- Highmark Health (Baton Rouge, LA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Baton Rouge, LA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Sharecare (Baton Rouge, LA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Humana (Baton Rouge, LA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with **no** disciplinary action ... schedules, which limits day-to-day flexibility **.** + All our RN Care Managers are work at home associates, working... Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure ... a multidisciplinary team responsible for utilization review, prior authorization, and case management functions. + Monitor team performance, analyze metrics, and… more
- Elevance Health (Baton Rouge, LA)
- …and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager III, Louisiana Crisis Line** **Location:** 10000 Perkins Rowe ... Monday-Friday 8:00am-4:30pm CST for 3 weeks. The **Behavioral Health Case Manager III** is responsible for screening,...to Clinical & Referral Specialists. + Assists with more complex cases & calls. + Will provide clinical consults… more
- Elevance Health (Baton Rouge, LA)
- ** Nurse Case Manager I** _*Ideal candidate must reside and be licensed in_ **_Louisiana. (_** _Preferably Shreveport, Monroe, Alexandria, Lake Charles, or ... insightful analytics to improve the delivery of care. The ** Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
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