- Highmark Health (Baton Rouge, LA)
- …for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is ... documentation including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of process and judgement to… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Member Service, Provider Service, Benefits Administration, Network Administration, Utilization Review Nursing Staff, Medical Directors, Medical Necessity Appeals, ... targets for staff and unit performance as required by company and management standards to ensure achievement of departmental productivity goals + Receives member… more
- Sedgwick (Baton Rouge, LA)
- …Loved Workplace(R) Forbes Best-in-State Employer CAT Repair Team Solution Part Coordinator **PRIMARY PURPOSE** **:** To inspect, identify, and evaluate auto vehicles ... in the field; determines repair versus replace and parts utilization . + Evaluates and determines parts needs based on...parts needs based on industry standard estimating software. + Intake and safeguard parts when received on site, determine… more