- Highmark Health (Baton Rouge, LA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Baton Rouge, LA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Ochsner Health (New Orleans, LA)
- …develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway ... Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma or equivalent. Preferred - Bachelors degree in… more
- Ochsner Health (New Orleans, LA)
- …case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... the healthcare needs of the enrollee, identify barriers to care , develop a comprehensive treatment plan complete with specific...Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency… more
- CVS Health (Baton Rouge, LA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Bogalusa, LA)
- **Become a part of our caring community and help us put health first** The Field Care Manager Nurse assesses and evaluates member's needs and requirements to ... care and wellbeing of members. The Field Care Manager Nurse work assignments...skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse license in the state of… more
- ChenMed (Metairie, LA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... care advice for general and specific illnesses, health related...and their families. The incumbent in this role provides remote clinical emergency triage services and assessments within license… more
- Intermountain Health (Baton Rouge, LA)
- …measures. **Job Essentials** + Work collaboratively with Select Health's HEDIS Manager , Quality Consultants, and Data Analyst + Responsible for performing accurate ... software on an assigned laptop + Reviewer will perform remote or offsite medical record reviews with charts collected...when and where the member received are and verify care was received. + Reviewer must pass a medical… more
- Centene Corporation (Baton Rouge, LA)
- …experience highly preferred. Remote position with 25% travel.** **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... perspective on workplace flexibility. **This position requires applicants to have Louisiana RN licensure with a minimum of 2 years pediatric and NICU experience.… more
- Ochsner Health (Metairie, LA)
- …**Work Experience** Required - 3 years of clinical experience in the delivery of patient care as a registered nurse in a diverse medical background. ... and applies the nursing process to provide quality patient care . To perform this job successfully, an individual must...**Certifications** Required - Current registered nurse ( RN ) license in… more
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