Utilization Review Clinician

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental...

Title : Licensed Utilization Review II Location : Candidates must reside within 50 miles or 1-hour commute each way of an Elevance Health location. Build the Possibilities. Make an Extraordinary Impact. The Licensed Utilization Review II is responsible for working primarily with healthcare providers to help ensure appropriate and consistent administration of...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...

Working At NYAP NYAP's commitment to doing what is best for children, youth and their families is a core value and one that we look for in our newest team members. 22 Days Off Each Year! Plus 11 Paid Holidays Per Year! Healthcare Benefits for you and your family Pet Insurance Competitive salaries and benefits including a 401(k), Summer Hours Off...

Job DetailsJob Location Indianapolis, IN Education Level 4 Year Degree Salary Range $60,000.00 Job Category Nonprofit - Social Services Working At NYAP NYAP's commitment to doing what is best for children, youth and their families is a core value and one that we look for in our newest team members. 22 Days Off Each Year! Plus 11 Paid Holidays Per Year!...

SUMMARY:Utilization Management RN to be 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...

Anticipated End Date: 2024-12-11 Position Title: Clinical Review Nurse I Job Description: Clinical Review Nurse I National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health...

Project Manager IHybrid - Plainfield, IN3-Year Contract (W2), Weekly Pay (40 hours/week)Desired Start Date: 12/2/2024Calculated Hire is in search of a Project Manager I for our Utility Company partner. You will be responsible for the following components:Job Summary• The Project Manager I may have relationships with individuals in various organizations...

Job DescriptionJob DescriptionJob Title: Utilization Management SpecialistLocation: Indianapolis, IN - 46219 Contract Details:Duration: 12 weeks.Location: Indianapolis, IN Work Schedule and Training:Work Hours: 8:00 AM – 5:00 PM (No flexible hours).Training: Typically 2-3 weeks (may vary by individual, up to one month).Ideal Candidate Profile:Previous...

Project Engineer - Utility Infrastructure - IndianapolisJob Locations US-IN-IndianapolisJob ID 2024-2277Category/Group Utility Infrastructure GroupEmployment Type Regular Full-TimeOverviewWhen 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...

Job SummaryThe Insurance Compliance Professional - Certificate Review Specialist role at My Coi LLC involves providing exceptional support to commercial clients by examining certificates of insurance and endorsements for completeness, accuracy, and conformance to contract requirements.This position requires a high level of analytical thinking, attention to...

The Utilities Planner/Reliability Specialist will be responsible for planning, estimating and scheduling work to be performed by the Utilities Staff and will be the Utilities Administrator for the Computerized Maintenance Management System (CMMS) system. The Planner/Scheduler will ensure that work is performed in an efficient and quality manner and that the...

The Utilities Planner/Reliability Specialist will be responsible for planning, estimating and scheduling work to be performed by the Utilities Staff and will be the Utilities Administrator for the Computerized Maintenance Management System (CMMS) system. The Planner/Scheduler will ensure that work is performed in an efficient and quality manner and that the...

The Utilities Planner/Reliability Specialist will be responsible for planning, estimating and scheduling work to be performed by the Utilities Staff and will be the Utilities Administrator for the Computerized Maintenance Management System (CMMS) system. The Planner/Scheduler will ensure that work is performed in an efficient and quality manner and that the...

Title: Suicide and Overdose Fatality Review Program Coordinator Location: 2 North Meridian, Indianapolis, IN Interview:- Webcam Purpose of Position/Summary: This position will serve as the Program Coordinator for the statewide Suicide and Overdose Fatality Review (SOFR) Program within the division of Fatality Review and Prevention at the Indiana...

Division:Eskenazi Health Sub-Division: SEMHC Req ID: 17264 Schedule: Part Time Shift: Days Sandra Eskenazi Mental Health Center, Indiana's first community mental health center, provides comprehensive care for emotional and behavioral problems, including severe mental illness and substance abuse. The Sandra Eskenazi Mental Health Center offers both...

Division:Eskenazi Health Sub-Division: SEMHC Req ID: 21021 Schedule: Part Time Shift: Nights Sandra Eskenazi Mental Health Center, Indiana's first community mental health center, provides comprehensive care for emotional and behavioral problems, including severe mental illness and substance abuse. The Sandra Eskenazi Mental Health Center offers both...

Job Summary:Lorven Technologies is seeking a highly skilled Hazard Mitigation Plan Reviewer to join our team in Indianapolis, IN.Key Responsibilities:Review submitted county mitigation plan updates utilizing the FEMA Local Plan Review Guide and Checklist.Provide assistance to counties and their hired contractors regarding revisions.Coordinate between FEMA,...

About Cupertino Electric, Inc.Cupertino Electric, Inc. (CEI) has been a leading provider of high-profile, complex projects for nearly 70 years. Our team of experts has built a reputation for delivering real, tangible results that alter the landscape and improve lives. We pride ourselves on our commitment to integrity, problem-solving, and innovation.Our...

Position: Hazard Mitigation Plan Reviewer Location: Indianapolis, IN (Hybrid Role) Contract Purpose of Position/Summary: Working under the guidance of the State Hazard Mitigation Officer, to carry out the hazard mitigation planning duties and responsibilities as addressed in the Indiana Code, Stafford Act, and Code of Federal Regulations...