- 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 ... the scheduled appointment * Assists with problems on each prior authorization requests, including identification of new...providers and goals are being met **Required Qualifications** * Registered Nurse (Required) * Ability to facilitate… more
- Humana (Baton Rouge, LA)
- …part of our caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. ... This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin,… more
- CVS Health (Baton Rouge, LA)
- …all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, ... supporting regulatory compliance and organizational goals. Key Responsibilities: * Perform prior authorization clinical reviews of acute admissions using… more
- CVS Health (Baton Rouge, LA)
- …with other states and departments as needed **Required Qualifications** Active unrestricted RN licensure in Louisiana. 2 or more years clinical and managed care ... experience required Requires proficiency with computer skills which includes navigating multiple systems and keyboarding **Preferred Qualifications** Ability to mentor and support staff to meet business needs Exceptional communication skills Time efficient and… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5170300) Apply REGISTERED NURSE SUPERVISOR A Salary ... teamwork are essential. This position will serve as a RN Supervisor A in the 64-bed Skilled Nursing Unit...our mission. Minimum Qualifications Possession of a current Louisiana Registered Nurse license or a temporary permit… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT: This ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776430) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on Qualifications Location St.… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3 Print...promotion may be required to serve a trial detail prior to being permanently promoted. + This posting may also ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5176419) Apply REGISTERED NURSE 1, 2, or 3 Salary Depends on Qualifications Location St.… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …required to meet the member's healthcare needs. Through communication, the nurse will identify available resources to promote quality, cost effective outcomes. ... equipment. Licenses and Certifications + Active and unencumbered(current and unrestricted) RN license to practice in Louisiana is required. + Multi-state Compact… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- …Professional Nurses Practice Act. Level of Work: Entry. Supervision Received: Close from a Registered Nurse or Practical Nurse of a higher level. Supervision ... employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:...nutrition, etc. under progressively more generalized supervision from a Registered Nurse or Practical Nurse … more