Bachelor's Degree in Nursing required * Active Indiana Registered Nurse (RN) license required * 5 years of Nursing/Patient Care required * 2 years of Utilization or Case Management experience ...
Bachelor's Degree in Nursing required * Active Indiana Registered Nurse (RN) license required * 5 years of Nursing/Patient Care required * 2 years of Utilization or Case Management experience ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and ... Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and ... Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job ...
... management, drug utilization review, clinical criteria configuration, and pharmacy system ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... management, drug utilization review, clinical criteria configuration, and pharmacy system ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
Triage RN I - Acute, CareBridge (**Virtual**)
Indianapolis, IN · On-site +1
$67K - $115K/yr
Participation and/or certification in a managed care or utilization management organization ... Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies ...
Triage RN I - Acute, CareBridge (**Virtual**)
Indianapolis, IN · On-site +1
$67K - $115K/yr
Participation and/or certification in a managed care or utilization management organization ... Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies ...
Nurse Practitioner Remote
Columbus, IN · On-site +1
Nurse Practitioner (NP) Location: Remote Indiana Schedule: Full-Time, PRN, & On-Call Rotations Join ... Prescribe and manage medications, including detox, withdrawal, and MAT protocols. * Supervise ...
Nurse Practitioner Remote
Columbus, IN · On-site +1
Nurse Practitioner (NP) Location: Remote Indiana Schedule: Full-Time, PRN, & On-Call Rotations Join ... Prescribe and manage medications, including detox, withdrawal, and MAT protocols. * Supervise ...
Remote Team Leadership * Talent Development & Employee Engagement * Clinical Operations Management ... Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse ...
Remote Team Leadership * Talent Development & Employee Engagement * Clinical Operations Management ... Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse ...
Nurse Practitioner (NP) Location: Remote Indiana Schedule:Full-Time, PRN, & On-Call Rotations Join ... Prescribe and manage medications, including detox, withdrawal, and MAT protocols. * Supervise ...
Nurse Practitioner (NP) Location: Remote Indiana Schedule:Full-Time, PRN, & On-Call Rotations Join ... Prescribe and manage medications, including detox, withdrawal, and MAT protocols. * Supervise ...
Registered Nurse - (Community Care Coordinator)
Indianapolis, IN · On-site +1
$68K - $120K/yr
... utilization management standards, clinical documentation requirements, community care regulations ... Uses nursing knowledge and systems theory to assess, organize, facilitate, and guide Veterans ...
Registered Nurse - (Community Care Coordinator)
Indianapolis, IN · On-site +1
$68K - $120K/yr
... utilization management standards, clinical documentation requirements, community care regulations ... Uses nursing knowledge and systems theory to assess, organize, facilitate, and guide Veterans ...
Multi-State Nurse Practitioner (NP) - Contracted Location: Remote -- United States THE HIGHLIGHTS ... We provide expert diabetes education and clinical management for Medicare patients, delivered by a ...
Multi-State Nurse Practitioner (NP) - Contracted Location: Remote -- United States THE HIGHLIGHTS ... We provide expert diabetes education and clinical management for Medicare patients, delivered by a ...
Regional Medical Director-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health S
Indianapolis, IN · Remote
... and utilization management. Health System & Community Partnership Development * Serve as the ... skilled nursing facilities, and community organizations. * Foster collaboration across the ...
Regional Medical Director-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health S
Indianapolis, IN · Remote
... and utilization management. Health System & Community Partnership Development * Serve as the ... skilled nursing facilities, and community organizations. * Foster collaboration across the ...
Chief Medical Officer-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health Syste
Indianapolis, IN · Remote
... and utilization management. Health System & Community Partnership Development * Serve as the ... skilled nursing facilities, and community organizations. * Foster collaboration across the ...
Chief Medical Officer-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health Syste
Indianapolis, IN · Remote
... and utilization management. Health System & Community Partnership Development * Serve as the ... skilled nursing facilities, and community organizations. * Foster collaboration across the ...
Registered Nurse Clinic III - Hematology/Oncology - partial remote
Newburgh, IN · On-site +1
$28.71 - $40.19/hr
... and case management functions. The Registered Nurse Clinic III will provide care utilizing ... Staggered Remote Position * This position requires 3 months of in department training * After ...
Registered Nurse Clinic III - Hematology/Oncology - partial remote
Newburgh, IN · On-site +1
$28.71 - $40.19/hr
... and case management functions. The Registered Nurse Clinic III will provide care utilizing ... Staggered Remote Position * This position requires 3 months of in department training * After ...
Electric Utility Asset Management Specialist with Cascade Experience - REMOTE WORK
Hammond, IN · On-site +1
$80K - $150K/yr
Remote (United States) FLSA Classification Exempt Orbital Engineering, Inc. is currently seeking an ... Train new users in the utilization of Cascade Asset Management software. * Maintain accurate and up ...
Electric Utility Asset Management Specialist with Cascade Experience - REMOTE WORK
Hammond, IN · On-site +1
$80K - $150K/yr
Remote (United States) FLSA Classification Exempt Orbital Engineering, Inc. is currently seeking an ... Train new users in the utilization of Cascade Asset Management software. * Maintain accurate and up ...
Electric Utility Asset Management Specialist with Cascade Experience - REMOTE WORK
Hammond, IN · On-site +1
$80K - $150K/yr
Remote (United States) FLSA Classification Exempt Orbital Engineering, Inc. is currently seeking an ... Train new users in the utilization of Cascade Asset Management software. * Maintain accurate and up ...
Quick apply
Electric Utility Asset Management Specialist with Cascade Experience - REMOTE WORK
Hammond, IN · On-site +1
$80K - $150K/yr
Remote (United States) FLSA Classification Exempt Orbital Engineering, Inc. is currently seeking an ... Train new users in the utilization of Cascade Asset Management software. * Maintain accurate and up ...
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Indianapolis, IN · Remote
$21 - $28/hr
You will have experience identifying resources and coordinating needs for chronic care management ... Fully remote position - Work from the comfort of your own home in cozy clothes without a commute.
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Indianapolis, IN · Remote
$21 - $28/hr
You will have experience identifying resources and coordinating needs for chronic care management ... Fully remote position - Work from the comfort of your own home in cozy clothes without a commute.
Health Plan Member Services Analyst
Indianapolis, IN · On-site +1
Serve as a liaison between members, authorized representatives, facility nursing and social work ... Route authorization requests to the appropriate Utilization Management team and communicate status ...
Health Plan Member Services Analyst
Indianapolis, IN · On-site +1
Serve as a liaison between members, authorized representatives, facility nursing and social work ... Route authorization requests to the appropriate Utilization Management team and communicate status ...
Health Plan Member Services Analyst
Evansville, IN · On-site +1
Serve as a liaison between members, authorized representatives, facility nursing and social work ... Route authorization requests to the appropriate Utilization Management team and communicate status ...
Health Plan Member Services Analyst
Evansville, IN · On-site +1
Serve as a liaison between members, authorized representatives, facility nursing and social work ... Route authorization requests to the appropriate Utilization Management team and communicate status ...
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Indianapolis, IN · On-site +1
$21 - $28/hr
You will have experience identifying resources and coordinating needs for chronic care management ... Fully remote position - Work from the comfort of your own home in cozy clothes without a commute.
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
Indianapolis, IN · On-site +1
$21 - $28/hr
You will have experience identifying resources and coordinating needs for chronic care management ... Fully remote position - Work from the comfort of your own home in cozy clothes without a commute.
Nurse Practitioner for In-home Visits
Richland, IN · On-site +1
$2.5K - $4.0K/wk
At Signify Health, part of CVS Health ® , our mission is to build trusted relationships to make ... Our NP contractors can earn a competitive wage (or supplement their current income) while managing ...
Nurse Practitioner for In-home Visits
Richland, IN · On-site +1
$2.5K - $4.0K/wk
At Signify Health, part of CVS Health ® , our mission is to build trusted relationships to make ... Our NP contractors can earn a competitive wage (or supplement their current income) while managing ...
Nurse Practitioner for In-home Visits
Chrisney, IN · On-site +1
$2.5K - $4.0K/wk
At Signify Health, part of CVS Health ® , our mission is to build trusted relationships to make ... Our NP contractors can earn a competitive wage (or supplement their current income) while managing ...
Nurse Practitioner for In-home Visits
Chrisney, IN · On-site +1
$2.5K - $4.0K/wk
At Signify Health, part of CVS Health ® , our mission is to build trusted relationships to make ... Our NP contractors can earn a competitive wage (or supplement their current income) while managing ...
Remote Cvs Utilization Management Nurse information
What is the difference between Remote Cvs Utilization Management Nurse vs Remote Cvs Case Manager?
| Aspect | Remote Cvs Utilization Management Nurse | Remote Cvs Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, case management certification |
| Work Environment | Utilization review teams, insurance companies | Patient advocacy, care coordination teams |
| Employer & Industry | Health insurance, managed care organizations | Health insurance, healthcare providers |
Both roles require RN licensure and related certifications, but the Utilization Management Nurse focuses on reviewing medical necessity and approving services, while the Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps job seekers find the right fit within the healthcare and insurance industries.
What are the most commonly searched types of Cvs Utilization Management Nurse jobs in Indiana?
The most popular types of Cvs Utilization Management Nurse jobs in Indiana are:
What are popular job titles related to Remote Cvs Utilization Management Nurse jobs in Indiana?
For Remote Cvs Utilization Management Nurse jobs in Indiana, the most frequently searched job titles are:
- No Experience Utilization Review Nurse
- Utilization Management Nurse Consultant
- Utilization Review Rn
- Registered Nurse Utilization Review
- Remote Utilization Management
- Per Diem Utilization Review Nurse
- Remote Utilization Review Rn
- Entry Level Utilization Management Nurse
- Night Utilization Review Nurse
- Contract Utilization Review Nurse
What job categories do people searching Remote Cvs Utilization Management Nurse jobs in Indiana look for?
The top searched job categories for Remote Cvs Utilization Management Nurse jobs in Indiana are:
- Seasonal Remote Utilization Review
- Weekend Utilization Review
- Optum Utilization Review Nurse
- Anthem Utilization Review Nurse
- Remote Optum Utilization Review
- Medical Claims Review Nurse
- Remote Utilization Review Nurse Practitioner
- Online Utilization Review
- Entry Level Rn Utilization Review Nurse
- Remote Hca Utilization Review
What cities in Indiana are hiring for Remote Cvs Utilization Management Nurse jobs?
Cities in Indiana with the most Remote Cvs Utilization Management Nurse job openings:

Full-time
Posted 8 days ago
Franciscan Health rating
6.8
Based on 272 frontline employees who took The Breakroom Quiz
498th of 898 rated healthcare providers
Job description
The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan.
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.
WHAT YOU CAN EXPECT
Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.
Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.
QUALIFICATIONS
Bachelor's Degree in Nursing required
Active Indiana Registered Nurse (RN) license required
5 years of Nursing/Patient Care required
2 years of Utilization or Case Management experience preferred
TRAVEL IS REQUIRED:
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 thebenefit section of our career site, jobs.franciscanhealth.org.
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