Utilization Management Nurse Consultant - Baton Rouge

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safet ...

We're building a world of health around every individual — shaping a more connected convenient and compassionate health experience. · Responsible for intake investigation and resolution of appeals complaints and grievances scenarios for all products which may contain multiple iss ...

The Utilization Management Nurse Consultant (UMNC) for Post Acute conducts high-acuity, timely, and comprehensive clinical reviews for members. · ...

+The Utilization Management Nurse Consultant conducts high-acuity clinical reviews for neonatal intensive care unit (NICU) members within a designated special population. · +Active RN license in Louisiana or a compact license. · Minimum 5 years of recent clinical experience. · ...

Utilization Management Nurse Consultant. · Create, review, and audit medical determination letters including approvals, extensions, and denialsEnsure all documentation meets regulatory, accreditation, and internal quality standardsSupport effective medical management by facilitat ...

As the nation's leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purpose driven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and ...

+Job summary · We are seeking a detail‑oriented and dedicated Registered Nurse to support our Medical Management team. · +Create, review, and audit medical determination letters including approvals, extensions, and denials · Ensure all documentation meets regulatory, accreditatio ...

We are building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, timely, and comprehensive clinical reviews for ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safet ...

The Utilization Management Nurse Consultant (UMNC) conducts high-acuity clinical reviews for members, · collaborating with providers and internal teams to ensure medically appropriate care. · ...

The Clinical Nurse Consultant delivers specialist drug and alcohol nursing consultancy services in hospital and inpatient mental health settings.Up to 12 allocated days off each year in addition to annual leave. · Salary packaging options that reduce your taxable income and incre ...

Description · Patient Throughput Specialist (PTS) — an office-based role where your nursing expertise supports hospital operations, patient safety, and care continuity behind the scenes. · As a Patient Throughput Specialist, you'll coordinate patient movement during inpatient sta ...

Patient Throughput Specialist coordinates patient movement during inpatient stays ensuring patients are placed with the right care team at the right time. · ...

Operating room nurses provide direct and individualized nursing care to patients based on best-in-class operating procedures, nursing disciplines, and patient safety protocols. · ...

Description · Step Away from the Bedside — And Step Up to Next Level Care Coordination · Are you an experienced nurse looking for a meaningful career shift without leaving the clinical world behind? Join our Hospitalist team as a Patient Throughput Specialist (PTS) — an office-ba ...

Monday - Friday, 8 am - 5 pm schedule, 5 days per week · ~Outpatient pediatrics clinic · ~ Spanish speaking preferred but not required · ~ Hospital privileges required · ~ Paid malpractice insurance; pre-paid travel and housing expenses · ~ Assignment details and time entry in on ...

Description · Position Summary · The Director of Clinical Services supports the Chief Operating Officer in providing support for al clinical functions at assigned facilities to ensure all client facilities operate in compliance with current federal, state, and local standards, gu ...

Monday - Friday, 8 am - 5 pm schedule, 5 days per week · ~Outpatient pediatrics clinic · ~ Spanish speaking preferred but not required · ~ Hospital privileges required · ~ Paid malpractice insurance; pre-paid travel and housing expenses · ~ Assignment details and time entry in on ...

To provide nursing medical care for high acuity patients in collaboration with a physician. · ...

Support hospital operations and patient safety as a Patient Throughput Specialist. · ...