- CVS Health (Baton Rouge, LA)
- …Overview** Aetna Better Health of Louisiana is seeking a dedicated and experienced Behavioral Health Medical Director . The ideal candidate will be ... at least three (3) years of training in a medical specialty. The Behavioral Health Medical Director will ensure timely medical decisions,… more
- Highmark Health (Baton Rouge, LA)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Baton Rouge, LA)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Baton Rouge, LA)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Humana (Baton Rouge, LA)
- … health care space, such as utilization management, pharmacy, care management, behavioral health . + Proficiency in Microsoft Office programs. + Experience ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking an Associate... first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Implementation (Business Project Management) to lead within… more
- Conviva (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing ... enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Louisiana Department of State Civil Service (Independence, LA)
- Health Information Coordinator Supervisor B ( Medical Records) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4712700) Apply Health ... + Benefits + Questions Supplemental Information This vacancy is located in the Health Information Management Department ( Medical Records). The shift will be… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …this position, the incumbent must be in contact with: Benefits Administration, Medical Director , Underwriting, Group leaders, Delegated Vendors, Legal Department ... services to members who are most at risk for health deterioration, sentinel events, and/or poor outcomes. Manage acute...preferred. + Must have experience in the use of behavioral interviewing techniques and theory. **Skills and Abilities** +… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …this position the incumbent must be in contact with:Benefits Administration, Medical Director , Underwriting, Group leaders, Delegated Vendors, Legal Department ... whose goal is to effectively manage patients identified as high risk for health care complications, and improve their quality of life. Works collaboratively within… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …this position, the incumbent must be in contact with:Benefits Administration, Medical Director , Underwriting, Group leaders, Delegated Vendors, Legal Department ... to accomplishing the goals established in the plan. Experienced in behavioral interviewing techniques. + Coordinate by collaborating with the member/family,… more