- CVS Health (Baton Rouge, LA)
- …referrals to Aetna Medical Services Programs. + Promotes/supports quality effectiveness of Healthcare Services. + Performs intake of calls from members or providers ... accurate and complete documentation of required information that meets risk management , regulatory, and accreditation requirements. + Protects the confidentiality of… more
- Ochsner Health (Shreveport, LA)
- …Experience** Required - 10 years related experience, including 5 years of management experience **Knowledge Skills and Abilities (KSAs)** + Must have computer skills ... building skills. + Professional attitude and ability to relate to executive management , professionals and business and community leaders. + Self-directed and able to… more
- Ochsner Health (Jefferson, LA)
- …responsible for managing high-end access navigation, also known as referral management , services for key areas while providing exceptional customer service. ... Additionally, this job will provide access navigation support through referral management via electronic work queues and phone capabilities. Furthermore, this job… more
- Ochsner Health (Lafayette, LA)
- …the teacher/facilitator/consultant who works collaboratively with nursing and organizational management to implement the educational goals for the company. Assesses ... will provide continuously improving patient care outcomes and/or improve processes and management systems. To perform this job successfully, an individual must be… more
- Carrington (Baton Rouge, LA)
- …Department including monthly and quarterly audits, reporting, change management , compliance, quality assurance/quality control, and vendor/third party communication. ... leadership to staff including counseling, training and development, salary administration , selection and/or approval of selected personnel, and disciplinary action.… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …direct work activities of unlicensed clinical staff involved in the utilization management process. + Communicate with ABA providers to gather additional clinical ... policies. + Participate in the development and refinement of utilization management protocols and clinical review tools. + Collaborate with internal departments… more
- Ochsner Health (Covington, LA)
- …care. This job's major areas of responsibility include primary medical management , emergency stabilization of critically ill neonates and infants, emergency ... and nursing care; and assumes responsibility for primary and urgent medical management , emergency stabilization of all critically ill patients, teaching of residents… more
- Ochsner Health (New Orleans, LA)
- …the teacher/facilitator/consultant who works collaboratively with nursing and organizational management to implement the educational goals for the company. Assesses ... provide continuously improving patient care outcomes and/or improve processes and management systems. **Education** Required - Bachelor's degree in Nursing (BSN)… more
- Ochsner Health (Jefferson, LA)
- …billing staff across all regions on policy changes, and assists HIM/Coding Management team in all functions in relation to coding compliance. Also responsible ... that results provide timely and accurate recommendations consistent with the management decisions under consideration. This job serves in conjunction with coding… more
- Prime Therapeutics (Baton Rouge, LA)
- …business requirements, system specifications, process flows, process change and/or project management + Provides leadership to the business in the identification and ... duties as assigned **Education & Experience** + Bachelor's degree in business administration , IT or related area of study, or equivalent combination of education… more