- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** The Team Lead is accountable to leadership to support the day to day operations of the ... team . This position has no supervisory oversight of staff,...point and first line of contact for staff for clinical issues. They may lead projects as assigned. The… more
- CVS Health (Baton Rouge, LA)
- …to Applied Behavior Analysis (ABA). * Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors. ... system that is transparent, consumer-focused, and acknowledges physicians for their clinical excellence and effective utilization of health care resources. Reporting… more
- CVS Health (Baton Rouge, LA)
- …and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure the ... Lead, coach, and develop a multidisciplinary team responsible for utilization review, prior authorization , and case management functions. + Monitor team … more
- CVS Health (Baton Rouge, LA)
- …Screening, Diagnostic, and Treatment (EPSDT) case managers, providers, and enrollees on prior authorization requests for services. The UM Coordinator will ... days of the scheduled appointment * Assists with problems on each prior authorization requests, including identification of new providers, notification to… more
- Centene Corporation (Baton Rouge, LA)
- …authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer. + Remains ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team...**Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that… more
- Prime Therapeutics (Baton Rouge, LA)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business...the account, as well as retention of high performing team members. + Ensures staff is trained and receive… more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... Provides drug information to patients and healthcare providers. Works to resolve prior authorizations and all insurance billing on behalf of the patient and… more
- Ochsner Health (Jefferson, LA)
- …home infusion therapy. Performs patient assessment and care. Oversees the Patient Advocate team . To perform this job successfully, an individual must be able to ... to use computer programs necessary for the successful review, authorization , preparation, dispensing and management of home infusion center...and legal. + Assists in the teaching of patients prior to discharge to home. + Coordinates the deliveries… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …experienced and compassionate Social Worker 7 to lead and coordinate advanced clinical services for youth in custody. This senior-level role involves providing ... expert therapeutic interventions, supervising clinical staff, and shaping treatment strategies that support rehabilitation and reintegration. The ideal candidate… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …are seeking a dedicated and experienced Social Worker 6-B to provide advanced clinical services to youth in custody. This position involves direct therapeutic care, ... secure care or residential setting. The ideal candidate will demonstrate strong clinical judgment, a trauma-informed approach, and a deep commitment to youth… more