Nurse Appeals - Indianapolis

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 ...

The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, · clinical guidelines, and contractual obligations.Responsible for the completion of clinical appeals and state hearings from all sta ...

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 ...

The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. · ...

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 ...

+This is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple pro ...

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. · ...

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. · ...

We are seeking a passionate and experienced RN to join our team as a Case Manager. · The RN-Case Manager plays a vital role in ensuring smooth patient transitions across various care environments. · Key Responsibilities:Plan and coordinate patient care from admission through post ...

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 ...

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... · ...

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

+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,+ · ...

+This is an outstanding opportunity to be a part of a legacy of nursing excellence and leadership. · +Overseeing operations related to faculty success... · ...

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 ...

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