- Centene Corporation (Baton Rouge, LA)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Elara Caring (Baton Rouge, LA)
- …contribute to our success in the following ways: + Assesses assigned case load of behavioral health care patients and families to identify the physical, ... Right Place. **Job Description:** **Registered Nurse Behavioral Health ** At Elara Caring, we care where...HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor _This is not a comprehensive… more
- Highmark Health (Baton Rouge, LA)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- CVS Health (Baton Rouge, LA)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- Humana (Baton Rouge, LA)
- …(SDOH). Plan shall include psychosocial issues, home environment and behavioral health needs across the full continuum of care . Maintain beneficiary's ... the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate...disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation… more
- Highmark Health (Baton Rouge, LA)
- …project manager role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational knowledge + Experience with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … more
- Highmark Health (Baton Rouge, LA)
- …etc. Preferred + Bachelor's degree + PMP certification or equivalent training + Health Care Insurance industry business and operational knowledge + Leadership ... :** Highmark Inc. **Job Description :** **GENERAL OVERVIEW:** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee… more
- Highmark Health (Baton Rouge, LA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... a number of other activities to help improve the health outcomes of members; care plans include...1 year in advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Humana (Baton Rouge, LA)
- …we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These ... **Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …whose goal is to effectively manage patients identified as high risk for health care complications, and improve their quality of life. Works collaboratively ... dedicated practice sites, including but not limited to primary care offices and/or health care ...manage people + This role reports to this job: MANAGER , POPULATION HEALTH + Necessary Contacts: In… more
- CenterWell (Baker, LA)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... health first** The Physician serves as a health - care professional and capable of handling a...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Baton Rouge, LA)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... function. + Confer with the patient's physician and other health care team members and participate in...Manager , patient and family members. + Participate in care coordination and discharge planning activities and act as… more
- BrightSpring Health Services (Baton Rouge, LA)
- …infection control procedures are implemented + Accurately documents nursing actions of all care given and communicates with family, case manager , and physicians ... community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote… more
- Highmark Health (Baton Rouge, LA)
- …Business Administration/Management, Finance, or Economics **EXPERIENCE** **Required** + 5 - 7 years Managed Care Or + 5 - 7 years Health Insurance Industry + 1 ... + Registered Pharmacist or PharmD + 3 years in Health Plan, Pharmacy Benefit Manager (PBM) or...Health Plan or PBM pharmacy department supporting strategic care cost savings initiatives **LICENSES OR CERTIFICATIONS** **Required** +… more
- BrightSpring Health Services (Baton Rouge, LA)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... of business. If your passion is to ensure quality care to help our clients live their best life...medical, administrative, ethical, legal and regulatory requirements of the health services system. Report patient information for health… more
- Highmark Health (Baton Rouge, LA)
- …+ Healthcare experience + Project Management experience **Preferred** + 2 years Health Plan, Pharmacy Benefit Manager (PBM) or Pharmaceutical manufacturer ... Health Plan or PBM pharmacy department supporting strategic care cost savings initiatives + Project Management **LICENSES or...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Sharecare (Baton Rouge, LA)
- …plan addressing their total healthcare needs.. + Identifies participant barriers to accessing health care services and advises them of existing benefits and ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...responsive, committed individual who recognizes the impact of the health care delivery system on the clinical… more
- CenterWell (Baker, LA)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Baton Rouge, LA)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Fresenius Medical Center (Baton Rouge, LA)
- …Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality ... and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient...affect adherence to treatment. Works with patient, family and health care team to provide education tailored… more