• UM Behavioral Health…

    Humana (Baton Rouge, LA)
    …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are… more
    Humana (11/27/25)
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  • Behavioral Health Utilization…

    AmeriHealth Caritas (LA)
    **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... cases to integrated care management as needed. The BH UM Reviewer will apply medical health benefit...in Social Work + Minimum of 2 years of behavioral health experience and substance use disorder… more
    AmeriHealth Caritas (11/19/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Baton Rouge, LA)
    …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced training and… more
    Highmark Health (11/06/25)
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