- Louisiana Department of State Civil Service (Angola, LA)
- …setting. LEVEL OF WORK: Manager . SUPERVISION RECEIVED: General from a Registered Nurse Assistant Director of Nursing A or other higher level personnel. ... REGISTERED NURSE -- MANAGER Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4662651) Apply REGISTERED...or university. Job Concepts FUNCTION OF WORK: To provide management of nursing services in a clinical,… more
- Prime Therapeutics (Baton Rouge, LA)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …documents. Writes draft medical policies for Blue Advantage MA and Primewell Utilization Management Committee functions specific to medical policies and supports ... information and working closely with the Medical Directors and Manager of Medical Policy and Medical Appeals to ensure...policies. + Coordinates the Blue Advantage MA and Primewell Utilization Management Committee functions specific to medical… more
- Highmark Health (Baton Rouge, LA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- Huron Consulting Group (Baton Rouge, LA)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Sharecare, Inc. (Baton Rouge, LA)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more