• Utilization Management Nurse

    CVS Health (Baton Rouge, LA)
    …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST or CST zones.… more
    CVS Health (05/10/25)
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  • Utilization Management Nurse

    CVS Health (Kenner, LA)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... external constituents in the coordination and administration of the utilization /benefit management function - Gathers clinical information...required - 5+ years of experience as a Registered Nurse - Must have active current and unrestricted LA… more
    CVS Health (05/09/25)
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  • Utilization Management Nurse

    CVS Health (Baton Rouge, LA)
    …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of ... years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. +… more
    CVS Health (05/04/25)
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  • Utilization Management Clinical…

    CVS Health (Baton Rouge, LA)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. - Applies critical thinking and is ... external constituents in the coordination and administration of the utilization /benefit management function. **Required** **Qualifications** - Licensed… more
    CVS Health (04/25/25)
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  • Consultant , Nurse Disability

    Lincoln Financial (Baton Rouge, LA)
    …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
    Lincoln Financial (04/30/25)
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  • QM Nurse Consultant

    CVS Health (Baton Rouge, LA)
    …unrestricted state licensure required in state of residence **Preferred Qualifications** Utilization Management review Managed Care experience Client processing ... experience **Education** Registered Nurse **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,095.00 -… more
    CVS Health (05/09/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Baton Rouge, LA)
    …​ **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
    Highmark Health (05/10/25)
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