- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements ... the care and wellbeing of members. The Field Care Manager Nurse 2...Louisiana + 2 years of experience in nursing, healthcare field (discharge planning, case management , care… more
- Centene Corporation (Baton Rouge, LA)
- … management or data reporting and evaluation. Experience working in managed care , utilization management , case management , or quality improvement ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...Orleans areas doing Provider outreach. 3 days in the field doing visits to facilities and 2 days fully… more
- Option Care Health (Baton Rouge, LA)
- …a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure ... supplemental order. + Provides training and mentorship to Infusion Nurse I's as needed to ensure patient safety and...competency and professional licensure for demonstrated knowledge regarding the care and management of patients in the… more
- Merck (Baton Rouge, LA)
- …occasional overnights should be expected. **These customers may include:** + Health care providers such as physicians, physician assistants, nurse practitioners, ... **Job Description** **Position Description:** The Chronic Care Representative (CCR) is the primary point of contact for a variety of customers within their assigned… 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
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …related to coordination of care for complex cases. Proficient in care management authorization processes, including usage of standard clinical guidelines ... Bachelor's in nursing, business administration, healthcare or a related field is required + RN license can be used...such as milliman care guidelines, as part of management of… more
- Evolent (Baton Rouge, LA)
- …operations this individual also works with our clinical team, which includes our Nurse , Clinical Reviewers and Field Medical Directors. Opportunities to work ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of… more
- Evolent (Baton Rouge, LA)
- …value-based care programs for oncology, cardiology, and musculoskeletal disease Leadership/ management + Leads performance management of clinical teams 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
- J&J Family of Companies (Baton Rouge, LA)
- …develop, and lead a team of Cell Therapy Experience Leads (a core field -based account management within CAR-T Commercial Operations), provide overall strategy ... in Field Sales/ Sales Leadership experience. + Field based Large Account Management , eg, KAM/KAS...Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced… 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 ... an interdisciplinary team. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines… more