- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Humana (Baton Rouge, LA)
- …of the appropriate courses of action. This position is for Post Acute Concurrent Review Utilization Management Nurse , Monday through Friday 8am-5pm ... EST The Concurrent Review / Utilization Management Nurse 2 uses...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in Florida… more
- Louisiana Department of State Civil Service (Tallulah, LA)
- Registered Nurse Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4789021) Apply Registered Nurse Supervisor A Salary ... at ###. Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license… more
- Louisiana Department of State Civil Service (Colfax, LA)
- …particularly during the absences of the RN supervisor A as indicated. This Registered Nurse 4 is accountable for promoting a positive image and working ... Registered Nurse 4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4790761) Apply...Unit. Monitors public health practice for quality and appropriate utilization of services. Serves as the Lead Nurse… more
- Louisiana Department of State Civil Service (Lafayette, LA)
- Registered Nurse Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4788940) Apply Registered Nurse Supervisor A Salary ... at ###. Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license… more
- Louisiana Department of State Civil Service (Vidalia, LA)
- Registered Nurse 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4790819) Apply Registered Nurse 3 Salary $4,784.00 - $8,608.00 ... to be considered for this vacancy. Position Description: This Registered Nurse 3 is assigned to the...as they emerge. Administrative supervision is received from the RN Supervisor A. 50% This Register Nurse … more
- Fresenius Medical Center (Leesville, LA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Pineville, LA)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Humana (Belle Chasse, LA)
- …supports the goal to put health first? The Prior Authorization, Registered Nurse , RN , Intern will review prior authorization requests for appropriate ... onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN , Intern will...experience a plus. + Previous experience in prior authorization, utilization management + Experience working with MCG… more
- HCA Healthcare (Alexandria, LA)
- …in your career path, we encourage you to apply for our Registered Nurse Ortho Neuro Spine opening. We review all applications. Qualified candidates will be ... **Description** **Rapides Regional Medical Center** ** Registered Nurse Ortho Neuro Spine** **Full...patient care is as meaningful as we do. The RN serves as an advocate for patients to support… more
- HCA Healthcare (Alexandria, LA)
- …in your career path, we encourage you to apply for our Registered Nurse Medical ICU opening. We review all applications. Qualified candidates will be ... **Description** **Rapides Regional Medical Center** ** Registered Nurse Medical ICU** **Full Time,...the patient's pain and involves the patient in effective management of that pain using appropriate interventions + Able… more
- HCA Healthcare (Alexandria, LA)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Ortho Neuro Trauma and access programs to assist with every ... gain certifications and job skills. Apply today for our Registered Nurse Ortho Neuro Trauma opening and...the patient's pain and involves the patient in effective management of that pain using appropriate interventions + Able… more
- Highmark Health (Baton Rouge, LA)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Highmark Health (Baton Rouge, LA)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… more
- Louisiana Department of State Civil Service (LA)
- …Assurance, DRG Coordinator, Utilization Review , and Support Service Review . Advises and assists management relative to program assignments. Determines ... at ###. Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license… more
- HCA Healthcare (Alexandria, LA)
- …preferences and needs are considered and aligned What qualifications you will need: + Registered Nurse with current state license required + Graduate of an ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...we encourage you to apply for our Case Manager RN PRN opening. Our team will promptly review… more
- Guardian Life (Baton Rouge, LA)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- Elevance Health (LA)
- …experience. **Preferred skills, qualifications and experiences:** + Prior experience in inpatient Utilization Management , preferred. + 3-5 years of experience in ... **Be Part of an Extraordinary Team** ** Nurse Medical Management I** **Location:** Remote-...are not limited to: + Conducts pre-certification, continued stay review , care coordination, or discharge planning for appropriateness of… more
- Elevance Health (Baton Rouge, LA)
- …will make an impact:** + Serves as a resource for medical management programs. Identifies and recommends revisions to policies/procedures. + Ensures staff adheres ... assist with implementation of cost of care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues. + Hires, trains, coaches,… more
- Elevance Health (LA)
- …+ Supporting frontline staffing, coaching, mentoring through 1:1s and Performance management . + Partnering with Quality and Training teams. + Attending meetings ... to review performance and functioning of the line, process changes...and education to customers and internal associates of effective utilization of BH services and leads development and maintenance… more