- Evolent (Baton Rouge, LA)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (Baton Rouge, LA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Sharecare (Baton Rouge, LA)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- Centene Corporation (Baton Rouge, LA)
- …and work from home. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based… more
- Highmark Health (Baton Rouge, LA)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- Elevance Health (Baton Rouge, LA)
- …reaching out for assistance. + Responds appropriately to questions form BH care managers concerning cases and assists correcting non- clinical data entry ... ** Manager Wellness and Recovery Ops, Louisiana Crisis Hub...**How you will make an impact:** + Responsible for care coordination and/or care management activities focused… more
- Highmark Health (Baton Rouge, LA)
- …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- CenterWell (Denham Springs, LA)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... including but not limited to instructor-led and virtual instructor-led training. Clinical and operational. + Selects appropriate materials. Creates an environment… more
- Evolent (Baton Rouge, LA)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- CenterWell (Denham Springs, LA)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... address any discrepancies. + Ensures appropriate coding of medical records, working with clinical staff to ensure proper diagnosis and procedure codes are entered. +… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …lieu of a Bachelor's degree. **Work Experience** + 2 years Direct patient care / clinical experience. required **Skills and Abilities** + Ability to research and ... Proficient in care management authorization processes, including usage of standard clinical guidelines such as milliman care guidelines, as part of… more
- Evolent (Baton Rouge, LA)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more
- Highmark Health (Baton Rouge, LA)
- …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
- CenterWell (Baton Rouge, LA)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... improvement and membership growth. This role is within Centerwell's Primary Care Organization and requires an understanding of value-based agreements and primary… more