- CenterWell (Baton Rouge, LA)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Sharecare (Baton Rouge, LA)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Prime Therapeutics (Baton Rouge, LA)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
- Ochsner Health (New Orleans, LA)
- …Current Licensed Practical Nurse (LPN) license in state of practice or Current Registered Nurse ( RN ) license in state of practice. **Knowledge Skills and ... - 3 years of utilization and/or case management experience with either a LPN license, RN...work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland,… more
- CVS Health (Baton Rouge, LA)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS Office + Must be willing ... with heart, each and every day. **Position Summary** Fully remote , Monday-Friday 8am - 5pm EST position (shifts may...The Associate Manager is also responsible for oversight of utilization management nurses including the organization and… more
- Actalent (New Orleans, LA)
- …management , and discharge planning. + Proficiency with InterQual. + Active Compact RN License. + Utilization Management /Concurrent Review experience. + ... Job Title: Review Nurse Job Description The Review Nurse ...successful completion of cases. Essential Skills + Experience in utilization management , concurrent review, prior authorization, … more
- CenterWell (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- Ochsner Health (New Orleans, LA)
- …Experience** Required - 10 years of experience in coding, specialized coding, auditing, utilization management , or billing, _OR_ 6 years of experience in ... the Audit and Oversight Committee of the Board of Directors and executive management . Presents conclusions to department and organization management and educates… more