• Pre-Authorization Registered Nurse

    Humana (Baton Rouge, LA)
    …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN, Intern will utilize Humana's Medicaid training and ... the goal to put health first? The Prior Authorization, Registered Nurse , RN, Intern will review prior...to complete medical necessity reviews for requested services using clinical judgment and refers to internal stakeholders for review… more
    Humana (01/08/25)
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  • Utilization Management Nurse (Gulf South…

    Humana (Baton Rouge, LA)
    …etc. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) compact licensure with no disciplinary action + 3+ ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...required based on business needs + This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (01/25/25)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Baton Rouge, LA)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Post-Acute Utilization Management Nurse

    Humana (Baton Rouge, LA)
    …Provider calls **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) compact license with no disciplinary action + 1 ... and help us put health first** The Utilization Management Nurse utilizes clinical nursing skills to support...required based on business needs + This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (01/25/25)
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  • Clinical Territory Manager, Diabetes (Baton…

    Medtronic (Baton Rouge, LA)
    …of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse (RN) + Registered Dietitian (RD) + Physician Assistant ... **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and...is to be in the field 4 days/week and remote 1 day/week. + Educates patients, physicians, nurses, educators,… more
    Medtronic (01/07/25)
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  • Care Manager- Remote

    Sharecare (Baton Rouge, LA)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (01/17/25)
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  • Autism Service Navigator

    Centene Corporation (Baton Rouge, LA)
    …someone with one of the following license/certifications in LOUISIANA: Registered Nurse with case management experience, Clinical Psychologist, or Licensed ... valid, unrestricted license which may include:** Registered Nurse with case management experience, Clinical Psychologist,...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (01/11/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Baton Rouge, LA)
    …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
    Highmark Health (11/25/24)
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  • Director, Compliance Operations

    WelbeHealth (Baton Rouge, LA)
    …compliance with regulatory standards **Job Requirements:** + Bachelor's degree required + Registered Nurse (RN), master's degree, or other relevant advanced ... 100% REMOTE OPPORTUNITY At WelbeHealth, each participant of our...is guided by our interdisciplinary team (IDT), composed of clinical and non- clinical members who work cohesively… more
    WelbeHealth (01/23/25)
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  • Physician (Baton Rouge CBOC Primary Care)

    Veterans Affairs, Veterans Health Administration (Baton Rouge, LA)
    …and will collaborate with team members to provide comprehensive care. The PACT has a registered nurse , a licensed practical nurse , and a medical support ... assistant. The PACT is also supported by clinical pharmacy specialists, primary care mental health practitioners, social...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
    Veterans Affairs, Veterans Health Administration (12/12/24)
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