- Highmark Health (Baton Rouge, LA)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Elevance Health (Baton Rouge, LA)
- **Louisiana Crisis Manager II Behavioral Health Services** **Location: Baton Rouge, Louisiana** This position will work a hybrid model (remote and office). ... of one of our PulsePoint locations. The **LA Crisis Manager II Behavioral Health Services**...activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM… more
- Centene Corporation (Baton Rouge, LA)
- …to problem solving and sets clear expectations. + Directs the effective coordination of health care services to achieve program goals and objectives. + Ensures ... Certified Behavior Analysts (BCBA), BCBA-D (Doctoral), BCaBA (Assistants) or Behavioral Technician. The Manager supervises nurse(s) responsible...Autism Care team to ensure best value health care services are delivered in a… more
- Highmark Health (Baton Rouge, LA)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Centene Corporation (Baton Rouge, LA)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... position requires RN or LCSW Louisiana Licensure with extensive Behavioral Health experience. Applicants must reside in...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Highmark Health (Baton Rouge, LA)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Elevance Health (Baton Rouge, LA)
- ** Manager Wellness and Recovery Ops, Louisiana Crisis Hub...degree and a minimum of two years' experience in health services or behavioral health ... 50-mile radius and a 1-hour commute to our Elevance Health major office (Pulse Point) location in Louisiana. Elevance...and 1-2 days physically in office per week. The ** Manager Wellness and Recovery Ops, Louisiana Crisis Hub** is… more
- Highmark Health (Baton Rouge, LA)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Baton Rouge, LA)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Baton Rouge, LA)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Baton Rouge, LA)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of experience in child welfare; OR An advanced degree in a social science or behavioral health field, nursing, or a juris doctorate plus three years of ... Child Welfare Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780485) Apply Child Welfare Manager 2 Salary $6,271.00 -… more
- J&J Family of Companies (Baton Rouge, LA)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- CVS Health (Baton Rouge, LA)
- …address social determinants of health and connect members with community-based organizations. The Care Manager will assess member's needs as well as gaps in ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.... care more personal, convenient and affordable. The Care Manager is a member of the… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of experience in child welfare; OR An advanced degree in a social science or behavioral health field, nursing, or a juris doctorate plus two years of experience ... Child Welfare Supervisor (Foster Care ) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4783420) Apply Child Welfare Supervisor (Foster … more
- CenterWell (Baton Rouge, LA)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... such as CPA, CIA + Previous experience in home health , care delivery, or care ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Baton Rouge, LA)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Baton Rouge, LA)
- …3 years of Working knowledge of medical procedures and terminology + 3 years of Health Care claims, Health Insurance and Benefit Administration **SKILLS** ... level of production each month, as determined by the manager to ensure compliance with DLP changes. This role...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Baton Rouge, LA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Highmark Health (Baton Rouge, LA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role… more