- Sharecare (Baton Rouge, LA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Highmark Health (Baton Rouge, LA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Ochsner Health (New Orleans, LA)
- …develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway ... Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma or equivalent. Preferred - Bachelors degree in… more
- Ochsner Health (New Orleans, LA)
- …case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... the healthcare needs of the enrollee, identify barriers to care , develop a comprehensive treatment plan complete with specific...Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency… more
- CVS Health (Baton Rouge, LA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Centene Corporation (Baton Rouge, LA)
- …experience highly preferred. Remote position with 25% travel.** **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... perspective on workplace flexibility. **This position requires applicants to have Louisiana RN licensure with a minimum of 2 years pediatric and NICU experience.… more
- Highmark Health (Baton Rouge, LA)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Banner Health (LA)
- …Requires a level of education as normally demonstrated by a Bachelor's degree. Requires Registered Nurse ( RN ) licensure in the state of practice. Requires ... work and receive care . As an Associate Manager of RN Denials Management, you will...The team is very independent and work remotely. **Location: Remote , Banner supplies equipment** **Schedule** **:** **Exempt, Mon-Fri** **8am-4:30pm… more
- Ochsner Health (Metairie, LA)
- …**Work Experience** Required - 3 years of clinical experience in the delivery of patient care as a registered nurse in a diverse medical background. ... and applies the nursing process to provide quality patient care . To perform this job successfully, an individual must...**Certifications** Required - Current registered nurse ( RN ) license in… more
- Ochsner Health (Lafayette, LA)
- …Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse license in state of practice. Preferred - Commission ... with the patient, caregivers, multi-disciplinary team members, and post-acute care and third party payers. Confirms a clear, specific...for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified Professional… more