- 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… 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
- 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 ... the nurse obligation to provide optimal outpatient care. Responsibilities The Home Based Primary Care Outpatient Staff Registered Nurse provides direct… 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
- 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 ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… 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 ... us apart from any other healthcare provider. We are seeking a Registered Nurse Float Pool to join our healthcare family. **Benefits** Rapides Regional Medical… 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 ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… 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
- 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
- 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 ... most to nurses like you - at home , at work, and at every stage in your...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- CenterWell (Baton Rouge, LA)
- …and reliable transportation. + Two years as a Registered Nurse in a home care, with at least one-year of management experience preferred. **Scheduled Weekly ... patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission… 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...referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as an active participant… more
- Sharecare (Baton Rouge, LA)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- Humana (Baton Rouge, LA)
- …others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled nursing ... inpatient and subacute activity daily for outcomes related to readmission, utilization , quality of care and provider performance in compliance with Humana/iCare… more
- HCA Healthcare (Alexandria, LA)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more