• Utilization Management

    CVS Health (Baton Rouge, LA)
    … skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications : + Licensed independent… more
    CVS Health (05/02/24)
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  • Utilization Management Nurse…

    CVS Health (Baton Rouge, LA)
    …Qualifications + 5+ years of clinical experience + 1+ year(s) of utilization management , concurrent review and/or prior authorization experience + 5+ years ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a… more
    CVS Health (05/16/24)
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  • Consultant , Nurse Disability

    Lincoln Financial Group (Baton Rouge, LA)
    …a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... industry experience preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or… more
    Lincoln Financial Group (06/21/24)
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  • Pharmacy Client Support Consultant

    Highmark Health (Baton Rouge, LA)
    …and Sales leadership to present and prepare data analyses, pharmacy management strategies and pharmacy capabilities to Organization clients and potential clients. ... and quotes. Runs financial reports or performs basic financial analysis on utilization data and market research and analysis. Develop detailed specifications for… more
    Highmark Health (05/21/24)
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  • Behavioral Health Provider (O-5 Billet)…

    Immigration and Customs Enforcement (Jena, LA)
    …local facility health program manager (FHPM) and in completion of clinical performance improvement activities/risk identification and management directly related ... will report directly to the site or local Clinical Director with clinical governance by a Regional Behavioral Health Consultant . As a Supervisory Behavioral… more
    Immigration and Customs Enforcement (05/01/24)
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  • Social Worker 6a

    Louisiana Department of State Civil Service (Alexandria, LA)
    …of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner. LDH serves as a ... advanced-level social work services for the Children's Special Healthcare Services- Clinical Services Program which includes behavioral health assessments, assisting… more
    Louisiana Department of State Civil Service (06/21/24)
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  • Quality Customer Advocate

    Cardinal Health (Baton Rouge, LA)
    clinical supply chain, safety compliance, product standardization and utilization . **_What Quality Assurance contributes to Cardinal Health_** Quality develops ... Advocate is responsible for bridging the gap between the clinical users of the Presource products with the Presource...customer experience with defect awareness. + Serves as lead consultant and resource to internal and external customers in… more
    Cardinal Health (06/11/24)
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