- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Working knowledge of related software and office equipment. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... people + This role reports to this job: Manager, Case Management + Necessary Contacts: In order... RN licensed to practice in Louisianarequired + Nursing\ RN - Registered Nurse -… more
- Highmark Health (Baton Rouge, LA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... of members in their panel that are enrolled in case management . The incumbent conducts outreach to...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Sedgwick (Baton Rouge, LA)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
- Humana (Baton Rouge, LA)
- …reports **Use your skills to make an impact** **Required Qualifications** + Unrestricted Licensed Registered Nurse in the State of Louisiana + 2 years of ... help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements...experience in nursing, healthcare field (discharge planning, case management , care coordination, and/or home/community health… more
- Highmark Health (Baton Rouge, LA)
- …GED **Preferred** + Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management … more
- Takeda Pharmaceuticals (Baton Rouge, LA)
- …point of contact for vendor operations and vendor oversight, including vendors performing case management , case intake (ie, Call Centers), scientific ... of contact for vendor operations including the PV BPO vendor and/or vendors performing case management , case intake, literature review; call centers +… more
- Guardian Life (Baton Rouge, LA)
- …and status of treatment plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move claimants ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...Act as a liaison between all parties required in case management to facilitate collaboration toward RTW… more
- Sharecare (Baton Rouge, LA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration ... via self-directed learning. **Specific Skills/ Attributes:** + Strong motivational interviewing and case management skills. + Ability to be self-directed, highly… more
- Evolent (Baton Rouge, LA)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... health experience, preferably in a hospital, community mental health center, case management , coordinating care across multiple settings and with multiple… more
- Highmark Health (Baton Rouge, LA)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of quality issues. ... refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. Employ collaborative interventions which focus,… more
- Humana (Baton Rouge, LA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...EST.** Our nurses are titled Care Managers, because our case management services are centered on the… more
- Centene Corporation (Baton Rouge, LA)
- …+ Serve as a resource and liaison on utilization, quality improvement, and case management activities + Partner with various staff, along with internal ... This is a hybrid role seeking an LPN or RN that will be a liaison in the Baton...reporting and evaluation. Experience working in managed care, utilization management , case management , or quality… more
- Baylor Scott & White Health (Baton Rouge, LA)
- …in nursing or Health Information Management or Health Informatics. Must be a Registered Nurse ( RN ) or Registered Health Information Technologist ... (CPC) 4 years of nursing Acute Care, Quality, or Case Management or 4 years of inpatient...Experience - CERTIFICATION/LICENSE/REGISTRATION - Reg Health Information Technic (RHIT), Registered Nurse ( RN ) or … more
- J&J Family of Companies (Baton Rouge, LA)
- …sound, constructive judgment during demanding situations. + Accountability. Demonstrates excellent case management skills. Eager to take ownership, be proactive, ... Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD… more
- Highmark Health (Baton Rouge, LA)
- …future potential medical claims. And if applicable, completes referral requests for case /care management or provider review. The incumbent must communicate ... associated policies, guidelines and market data to continuously improve risk management and gain appropriate enrollment or manage existing membership; analyzes data… more