Clinical Appeals Nurse - Indianapolis

+This role enables associates to work virtually full-time, with the maximum flexibility and autonomy. · +Conducts investigations and reviews of member and provider medical necessity appeals. · Reviews prospective, inpatient, or retrospective medical records of denied services for ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy investigating medical necessity appeals requests from members. · Conducts investigations and reviews of member and provider medical necessity appeals. · Reviews prospective inpatient or ...

Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers. The role involves conducting investigations and reviews of member grievances and Quality of Care cases. It requires a HS diploma or equivalent and a minimu ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy promoting productivity supports work-life integration and ensures essential face-to-face onboarding and skill development. · Reviews analyzes and processes non-complex grievances and ap ...

We are seeking an experienced RN to join our team as a Case Manager at IU Health University Hospital. · Plan and coordinate patient care from admission through post-discharge. · Perform accurate and timely discharge planning, including documentation and communication. · ...

· Company Description · Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at · One of our clients has a temporary position open for Grievance/Appeals Rep I located in Indianapolis IN with a ...

Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day. · ...

We are looking for a PRN Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams. · ...

Riley Children's Health is seeking a RN Case Manager to join our dedicated team. · ...

Description · Location: University Hospital  · Shift: 1.0 FTE Mon-Fri 8a-4:30p · Position: RN - Case Manager  · IU Health University Hospital is dedicated to delivering high-quality patient care through effective care coordination and seamless transitions across care settings. We ...

Job summary · Mantiene los registros y la facturación para servicios proporcionados a pacientes en las instalaciones asignadas. This position will handle Traditional Medicaid and Pathways billing · Ensure all claims have been submitted and exported correctly according to each pay ...

Riley Children's Health seeks an RN Case Manager to join our team. This full-time position works Monday-Friday, day shift with the ability to work remotely on Wednesdays upon completion of training and onboarding. The RN Case Manager plays a critical role in planning and coordina ...

We're looking for RN Case managers for an immediate travel nurse opening in Indianapolis, IN. The right RN should have 1-2 years recent case management experience. · ...

The RN-Case Manager plays a critical role in ensuring seamless patient transitions across care settings. This position involves assessment, care coordination, and communication with patients, families, providers, and payers. · Plan and coordinate patient care from pre-admission t ...

The RN-Case Manager plays a critical role in ensuring seamless patient transitions across care settings. This position involves assessment, care coordination, and communication with patients, families providers payers etc... · ...

+This trained Stem Cell Transplant and Cellular Therapy Advance Practice Provider will join one of the nation's most integrated healthcare systems.+ · This position offers a well-deserved reputation for providing comprehensive services and compassionate state-of-the-art care,+ · ...

RN Case Manager at Riley Children's Health is seeking an RN Case Manager to join their dedicated team. Collaborate with a multidisciplinary team to assign appropriate levels of care and ensure patients receive necessary services.ResponsibilitiesCollaborating with a multidisciplin ...

baptist health is looking for a revenue cycle specialist to join their team. · ...

Position Summary · Indiana University School of Nursing ( IUSON ) is seeking exceptional candidates for the position of Associate Dean, Indianapolis campus. This is an outstanding opportunity to be a part of a legacy of nursing excellence and leadership. As Indiana's premiere urb ...

We are seeking an Adult/Geriatric Nurse Practitioner to join our Care Planning Partners program located on the east side of Indianapolis. · ...