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Utilization Review Case Manager
OCEANS HEALTHCARE - 15 reviews - Lake Charles, LA
The Utilization Review Case Manager is responsible for management of all utilization review/case management activities for the facility’s inpatient, partial...
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Utilization Manager
Cenpatico National - 471 reviews - Baton Rouge, LA
3+ years experience in psychiatric and/or substance abuse health care settings including utilization review. Working knowledge of utilization review procedures,...
Registered Nurse, Senior Case Management Leader
Revenue Cycle Operations - New Orleans, LA
Our definition of the clinical revenue cycle encompasses all of the typical aspects of the clinical revenue cycle including virtual, concurrent utilization...
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Care Management Associate

Aetna - 2,345 reviews - Baton Rouge, LA 70810
Responsible for initial review and triage of Care Team tasks. Support comprehensive coordination of medical services including Care Team intake, screening and...

RN Onsite Utilization Review - Lafayette, LA

Humana - 2,805 reviews - Metairie, LA
Utilization Review experience in a managed care, home health or hospital setting. Conduct admission review, post-discharge calls and discharge planning....

Concurrent Review Nurse I

LA Healthcare Connections - 471 reviews - Lafayette, LA  +1 location
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

RN Telephonic Utilization Review - Metairie or Baton Rouge

Humana - 2,805 reviews - Metairie, LA
Utilization Review experience in a managed care, home health or hospital setting. Conduct admission review, post-discharge calls and discharge planning....

Remote Medical Review RN - Medicare Part B

NCI Information Systems, Inc. - 183 reviews - Baton Rouge, LA
At least 4 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience. As the Medicare Medical Review RN ( Medical Reviewer III ), you...

Prior Authorization Nurse I

LA Healthcare Connections - 471 reviews - Baton Rouge, LA
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Clinical Evaluator

Promise Healthcare - 26 reviews - Baton Rouge, LA 70809
Experience in Utilization Review and/or Case Management. Promise Hospital of BATON ROUGE (Main Campus)....

Manager, Utilization Management

LA Healthcare Connections - 471 reviews - Baton Rouge, LA  +1 location
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...

Case Mgr

Franciscan Missionaries of Our Lady Health System - 316 reviews - Baton Rouge, LA
Performs effective utilization review techniques to work with physicians, third party payors, and federal and local agencies to prevent denials of payment or...

Utilization Manager

Cenpatico National - 471 reviews - Baton Rouge, LA
3+ years experience in psychiatric and/or substance abuse health care settings including utilization review. Working knowledge of utilization review procedures,...
Concurrent Review Nurse I
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...
Manager, Utilization Management
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...

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