- Prime Therapeutics (Baton Rouge, LA)
- …we make. **Job Posting Title** Clinical Pharmacy Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy ... + Determines appropriateness for medications. Communicates decision to physicians, physician `s office staff, medical management staff and/or pharmacists. Researches,… more
- Prime Therapeutics (Baton Rouge, LA)
- …every decision we make. **Job Posting Title** Infusion Referral Nurse- REMOTE **Job Description** Under supervision, is responsible for performing referral services ... to support independent physician offices with maintaining member drug infusions in office...specialty drugs to both the member and the ordering physician (or office staff) and to agree to find… more
- Cognizant (Baton Rouge, LA)
- …flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of ... a healthy work-life balance though our various wellbeing programs. **Location:** Remote (Work-from-Home) **Schedule:** Monday to Friday 8am - 4:30pm ET… more
- ChenMed (Metairie, LA)
- …their families. Providing on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as possible given ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
- ChenMed (Metairie, LA)
- …to ChenMed patients and their families. The incumbent in this role provides remote clinical emergency triage services and assessments within license and as possible ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
- Wolters Kluwer (Baton Rouge, LA)
- **_ This is a remote position covering the New England territory _** Our solutions make a difference - and so do our people **Clinical Decision Support and Provider ... on the front lines of clinical care. Our talented team of physician editors, technologists, and product visionaries collaborate to provide advanced clinical decision… more
- Highmark Health (Baton Rouge, LA)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They… more
- Ochsner Health (New Orleans, LA)
- …equipment, and etc. + Excellent interpersonal skills. **Job Duties** + Evaluates all physician orders based on a clinical assessment of the patient which includes ... in and will work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New… more
- Ochsner Health (New Orleans, LA)
- …party payers. Confirms a clear, specific care setting order by the physician and applies hospital approved medical necessity criteria to review appropriate ... in and will work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New… more
- Cognizant (Baton Rouge, LA)
- …minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 + ... Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare/Medicaid payment and coverage guidelines and regulations. + Must be able to work with minimal supervision. + 1 year of Facets experience.… more