurse job in Indianapolis, IN
The LPN MDS Nurse is responsible to complete and submit accurate and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
Attended an accredited LPN program
Currently licensed/registered in applicable State. Must maintain an active Licensed Practical/Vocational Nurse (LPN/LVN) license in good standing throughout employment.
Two (2) years' nursing experience. Geriatric nursing experience preferred.
CRN C Certification (clinical compliance)
CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment.
Specific Job Requirements
Advanced knowledge in field of practice
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Complete and submit accurate and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations
Report any changes in a patient's condition identified by the MDS Assessment to the DON
Provide education to direct care associates regarding updates or changes to the CMS RAI Manual or Skilled Nursing Facility Regulations that impact documentation
Assist with review of the Interdisciplinary Comprehensive Care Plan
Review Final Validation Reports and ensure all assessments have been accepted into the CMS QIES system prior to billing and notify the Business Office when assessments are not ready to bill
Review CMS Reports to identify assessments completed or submitted late and develop systems and processes to prevent reoccurrence
Attend and participate in the Daily PPS Meeting, Monthly Triple Check, and other meetings upon request in the absence of the RN MDS Coordinator
Perform functions of a staff nurse as required
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
$35k-57k yearly est. 14d ago
Patient Nurse Navigator
Francisan Health
Utilization review nurse job in Indianapolis, IN
Franciscan Health Indianapolis Campus 8111 S Emerson Ave Indianapolis, Indiana 46237 When a patient requires care from different facilities and/or practitioners they need a Patient Nurse Navigator to identify needs and remove any barriers to timely, appropriate care. Our Nurse Navigators guide the patient from diagnosis through treatment and act as the central point of contact for the patient and the entire medical team. It's a job that requires a strong communicator with excellent organization skills.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
Outpatient BMT Clinic
WHAT YOU CAN EXPECT
* Professional Development Opportunities
* Faith-based, Mission-focused Organization
* Outpatient clinic that cares for hematology/oncology patients that provides routine physician office visits and infusion therapies.
* A didactic learning experience in a fast-paced environment.
* Maintain detailed knowledge of transfer center regulatory requirements.
* Provides clinical resources guidance on where to seek a second opinion, treatment or testing that may not be available locally, and how to access reliable sources of information.
* Patient & physician Liaison Answers questions as appropriate and serves as liaison to the physician for additional questions and concerns.
* Ensures any health information provided is accessible, such as securing documents printed in the patient's own language or arranging for certified medical interpretation, either in-person or by phone/videoconference.
* A member of an interdisciplinary team to assess, secure, and coordinate appropriate services through the continuum of care.
* Educates patients about their disease, prescribed treatment, and side effects of treatment and how to manage them.
* Monday-Friday hours of clinic 7:00 am-5:30 pm
* No weekend, no holiday, no call
QUALIFICATIONS
* Preferred Bachelor's Degree
* 2+ years related experience Preferred
* Registered Nurse (RN)
* Basic Life Support Program (BLS) - American Heart Association
* Unit Specific Certifications - Franciscan Alliance
TRAVEL IS REQUIRED:
Never or Rarely
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$35k-57k yearly est. 6d ago
Nurse Navigator
Syneos Health, Inc.
Utilization review nurse job in Indianapolis, IN
You're a nurse, a patient advocate, and an educator-and you excel at every one of them. In this role, you will be responsible for providing inbound and outbound patient support in a pharmaceutical environment. As a Nurse Navigator your duties will include but are not limited to: answering numerous inbound phone lines, multi-tasking, email communication, outbound follow-up calls with patients, trouble shooting and problem solving with clinical issues that may arise with patients. You will:
* Work with internal customer regulatory, medical affairs, and Nurse Supervisor to efficiently and effectively resolve customer needs
* Manage calls in a personal, systematic, and organized manner
* Conduct virtual training
* Responds to patient inquiries and provide education or information to help regarding training issues utilizing customer-approved materials
* Focus and provide exemplary customer service
Essential Requirements:
* Bachelor's degree, RN or BSN
* 2+ years' experience in customer service field OR a combination of education and patient care experience in a chronic condition
* Experience with injectable therapies
Desired Requirements:
* Experience in chronic care such as autoimmune disease and short bowel syndrome
At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.
Why Syneos Health? Here, the work is challenging, and the pace is exhilarating. By joining one of our commercial teams, you're empowered to succeed with the support, resources, and autonomy that you need. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Syneos Health has launched more sales teams in the last 5 years across all major therapeutic areas than the top 25 pharma companies combined. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients. Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.
Work Here Matters Everywhere | How are you inspired to change lives?
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)
Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.
400002501
$35k-57k yearly est. 11d ago
Nursing - Interventional Radiology
Ascension St. Vincent Indianapolis
Utilization review nurse job in Indianapolis, IN
Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details.
Ventura MedStaff benefits represent the care and compassion we provide for our clients.
• Health, dental, vision, life, disability benefits and 401k
• Tax free stipends when applicable
• Gym discounts
• Weekly pay
• $750.00 referral bonus
Please apply or contract us at: *********************** or ************
How much does a utilization review nurse earn in Indianapolis, IN?
The average utilization review nurse in Indianapolis, IN earns between $42,000 and $73,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.
Average utilization review nurse salary in Indianapolis, IN
$55,000
What are the biggest employers of Utilization Review Nurses in Indianapolis, IN?
The biggest employers of Utilization Review Nurses in Indianapolis, IN are: