- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …is to effectively manage patients identified as high risk for health care complications, and improve their quality of life. Works collaboratively within dedicated ... practice sites, including but not limited to primary care offices and/or health care facilities. Utilizes...**Licenses and Certifications** + Active and unencumbered(current and unrestricted) RN license to practice in Louisiana is required. +… more
- Vighter Medical Group (Alexandria, LA)
- …year of experience in direct patient care and licensed/certified as a Registered Nurse ( RN ). Qualifying experience includes detention or correctional ... Flight Registered Nurse ( RN ) -...care . + Successful completion of a US-based accredited Registered Nurse training program leading to licensure/certification… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance PRN Crisis Care Triage ( RN ) **Sedgwick is looking for Triage Nurses for our Crisis ... Management team. This position will be PRN, with a...customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that client service guidelines… more
- Elevance Health (Metairie, LA)
- **Telephonic RN Nurse Case Manager I** **Sign...Nurse Case Manager I** is responsible for performing care management within the scope of licensure ... Conducts assessments to identify individual needs and a specific care management plan to address objectives and...would provide an equivalent background. + Current, unrestricted compact RN license in your home state. + Multi-state licensure… more
- ChenMed (Metairie, LA)
- …and exercise of independent judgment **EDUCATION AND EXPERIENCE CRITERIA:** + A valid, active Registered Nurse ( RN ) license in State of employment plus one ... Care key performance indicators related to acute care management . + Ensures direct reports retain...and nationwide up to 30% of the time or onsite at a hospital setting for co-location efforts +… more
- Humana (Baton Rouge, LA)
- …to LTSS. + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health plan ... and Supports (LTSS). + Prior experience participating in NCQA virtual or onsite surveys. + Exceptional analytical and critical thinking skills, including problem… more
- Evolent (Baton Rouge, LA)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...+ Partner with oncology group leadership to build change management processes and support the practice pull through activities… more
- Evolent (Baton Rouge, LA)
- …an RN - **Required** + Minimum of 5 years in Utilization Management , health care Appeals, compliance and/or grievances/complaints in a quality improvement ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Elevance Health (Metairie, LA)
- …offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs ... for autism and depression, and insightful analytics to improve the delivery of care . The **Behavioral Health Case Manager II** is responsible for performing case … more
- Elevance Health (LA)
- …, offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs ... depression, and insightful analytics to improve the delivery of care . **Behavioral Health Case Manager I** Must Have An...Health Case Manager I** is responsible for performing case management telephonically and/or by home visits within the scope… more