Utilization Review Manager - Home Care jobs in Indianapolis, IN
Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Recently Added Utilization Review Manager - Home Care jobs
- Professional Management Enterprises
-
Indianapolis, IN
FULL_TIME
-
A Medical RN Care Manager II is needed to meet HBR targets and member enrollment. Fully remote M-F 8AM - 5PM. MUST reside in the state of Indiana.
- Cold call outreach to members,
- Completion of member multiple enrollment and follow-up assessments,
- Creation of member care plans
- Input documentation into multiple computer systems
- Daily collaboration with CM/UM/Pharmacy peers to meet member needs
- Checking eligibility in FSSA system,
- Research claim encounter and Hospital systems to obtain member health history
- Maintain Case Load 50
- Daily outreach 20-40 calls daily
- Monthly Quality Audit score 90%
Education/Experience:
Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
Licenses/Certifications: Current state’s RN license. - 8 Days Ago
- Sycamore Springs
-
Lafayette, IN
FULL_TIME
- Overview Sycamore Springs *Fully In-Person Role* Utilization Review Specialist Full Time, Monday-Friday Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible ...
- 5 Days Ago
- Springstone, Inc.
-
Lafayette, IN
FULL_TIME
- Overview Sycamore Springs *Fully In-Person Role* Utilization Review Specialist Full Time, Monday-Friday Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible ...
- 6 Days Ago
- CommuniCare Family of Companies
-
Indianapolis, IN
FULL_TIME
- New Vista Health and Wellness is currently seeking an experienced clinician to lead our Utilization Review department as Director of Utilization Review at Ethan Crossing of Indianapolis, a Substance U...
- 5 Days Ago
- Team Select Home Care
-
Greenwood, IN
FULL_TIME
- Clinical Supervisor/Case Manager - Team Select Home Care Team Select Home Care is expanding its clinical team at our Greenwood, IN office! We are looking for compassionate nurses who share our passion...
- 8 Days Ago
- ComForcare Home Care
-
Indianapolis, IN
FULL_TIME
- Company: ComForCare Home Health Location: Indianapolis, IN Position Type: Full-Time Job Summary: The RN Case Manager at ComForCare Home Health holds a pivotal role in delivering high-quality, patient-...
- 21 Days Ago
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0 Utilization Review Manager - Home Care jobs found in Indianapolis, IN area
- Nova Medical Centers
-
Indianapolis, IN
- Overview: Regional Vice-President of Network & Payor Relations- Indiana Remote Role for Indiana NOVA MEDICAL CENTERS, on...
- 4/19/2024 12:00:00 AM
- Bausch + Lomb
-
Indianapolis, IN
- Bausch + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of ...
- 4/19/2024 12:00:00 AM
- System One
-
Indianapolis, IN
- Traffic/Project Manager (West Coast Hours) Employment Type: Full Time Date Posted: 4/2/2024 Location: Remote Pay Range: ...
- 4/19/2024 12:00:00 AM
- Ollies Bargain Outlet Holdings, Inc.
-
Indianapolis, IN
- ** Store Manager** **Job Category****:** Store Operations **Requisition Number****:** STORE016522 Showing 1 location **J...
- 4/19/2024 12:00:00 AM
- Genezen
-
Indianapolis, IN
- The field of gene therapy is growing rapidly and Genezen is here to meet the exacting needs of our clients. We provide p...
- 4/19/2024 12:00:00 AM
- Prime Therapeutics
-
Indianapolis, IN
- Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. ...
- 4/18/2024 12:00:00 AM
- Black & Veatch
-
Indianapolis, IN
- **Project Manager, Nodal Transmission Modeling** Date: Apr 8, 2024 Location: US Company: Black & Veatch Family of Compan...
- 4/18/2024 12:00:00 AM
- Lennar Homes
-
Indianapolis, IN
- Overview Welcome Home! Build your career with Lennar! As one of the nation’s largest builders, Lennar has built over one...
- 4/17/2024 12:00:00 AM
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