- Evolent (Baton Rouge, LA)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Centene Corporation (Baton Rouge, LA)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies… more
- Cognizant (Baton Rouge, LA)
- …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. . Medical Necessity Reviews can… 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 ... Flight Registered Nurse (RN) - Alexandria, LA Job Details Job...Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director… more
- Fresenius Medical Center (Farmerville, LA)
- …regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the ... + Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. + Developing and communicating...with the Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director to implement… 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
- 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
- HCA Healthcare (Alexandria, LA)
- …this opportunity compelling, we encourage you to apply for our Cardiac Registered Nurse opening. We promptly review all applications. Highly qualified candidates ... **Description** **Cardiac Registered Nurse ** Full time (Monday - Friday, day shift),...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more