• Field Care Manager

    Humana (Baton Rouge, LA)
    **Become a part of our caring community and help us put health first** The Field Care Manager , Behavioral Health ( Care Manager , Behavioral ... appropriate for the care and wellbeing of member **Position Responsibilities** The Field Care Manager , Behavioral Health ( Care Manager , … more
    Humana (01/31/25)
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  • Social Services Care Manager

    Humana (Baton Rouge, LA)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Behavioral Health Provider Contract…

    CVS Health (Baton Rouge, LA)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage… more
    CVS Health (03/15/25)
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  • Social Work Care Manager

    Intermountain Health (Baton Rouge, LA)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (03/15/25)
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  • Program Manager 1-A

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …contract and the Healthy Louisiana plans, which manages specialized behavioral health services. OBH also delivers direct care through grants, state-owned ... Program Manager 1-A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4875485) Apply  Program ...care for substance use disorder (SUD) and other behavioral health needs. The waiver authorizes certain… more
    Louisiana Department of State Civil Service (03/19/25)
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  • Case Manager , RN

    CAI (Baton Rouge, LA)
    …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Baton Rouge, LA)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (03/13/25)
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  • Program Manager

    Highmark Health (Baton Rouge, LA)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Category Manager

    Highmark Health (Baton Rouge, LA)
    …management and performance **Preferred** + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
    Highmark Health (02/18/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Baton Rouge, LA)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Accreditation Manager

    Humana (Baton Rouge, LA)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Baton Rouge, LA)
    …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
    Highmark Health (02/24/25)
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  • Market VP, Value-Based Care Business…

    CenterWell (Baton Rouge, LA)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/14/25)
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  • Senior Strategy Professional, Specialty…

    CenterWell (Baton Rouge, LA)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/19/25)
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  • Divisional Director of Care Management,…

    CenterWell (Baton Rouge, LA)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/08/25)
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  • BH Case Mgr II (US)

    Elevance Health (Baton Rouge, LA)
    …and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject ... + MA/MS in social work counseling or a related behavioral health field or a degree in...care experience required. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (03/06/25)
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  • Program Monitor

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …Baton Rouge, LA Job Type Classified Job Number OBH/CSH/207282 Department LDH-Office of Behavioral Health Opening Date 03/20/2025 Closing Date 4/3/2025 11:59 PM ... This position is located within the Louisiana Department of Health / Office of Behavioral Health...level; knowledge of the Medicaid and MCO system of care . + Excellent organizational and communication skills (written and… more
    Louisiana Department of State Civil Service (03/20/25)
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  • Senior Application Developer (Person360 & MDM)

    Highmark Health (Baton Rouge, LA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
    Highmark Health (01/30/25)
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  • Professional Counselor 3 Or 4 (Therapist)

    Louisiana Department of State Civil Service (Hammond, LA)
    …services. LEVEL OF WORK: Advanced. SUPERVISION RECEIVED: Broad from a licensed behavioral health professional or higher-level manager or administrator. ... meaningful and productive lives among friends, relatives, and neighbors regardless of behavioral health needs or developmental disabilities. We have been… more
    Louisiana Department of State Civil Service (03/22/25)
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  • Social Worker 3 Or 4 (Therapist/Counselor)

    Louisiana Department of State Civil Service (Hammond, LA)
    …meaningful and productive lives among friends, relatives, and neighbors regardless of behavioral health needs or developmental disabilities. We have been ... position is for a vacancy located in our Rosenblum Behavioral Health Clinic in Hammond, Louisiana. Please...of Work: Department of Health and Hospitals; LSU- Health Sciences Centers, Acute Care Hospitals, Medical… more
    Louisiana Department of State Civil Service (03/19/25)
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