- Evolent (Baton Rouge, LA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Evolent (Baton Rouge, LA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Magellan Health Services (Baton Rouge, LA)
- …according to medical necessity criteria. General Job Information Title Clinical Reviewer III, Licensed/Remote (Louisiana) Grade 26 Work Experience - ... staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates... Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare… more
- HCA Healthcare (Alexandria, LA)
- …Rapides Regional Medical Center! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered ... **Description** **Rapides Regional Medical Center** ** Clinical Nursing Supervisor RN**...encourage you to apply for our Clinical Nurse Supervisor RN opening. We review all… more
- Vighter Medical Group (Alexandria, LA)
- …CPR and AED for healthcare providers and professional responders. + Application of medical principles, clinical procedures, and techniques. + Alertness and skill ... Education Level Registered Nurse (RN) Travel Percentage Up to 100% Description...Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director… more
- AmeriHealth Caritas (LA)
- …Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician ... necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer...that pertain to the organizational unit's business and uses clinical judgment in their application. **Responsibilities** + Apply the… more
- HCA Healthcare (Alexandria, LA)
- …some benefits may vary by location._** **Job Summary and Qualifications** The HCA Nurse Residency Program at Rapides Regional Medical Center provides you with ... an organization that invests in you?_ **At** **Rapides Regional Medical Center** **, you come first!** HCA Healthcare is...growth and development of our future nurses! The **HCA Nurse Residency Program** is a year-long program designed to… more
- Fresenius Medical Center (Monroe, LA)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab… more
- ERP International (Barksdale AFB, LA)
- …to patients. Uses population health guidelines to ensure patients receive appropriate clinical preventive services. Reviews diagnosis and medical records for ... **Overview** ERP International is seeking a ** Nurse Practitioner,** for a Full-Time position supporting **Occupational Health** at Barksdale AFB, LA. Apply online… more
- Surgery Care Affiliates (Baton Rouge, LA)
- …work schedules and assignments, and emergency changes in collaboration with the CEO and Clinical Leaders. + Leading peer review for anesthesia at the facility. + ... we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork...by the National Board of Certification and Recertification for Nurse Anesthetists. + Insurable by an appropriate medical… more