- 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 ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Humana (Baton Rouge, LA)
- …of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently… more
- Ochsner Health (Lafayette, LA)
- …of registered nurse (RN) licensure. Preferred - Certification in Case Management (CCM) or Certified Professional in Healthcare Management (CPHM). **Knowledge ... job manages the daily operations of all assigned divisions within the case management department in collaboration with the case management and social services… more
- ChenMed (New Orleans, LA)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...preferred providers. + Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute… more
- Veterans Affairs, Veterans Health Administration (New Orleans, LA)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (New Orleans, LA)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- … nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self awareness while caring for patients living with ... AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …experience with nurse consultation or clinical direction. + Minimum 2 years professional experience with project coordination/ management . + Relevant industry ... BCDPHA Nurse Consultation Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4824327) BCDPHA ...and Program Guidelines. + Manages COMPASS and COGNOS, data management and patient encounter data system to ensure the… more
- CVS Health (Baton Rouge, LA)
- …Friday 8:00am - 5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience - Client processing ... protect member information. **Required Qualifications** - 5+ years of clinical experience required - 2 + years of experience as a Registered Nurse - Must have… 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)
- **Description** **Rapides Regional Medical Center** **Registered Nurse Medical ICU** **PRN** Do you currently have an opportunity to make a real impact with your ... work? With over 2 ,000 sites of care and serving over 31. 2...opportunity to make a real impact. As a Registered Nurse Medical ICU you can be a part of change.… more
- HCA Healthcare (Alexandria, LA)
- …of Science in Nursing preferred + 3+ years of clinical hospital nursing experience required + 2 years of Case Management experience required + 2 years of ... us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. **Benefits** Rapides Regional Medical… more
- Sysco (Harahan, LA)
- …Case Management in Workers' Compensation **Licenses/Certifications:** + Licensed Registered Nurse in State of Residence. License must be active and unencumbered. ... fit for duty through injury prevention, employee wellness, case management , and process improvement that significantly impacts EHS's bottom-line performance… more
- Ochsner Health (New Orleans, LA)
- …(LCSW). **Work Experience** **Required** - 3 years of utilization and/or case management experience with a registered nurse license _OR_ Master of Social ... discover your future today!** This job provides direct supervision to registered nurse case managers and social workers in accordance with organizational standards.… more
- Ochsner Health (New Orleans, LA)
- …discover your future today!** This job plans, organizes and implements utilization management programs based upon individualized patient biopsychosocial ... discharge plan. + Under the direction of a RN Case Manger performs utilization review functions for the Case Management Department. + Demonstrates participation… more
- Ochsner Health (New Orleans, LA)
- …of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse license in state ... (CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare … more
- Ochsner Health (Covington, LA)
- …**Work Experience** Required - 6 years experience in managed care, utilization or quality management , regulatory compliance, medical management ... years of hire **Other** Required - Three years experience in managed care, utilization or quality management , regulatory compliance, medical management or… more
- Ochsner Health (Baton Rouge, LA)
- …Health and discover your future today!** This job works with organizational management to implement and maintain a nationally recognized Diabetes Self- Management ... subject to change at the company's discretion. **Education** Required - Registered nurse diploma or bachelor's degree in related field Preferred - Master's degree… more
- Ochsner Health (Gretna, LA)
- …home health, managed care, care management , case management or utilization review. **Certifications** Required - Current registered nurse (RN) license in ... subject to change at the company's discretion. **Education** Required - Registered nurse diploma. Preferred - Associate or bachelor's degree in nursing. **Work… more
- HCA Healthcare (Alexandria, LA)
- …required, Bachelor's Degree preferred + 3+ years of clinical hospital nursing experience required + 2 years of Case Management experience required + 2 years ... 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