- Highmark Health (Baton Rouge, LA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Ochsner Health (New Orleans, LA)
- … case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... and discover your future today!** This job manages identified complex /catastrophic patients attributed to the organization and its Network...Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities… more
- Sharecare (Baton Rouge, LA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Humana (Baton Rouge, LA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with **no** disciplinary action ... schedules, which limits day-to-day flexibility **.** + All our RN Care Managers are work at home associates, working... Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- Intermountain Health (Baton Rouge, LA)
- …of Intermountain Health, and abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice. + ... **Job Description:** The RN Ambulatory Care Manager I delivers...**Education and Advocacy** : Educates healthcare team members about case management processes, appropriate referrals, and advocate for patient… more
- HCA Healthcare (Alexandria, LA)
- …Advanced Cardiac Life Spt must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Basic Cardiac Life Support, or CPR for ... at Rapides Regional Medical Center! **Job Summary and Qualifications** The Registered Nurse coordinates and delivers high quality, patient-centered care… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure ... a multidisciplinary team responsible for utilization review, prior authorization, and case management functions. + Monitor team performance, analyze metrics, and… more
- Elevance Health (Baton Rouge, LA)
- …and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager III, Louisiana Crisis Line** **Location:** 10000 Perkins Rowe ... Monday-Friday 8:00am-4:30pm CST for 3 weeks. The **Behavioral Health Case Manager III** is responsible for screening,...to Clinical & Referral Specialists. + Assists with more complex cases & calls. + Will provide clinical consults… more
- Elevance Health (Metairie, LA)
- …employment, unless an accommodation is granted as required by law_ The **Behavioral Health Case Manager I** is responsible for performing case management ... social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …as identified through the assessment in action oriented and time specific indicators. The case manager will act as an advocate for the member/family, maintaining ... to meet the member's healthcare needs. Through communication, the nurse will identify available resources to promote quality, cost...usage of evidence-based guidelines, as part of management of complex case management cases. + Responsible for… more
- Immigration and Customs Enforcement (Jena, LA)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... with the clinical director and health service administrator. This is a supervisory position. The nurse manager (Chief, Complex Unit) is stationed at a … more