- Novo Nordisk Inc. (New Orleans, LA)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in… more
- Humana (Baton Rouge, LA)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
- CVS Health (Baton Rouge, LA)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- CenterWell (Baton Rouge, LA)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... using InterQual and American Society of Addiction Medicine (ASAM) criterion + Utilization management experience within a managed care organization desired +… more
- Elevance Health (Metairie, LA)
- …granted as required by law. Must reside in the state of Louisiana. The **Medical Management Nurse ** is responsible for review of the most complex or challenging ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more
- Veterans Affairs, Veterans Health Administration (Slidell, LA)
- Summary The Home Based Primary Care Outpatient Staff Registered Nurse is responsible and accountable for individual nursing practice and determines the appropriate ... delegation of tasks consistent with the nurse obligation to provide optimal outpatient care. Responsibilities The Home Based Primary Care Outpatient Staff Registered… more
- Veterans Affairs, Veterans Health Administration (New Orleans, LA)
- … nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self- awareness while caring for patients living with ... ineligible to apply. Responsibilities The Inpatient Mental Health (MH) Registered Nurse (RN) provides and leads the provision of competent, evidence-based care,… more
- CVS Health (Baton Rouge, LA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Ochsner Health (New Orleans, LA)
- …of hospital-based experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered nurse license in ... to develop and implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management OMC Jefferson Highway PRN… more
- HCA Healthcare (Alexandria, LA)
- …Center we support our colleagues in their positions. Join our Team as a Registered Nurse in the Labor and Delivery unit and access programs to assist with every ... certifications and job skills. Apply today for our Registered Nurse Labor and Delivery opening and continue to learn!...the patient's pain and involves the patient in effective management of that pain using appropriate interventions + Able… more
- HCA Healthcare (Alexandria, LA)
- **Description** **Rapides Regional Medical Center** **Registered Nurse Float Pool** **Full Time, Days (7am-7pm), Rotating Weekends** This position is eligible for a ... any other healthcare provider. We are seeking a Registered Nurse Float Pool to join our healthcare family. **Benefits**...the patient's pain and involves the patient in effective management of that pain using appropriate interventions + Able… more
- US Tech Solutions (LA)
- …a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong direct relationships with ... + Minimum 3 years nursing experience with a minimum of 1 year in utilization management / prior authorization review experience. **Experience** : Utilization … more
- HCA Healthcare (Alexandria, LA)
- …you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Float Pool position and spend more time at the bedside with ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Rapides...Regional Medical Center! **Job Summary and Qualifications** The staff nurse serves as the leader of the Nursing Care… more
- ChenMed (Gretna, LA)
- …expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional patient care advice ... client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call coverage, the… more
- Evolent (Baton Rouge, LA)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- HCA Healthcare (Alexandria, LA)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- CenterWell (Shreveport, LA)
- …proactive and sustained engagement in improving health outcomes, optimizing resource utilization , and ensuring effective panel management . + **Focus on ... of care for the patients we serve. The Paneled Nurse Practitioner works in our team-based care environment. Our...will require acute and chronic treatment plans and proactive management through prevention and education. + **Accountable for the… more
