- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …is to effectively manage patients identified as high risk for health care complications, and improve their quality of life. Works collaboratively within dedicated ... practice sites, including but not limited to primary care offices and/or health care facilities. Utilizes...**Licenses and Certifications** + Active and unencumbered(current and unrestricted) RN license to practice in Louisiana is required. +… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance PRN Crisis Care Triage ( RN ) **Sedgwick is looking for Triage Nurses for our Crisis ... Management team. This position will be PRN, with a...customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that client service guidelines… more
- Humana (Baton Rouge, LA)
- …to LTSS. + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health plan ... and Supports (LTSS). + Prior experience participating in NCQA virtual or onsite surveys. + Exceptional analytical and critical thinking skills, including problem… more
- Evolent (Baton Rouge, LA)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...+ Partner with oncology group leadership to build change management processes and support the practice pull through activities… more
- Evolent (Baton Rouge, LA)
- …an RN - **Required** + Minimum of 5 years in Utilization Management , health care Appeals, compliance and/or grievances/complaints in a quality improvement ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more