- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** The Team Lead is accountable to leadership to support the day to day operations of the ... team . This position has no supervisory oversight of staff,...point and first line of contact for staff for clinical issues. They may lead projects as assigned. The… more
- CVS Health (Baton Rouge, LA)
- …to Applied Behavior Analysis (ABA). * Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors. ... system that is transparent, consumer-focused, and acknowledges physicians for their clinical excellence and effective utilization of health care resources. Reporting… more
- CVS Health (Baton Rouge, LA)
- …Screening, Diagnostic, and Treatment (EPSDT) case managers, providers, and enrollees on prior authorization requests for services. The UM Coordinator will ... days of the scheduled appointment * Assists with problems on each prior authorization requests, including identification of new providers, notification to… more
- Humana (Baton Rouge, LA)
- …join the Wisconsin Medicaid Market (iCare) team . This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that ... a Prior Authorization RN to...+ Two (2) or more years of experience in clinical care. + Proficiency with Microsoft Office applications, specifically Word,… more
- Centene Corporation (Baton Rouge, LA)
- …authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer. + Remains ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team...**Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that… more
- Prime Therapeutics (Baton Rouge, LA)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business...the account, as well as retention of high performing team members. + Ensures staff is trained and receive… more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... Provides drug information to patients and healthcare providers. Works to resolve prior authorizations and all insurance billing on behalf of the patient and… more
- Ochsner Health (Jefferson, LA)
- …home infusion therapy. Performs patient assessment and care. Oversees the Patient Advocate team . To perform this job successfully, an individual must be able to ... to use computer programs necessary for the successful review, authorization , preparation, dispensing and management of home infusion center...and legal. + Assists in the teaching of patients prior to discharge to home. + Coordinates the deliveries… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …experienced and compassionate Social Worker 7 to lead and coordinate advanced clinical services for youth in custody. This senior-level role involves providing ... expert therapeutic interventions, supervising clinical staff, and shaping treatment strategies that support rehabilitation and reintegration. The ideal candidate… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …are seeking a dedicated and experienced Social Worker 6-B to provide advanced clinical services to youth in custody. This position involves direct therapeutic care, ... secure care or residential setting. The ideal candidate will demonstrate strong clinical judgment, a trauma-informed approach, and a deep commitment to youth… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …and collaborative treatment planning. The ideal candidate demonstrates empathy, clinical insight, and a commitment to trauma-informed care and rehabilitation. ... treatment goals, and case notes + Participate in multidisciplinary team meetings and contribute to case planning + Advocate...authorize the HR Office of Juvenile Justice to contact prior employers to check references under the Prison Rape… more
- Louisiana Department of State Civil Service (Cottonport, LA)
- …+ DETAIL : The selected employee may be required to serve a trial detail prior to being permanently promoted + TEMPORARY JOB APPOINTMENT: This position may be filled ... license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is...practice as a Licensed Master's Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), or Certified Social Worker (CSW)… more
- Louisiana Department of State Civil Service (Angola, LA)
- …This is an opportunity for you to become part of a dedicated team supporting public safety, where professionalism, resilience, and teamwork are essential. RN ... Serve as a resource person for assigned staff. Provide clinical support to assigned staff for complex procedures and...promotion may be required to serve a trial detail prior to being permanently promoted. + This posting may… more
- Medtronic (New Orleans, LA)
- …Spine) Clinical Specialist or Sales Rep I experience plus 2 years of prior clinical or medical sales experience. **Nice to Have** * Excellent inter-personal ... We are seeking a committed professional to join our team , required to reside within the territory and drive...outside the territory. + Provide support and service to clinical personnel as it relates to the Products in… more
- Cardinal Health (Baton Rouge, LA)
- …and other innovation trends + Understanding of specialty drug processes, prior authorization , benefit verification, medication adherence, revenue cycle ... Specialty Network Solutions + Partner with the executive leadership team to leverage technology as a competitive advantage +...tools as well as the integration of data and clinical workflows (eg, Patient Portals, EHR/EMR, Data Sharing) +… more
- Oracle (Baton Rouge, LA)
- **Job Description** Intern - Must be enrolled in a university prior to and post internship. Target Internship Duration: May-Aug 2026 or June-Sept 2026. Location ... (Varies by team ) Hubs include but not limited: + Seattle, WA...healthcare industry, provide patient-centric care, and make the best clinical tools available around the world (https://www.oracle.com/industries/healthcare/). We are… more
- Cardinal Health (Baton Rouge, LA)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections, with a strong emphasis ... Management (RCM) contributes to Navista_** Revenue Cycle Management oversees clinical and administrative processes that healthcare providers utilize to capture,… more
- Cardinal Health (Baton Rouge, LA)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. Job Purpose: The ... of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical ...a team focused on a series of clinical and administrative processes that healthcare providers utilize to… more
- Oracle (Baton Rouge, LA)
- **Job Description** **Intern - Must be enrolled in a university prior to and post internship.** **Target Internship Duration: May-Aug 2026 or June-Sept 2026.** **The ... help build your network, and accelerate your opportunity to make an impact. **The Team :** Oracle Health & Analytics is a new line of business that aims to… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Bachelor's in nursing required. Work Experience + 3 years of recent direct patient care/ clinical experience is required. + 2 years of experience in managed care is ... to coordination of care for complex cases. Proficient in care management authorization processes, including usage of evidence-based guidelines, as part of management… more