- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Field Care Manager Nurse assesses and evaluates member's needs and requirements to ... the care and wellbeing of members. The Field Care Manager Nurse work...Louisiana + 2 years of experience in nursing, healthcare field (discharge planning, case management , care… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …establishment and maintenance of policies and procedures. Coordinates access to care for vulnerable populations. Performs case management activities utilizing ... REGISTERED NURSE 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4661931) Apply REGISTERED ...Job Concepts FUNCTION OF WORK: To provide professional nursing care to patients/clients or to provide education to nursing… more
- Public Consulting Group (Baton Rouge, LA)
- …on a team. + Proven working experience in case management , including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... policies and procedures + Responsible for the full patient care cycle. + Assesses, plans, implements, monitors and evaluates...and cooperate with medical team throughout the entire case management process + Interacts with patients to keep track… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …knowledge of claims processing systems. + Staff level experience in Quality Improvement/ Management and/or Managed Care activities is required. + Basic knowledge ... Audit, Legal Department, Claims and all members of Medical Management . Also acts as Liaison between Blue Cross Association...nursing, business administration, healthcare, computer science or a related field is required or + In lieu of a… more
- Humana (Baton Rouge, LA)
- …Spouse looking for an internship that supports the goal to put health first? The Care Management Registered Nurse , RN, Intern will utilize Humana's training ... Internship or Hiring our Heroes Military Spouse Fellowship. The Care Manager, Registered Nurse , RN, Intern will...+ Possess an interest in working in the managed care industry + Experience with case management ,… more
- Highmark Health (Baton Rouge, LA)
- …**Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** ... inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with… more
- Bristol Myers Squibb (Baton Rouge, LA)
- …identifying, engaging, and cultivating credibility with customers across the patient care journey. + Demonstrated account management skills and problem-solving ... BioPharma that delivers the most impactful engagement with Health Care Providers (HCPs), driving adoption of new and existing...objectives while exemplifying BMS values. The TAS role is field -based. A TAS is anticipated to spend 100% of… more
- Centene Corporation (Baton Rouge, LA)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Therapist (LMFT + Licensed Mental Health Professional (LMHP) + RN - Registered Nurse - State Licensure and/or Compact State Licensure required with Behavioral Health… more
- Highmark Health (Baton Rouge, LA)
- …The incumbent works with leaders in clinical services and sales/account management as a liaison, developing collaborative relationships across departments such as ... to members and clients. This is a client-facing role. + Support the clinical management team to assure that there are clear expectations for Case Managers & Disease… more