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 ...

This role involves reviewing appeals, complaints and grievances for all products with multiple issues. The position requires an unrestricted active nursing license and typically works independently. · ...

The Utilization Management Nurse Consultant conducts high-acuity clinical reviews for neonatal intensive care unit members within a designated special population. This role collaborates with providers, families, and internal teams to ensure medically appropriate care while suppor ...

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

+Job summary · Utilization management nurse consultant for NICU concurrent review conducts high-acuity, timely, and comprehensive clinical reviews for neonatal intensive care unit members within a designated special population.ResponsibilitiesPerform concurrent clinical reviews o ...

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. · ...

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 ...

The Utilization Management Nurse Consultant conducts high-acuity clinical reviews for members at CVS Health. · ...

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

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. · Collaborate 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 ...

LeaderStat is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Baton Rouge, Louisiana. · ...

LeaderStat is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Baton Rouge, Louisiana. · Mínimum of 18 months experience working as a full-time Registered Nurse · Clinical experience within the last 2 years · Current State Licensure · Current Releva ...

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

Patient Throughput Specialist — an office-based role where your nursing expertise supports hospital operations, patient safety, and care continuity behind the scenes. · ...

We are seeking an experienced nurse to join our Hospitalist team as a Patient Throughput Specialist This role involves coordinating patient movement during inpatient stays ensuring patients are placed with the right care team at the right time You will use EPIC and other tools to ...