- CVS Health (Baton Rouge, LA)
- …The auditor plays a critical role in maintaining quality standards and regulatory compliance across managed care operations. **Key Responsibilities:** + Lead ... quality, accreditation processes, and NCQA standards. + Licensed clinical professional ( RN preferred ). + Excellent analytical, organizational, and communication… more
- CVS Health (Baton Rouge, LA)
- …experience** is required. + Current, unrestricted ** Registered Nurse ( RN ) license** ; multi-state licensure preferred . + **CDE or CDCES certification** ... every day. **Position Summary** The **Transform Diabetes Care Pod RN ** plays a vital role in improving member health...teams to coordinate care. + Apply nursing processes in compliance with company and regulatory standards. +… more
- CVS Health (Baton Rouge, LA)
- …+ 3+ years of clinical experience in a healthcare setting. + 2+ years as a Registered Nurse ( RN ) or License Practical Nurse / License Vocational ... ) supports Aetna Better Health of Texas by ensuring compliance with regulatory and accreditation standards while...Nurse . + Active, current, and unrestricted RN /LVP/LPN license in the state of residence. + Proficiency… more
- Humana (Baton Rouge, LA)
- …understanding of laws and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Active RN + Graduate or advanced degree + ... of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior … more
- Immigration and Customs Enforcement (Jena, LA)
- …. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional licensure. ... Summary The Clinical Assistant Nurse Manager supervises nursing services at ICE facilities,...measures; evaluating clinical case reviews for adequacy of care, compliance with clinical and regulatory guidelines, overpayment,… more
- AmeriHealth Caritas (Lafayette, LA)
- …standards in a fast-paced, high-volume utilization review environment. **Licensure:** + An active Registered Nurse ( RN ) license in Louisiana or multi state ... of utilization review processes, including medical necessity criteria, care coordination, and regulatory compliance . + Demonstrated ability to meet productivity… more
- Immigration and Customs Enforcement (Jena, LA)
- …. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional licensure. ... Summary The Clinical Nurse Manager oversees nursing services at ICE facilities,...measures; evaluating clinical case reviews for adequacy of care, compliance with clinical and regulatory guidelines, overpayment,… more
- Ochsner Health (Lafayette, LA)
- …discretion. **Education** Master's or Doctorate degree as an Advanced Practice Registered Nurse **OR** Bachelor's degree in Physician Assistant medicine ... Physician Assistant Training Program. **Work Experience** Required - 0 Preferred - 3 years' related working experience **Certifications** **_Nurse Practitioner:_**… more
- Ochsner Health (Gretna, LA)
- …experience including 2 years in supervision or management. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. Basic ... to change at the company's discretion. **Education** Required - Associate degree. Preferred - Bachelor of science in nursing. **Work Experience** Required - 7… more
- Ochsner Health (Lafayette, LA)
- …Contents are subject to change at the company's discretion. **Education** Required - Registered Nurse Diploma Preferred - Master's degree in Nursing ... environment for position as a manager, supervisor or charge nurse . **Certifications** Required - Current RN ...current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area… more