Utilization Management Nurse Consultant, Prior Authorization - Baton Rouge

+Job summary · At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.QualificationsActive and unencumbered RN license in Louisiana or compact license5+ years of c ...

The Team Lead supports day-to-day operations of the team by understanding workflows policies procedures ensure successful production quality monitoring assignment triage first line contact staff clinical issues lead projects assigned ongoing communication leadership contributes p ...

The Utilization Management Manager of Prior Authorization oversees a team to ensure efficient delivery of utilization management processes. · ...

The Team Lead is accountable to leadership to support the day to day operations of the team. · ...

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 conducts high-acuity clinical reviews for members at CVS Health. · ...

+Job summary · The Coordinator will assist with ensuring authorization requests are made based on medical necessity and coordinated with community-based pediatric care management. · +ResponsibilitiesOutreach and coordination with providers service authorization request requiring ...

The Utilization Management Coordinator/UMNC assists in ensuring that authorization request decisions are made based on medical necessity and coordinated with community based pediatric care management. · ...

The Authorization Rep ensures patients have been cleared for Hospital services. Resolves pre-certification and case-related concerns and determination of patient financial obligation prior to a patient's service or visit. · Works with insurance carriers Specialist. · ...

The Authorization Rep ensures patients have been cleared for Hospital services specialty service and office visits. · Responsibilities include providing customer service gathering information from the chart and clinic personnel regarding insurance coverage and reason for the proc ...

The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. · ...

The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. · ...

The Medical Assistant is responsible for assisting the Medical and Clinical Director with patient examinations or procedures and any clerical work needed. ...

The Grant Coordinator supports pre- and post-award activities, including proposal preparation, budget review, expense tracking, and reporting. · Assist staff and administrators with preparing and submitting grant proposals budgets supporting documentation review grant guidelines ...

Louisiana State University invites applications for the position of the Cordell and Ava Haymon Endowed Chair of Music Therapy.The successful candidate will be appointed with tenure at the rank of Associate or Full Professor. · ...

The Sports Turf Coordinator is an essential professional position that provides support in achieving the safety and sustainability of approximately 18 acres of competition and practice natural turfgrass playing fields, · Mowing. · ...

This is an on-site full-time Utilization Coordinator role in Baton Rouge LA where you will review patient care plans monitor admissions discharges coordinate with healthcare providers ensure compliance with medical guidelines identify cost-effective ways to optimize patient care ...

This position maintains the procure-to-payment function of invoices for purchases that are not subject to competition (direct charge) for LSU A&M, LSU at Eunice, and Pennington Biomedical Research Center campuses. · LSU offers outstanding benefits to eligible employees and their ...

The staff clinician will participate in the receipt and management of clinical patients presented to the VTH small animal emergency service. They will provide clinical care, supervise veterinary students and house officers, and perform other duties as assigned. · ...

The job involves coordinating transcript and diploma functions, ensuring student records are accurate, and advising administrators on academic policy. It requires decision-making, problem-solving, customer service skills. · Coordinates all transcript and diploma functions. · Serv ...