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Medical Management Nurse
Syra Health
Indianapolis, IN
**SH-900 Medical Management Nurse Remote in Indiana** **Summary** **Position Summary:** This role involves managing a case load with a focus ...
$72k – $73k/year Apply Now
Immediate Need: Nurse Aide / CNA Floater $24–$25/hr
Always Best Care Senior Services
Honolulu, HI
Always Best Care Senior Services - Oahu is committed to providing compassionate, high-quality care to seniors across the island. We value fle...
$24.00 – $25.00/hr Apply Now
School Nurse - Fort Worth, TX
Thrive Therapies
Fort Worth, TX
We are hiring for the 2026-2027 School Year! Part-Time Hours Available. This job description provides a quick overview of Thrive Therapies Gr...
$30.00 – $40.00/hr Apply Now
Registered Nurse (RN)
Interim HealthCare Inc.
East Kingston, NH
Experience a work culture where nurses are valued, management backs you and you're empowered to be a patient's advocate. At Interim HealthCar...
$40.00 – $40.00/hr Apply Now
Registered Nurse - Patient Aligned Care Team
U.S. Department of Veterans Affairs
Spokane, WA
Qualifications English Language Proficiency Graduate of a school of professional nursing approved by the appropriate accrediting agency Poss...
$82k – $144k/year Apply Now
Registered Nurse (RN) - ICU/CCU
ECU Health
Washington, NC
Position Overview Responsible to provide care in accordance with the North Carolina Board of Nursing-Nurse Practice Act, American Nurses Ass...
$69k – $89k/year Apply Now
Outpatient Staff Registered Nurse
U.S. Department of Veterans Affairs
Columbia, SC
Come join our team at the Columbia VA Health Care System in Columbia - South Carolina. Columbia is the geographic center of South Carolina - ...
$80k – $152k/year Apply Now
Capital Markets Transactions Manager
SoFi
San Francisco, CA
Position Overview SoFi is seeking a Transactions Manager to join our Capital Markets team. The role involves working with various internal a...
$151k – $231k/year Apply Now
Investment Associate
ZappHire
San Francisco Bay, us
About this job We are looking for an Investment Associate to join for an early to late stage VC with $1B+ AUM. We are seeking a humble, hungr...
$150k – $200k/year Apply Now
Executive Assistant to Partner - Investment Firm
BURKE + CO.
Palo Alto, CA
Position Overview Executive Assistant role supporting one of the firm's partners in Palo Alto Job Overview Coordinate domestic & internat...
$140k – $160k/year Apply Now
Medical Management Nurse

**SH-900 Medical Management Nurse Remote in Indiana** **Summary** **Position Summary:** This role involves managing a case load with a focus on medical necessity reviews, clinical requests,...

$72k – $73k/year Apply Now

**SH-900 Medical Management Nurse Remote in Indiana** **Summary** **Position Summary:** This role involves managing a case load with a focus on medical necessity reviews, clinical requests, and effective case management. If you have a keen eye for detail, excellent clinical judgment, and enjoy working in a dynamic, virtual environment, we'd love to hear from you.

Key Responsibilities
  • Manage a census of 35-45 cases, aiming to address 25 cases per day. Responsibilities include medical necessity reviews, handling clinical requests, managing discharges, and making case management referrals.
  • Participate in bi-weekly rounds with physicians and the case management team to coordinate patient care effectively.
Qualifications
  • Candidate must have acute care, ICU, and Med/Surg experience in an inpatient hospital (bedside care) setting.
  • Required experience in Utilization Management and/or familiarity with Milliman Care Guidelines.
  • Required experience in acute inpatient (hospital) nursing, demonstrating strong clinical knowledge and decision-making skills.
  • Comfortable working in a virtual setting with proficiency in IT/computer applications, including Excel, Microsoft Outlook, and Microsoft Teams.
  • Quick learner with the ability to adapt to frequent process changes.
  • Consistent and excellent attendance record.
  • Valid Indiana RN license or compact license is essential.
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