- Humana (Baton Rouge, LA)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Baton Rouge, LA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- CenterWell (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more
- HCA Healthcare (Alexandria, LA)
- **Description** **Rapides Regional Medical Center** **Registered Nurse Float Pool** **Full Time, Days (7am-7pm), Rotating Weekends** This position is eligible for a ... us apart from any other healthcare provider. We are seeking a Registered Nurse Float Pool to join our healthcare family. **Benefits** Rapides Regional Medical… more
- HCA Healthcare (Alexandria, LA)
- …Center we support our colleagues in their positions. Join our Team as a Registered Nurse in the Labor and Delivery unit and access programs to assist with every ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Alexandria, LA)
- …you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Float Pool position and spend more time at the bedside with ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Alexandria, LA)
- … experience preferred + Certification in Case Management , Nursing, or Utilization Review preferred + (RN) Registered Nurse , or Registered Nurse ... Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role?...what matters most to nurses like you - at home , at work, and at every stage in your… more
- Evolent (Baton Rouge, LA)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- Evolent (Baton Rouge, LA)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more