- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… 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
- CVS Health (Baton Rouge, LA)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market.… 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
- 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
- Humana (Baton Rouge, LA)
- …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
- CVS Health (Baton Rouge, LA)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** he … 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 1 (Child Protection Investigation) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4781890) Apply Child Welfare … more
- Takeda Pharmaceuticals (Baton Rouge, LA)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Wisconsin region. Here, everyone matters, and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… 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 ... of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on… 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Baton Rouge, LA Job Type Classified Job Number OBH/EL/204847 Department LDH-Office of Behavioral Health Opening Date 01/24/2025 Closing Date 1/29/2025 11:59 PM ... This position is located within the Louisiana Department of Health /Office of Behavioral Health ...quality reviews, grievance and appeals, outcome measurement and case management/ care management) to evaluate health plan performance,… 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)
- **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