- CVS Health (Baton Rouge, LA)
- …of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... to take and manage crisis calls. **Required Qualifications:** + Unencumbered Independent Behavioral Health clinical license in the state where they reside… more
- HCA Healthcare (Alexandria, LA)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) Case Manager RN PRN and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Case Manager RN PRN opening and continue...continue to learn! **Job Summary and Qualifications** Our RN Case Managers raise the bar by providing clinical… more
- Highmark Health (Baton Rouge, LA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- AmeriHealth Caritas (Shreveport, LA)
- …goals and resolving problems + Coordinates care and services with the Complex RN Case Manager , and member, family members as appropriate, PCP, Specialist, and ... within a managed care organization (Medicaid/Medicare) preferred + Certification as a case manager (as documented and accepted on URAC's website@, www.urac.org)… more
- Intermountain Health (Baton Rouge, LA)
- …Plans, and fully funded and self-funded Commercial Employer plans. The Care Manager works with Select Health members, their family, caregivers, and a ... to access benefits, resources, and services to meet comprehensive medical, behavioral , and social needs of members while promoting self-management, quality, and… more
- Elevance Health (Metairie, LA)
- …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical policies used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical management. + Peer-to-peer outreach for… more
- ERP International (Barksdale AFB, LA)
- …care through a continuum facilitating the achievement of optimal outcomes in clinical , quality and cost-effectiveness arenas. Provides direct clinical care to ... Uses population health guidelines to ensure patients receive appropriate clinical preventive services. Reviews diagnosis and medical records for active-duty… more
- HCA Healthcare (Alexandria, LA)
- …and documented in the clinical record and communicated to the physician, case manager , and ancillary departments when appropriate + Appropriate standards of ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… more
- Elevance Health (Metairie, LA)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... of 2 years of experience in health services or behavioral health field or in a peer support services...Skills, Capabilities and Experiences:** + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more
Recent Jobs
-
Advanced Clinical Dental Hygienist (O-4 Billet) Non-supervisory
- Immigration and Customs Enforcement (Eloy, AZ)
-
Director of Strategic Planning Operations
- City of New York (New York, NY)