- 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 ... planning, case management or utilization review. **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support… more
- CVS Health (Baton Rouge, LA)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Ochsner Health (New Orleans, LA)
- …in case management or utilization review. **Certifications** Required - Current Registered Nurse license in state of practice. Preferred - Commission for ... to change at the company's discretion. **Education** Required - Registered nurse diploma. Preferred - Associate's degree...Case Manager (CCM), Certified Professional Utilization Review (CPUR),… more
- Ochsner Health (Lafayette, LA)
- …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... *MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred...work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland,… more
- Highmark Health (Baton Rouge, LA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… more
- Magellan Health Services (Baton Rouge, LA)
- …Social Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... This position plays a key role in reviewing provider and care manager documentation for accuracy, quality, and compliance with state, federal, and contractual… more
- Ochsner Health (New Orleans, LA)
- …years of nursing experience. Preferred - Supervisory experience. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... patient plans of care. Acts as a provider and manager of care at the point of care to...and between off-campus sites. **Job Duties** + Promotes the utilization of nursing protocols/practice guidelines based on existing evidence… more
- Sharecare (Baton Rouge, LA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more