• Pre - Authorization Nurse

    Humana (Baton Rouge, LA)
    **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments are varied and frequently require… more
    Humana (01/07/26)
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  • Remote Clinical Review Nurse

    Actalent (Baton Rouge, LA)
    Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to ... medical care. Responsibilities + Perform medical necessity and clinical reviews of authorization requests to determine the appropriateness of care in accordance with… more
    Actalent (01/08/26)
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  • Revenue Cycle Precertification Nurse - RN-…

    Ochsner Health (New Orleans, LA)
    …and outpatient (excluding ED) accounts for patients by obtaining/initiating prior authorization of ordered services, based on payer requirements, after benefits and ... Also acts as a resource for the Revenue Cycle staff within Pre -Service and performs duties under general supervision and following moderately complex procedures… more
    Ochsner Health (01/08/26)
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  • LPN Case Manager

    Ochsner Health (Slidell, LA)
    …patient populations. + Identifies appropriate patients for the various third-party payor pre -certification or pre - authorization process. + Adapts behavior to ... Description** **Education** **Required** - Graduate of an accredited licensed practical nurse (LPN) program. **Work Experience** **Required** - 3 years of… more
    Ochsner Health (10/23/25)
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