- Cardinal Health (Baton Rouge, LA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- CVS Health (Baton Rouge, LA)
- …License + Certified Case Manager (CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee… more
- Humana (Denham Springs, LA)
- …a part of our caring community and help us put health first** The Field Care Manager Nurse assesses and evaluates member's needs and requirements to achieve ... care and wellbeing of members. The Field Care Manager Nurse work assignments are varied...Experience with health promotion, coaching and wellness + Previous managed care experience + Bilingual - English,… 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 ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Baton Rouge, LA)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Baton Rouge, LA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Abbott (Baton Rouge, LA)
- …expertise by attending company product training sessions. + Assesses trends in managed care , competitors' strategies, and new product development by monitoring ... efforts result in outcomes that advance the standard of care . The **Territory Manager ** is a field-based position supporting our **MitraClip** division, and… more
- Ensono (Baton Rouge, LA)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... RELIABILITY, COLLABORATION, CURIOSITY, PASSION** At Ensono, we are reinventing managed services with our **Envision Operating System** -a software-first platform… more
- CVS Health (Baton Rouge, LA)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Baton Rouge, LA)
- …reimbursed per our company expense reimbursement policy. **Preferred Qualifications** + Managed care /utilization review experience + Case management experience ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Baton Rouge, LA)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- UMB Bank (Baton Rouge, LA)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- Centene Corporation (Baton Rouge, LA)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...performance metrics, and identify opportunities for improvement in patient care and clinical practices. + Value-Based Care … more
- Lilly (Baton Rouge, LA)
- …relationships with state and local advocacy groups, teaching institutions, key influencers, and managed care organizations. They will be viewed as a credible ... Specialty Territory Managers will be responsible for account-based selling to health care providers (HCPs) who prescribe and influence the treatment for the disease… more
- Western Digital (Baton Rouge, LA)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… 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 ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more
- Elevance Health (Baton Rouge, LA)
- …experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which ... Critical Care , ER, Telemetry, etc. strongly preferred. + Utilization management/review within managed care or hospital strongly preferred. + NICU / Peds a… more
- Cardinal Health (Baton Rouge, LA)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- Fresenius Medical Center (Baton Rouge, LA)
- …to achieve or exceed budgets and key performance indicators. + Works closely with Managed Care department to increase the payor mix and to retain commercial ... and procedures in order to provide high quality services and outstanding patient care to the community. Actively participates in board meetings with Joint Venture… more
- Intermountain Health (Baton Rouge, LA)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... nature and span cross functional areas. Work collaboratively with the DTS Project Manager (if applicable) team assuring key initiatives are organized, planned, and … more