- AmeriHealth Caritas (Lafayette, LA)
- **Role Overview:** Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient ... and making determinations based on clinical criteria. Using professional judgment, the Utilization Management Reviewer assesses the appropriateness of… more
- Ochsner Health (Lafayette, LA)
- …None. Preferred - 3 years of hospital-based experience in discharge planning, case management or utilization review . **Certifications** Required - Current ... + Maintains knowledge of the conditions of participation as it relates to utilization review and discharge planning. + Maintains open communication with all… more
- CVS Health (Lafayette, LA)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... readiness increase, you will take on greater accountability for supporting the management , oversight, and operations within the pharmacy, including but not limited… more