Manager, Behavioral Health Utilization Management - Baton Rouge

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

We're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital chann ...

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. · Schedule is Tuesday-Saturday with flexibility to work outside of the standard schedule based on business ...

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

Under broad direction from the Centralized Utilization Management Manager,is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant,pediatric,adolescent,young adult adult and geriatric patients. · ...

The Utilization Management RN Hybrid is responsible for planning, developing, implementing and monitoring hospital-wide Utilization Management Programs in a general acute care hospital serving patients of all ages. · ...

+As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more conven ...

We are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming healthcare. · As the nation's leading health solutions company we reach millions of Americans through our local presence digital chann ...

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 ...

+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 Clinical Consultant · 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. · The job summary is to utilize clinical skills to coordinate ...

+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 ...

This is a fulltime remote teleworker opportunity in Louisiana. The Manager conducts oversight and management of clinical team processes including the organization and development of high performing teams. · Reinforces clinical philosophy, programs, policies and procedures. · Comm ...

We are seeking a Transition Navigator to join our team at Ochsner Health. As a Transition Navigator, you will serve as the liaison and communicator with patients, caregivers, healthcare providers and multi-disciplinary teams. You will discuss alternative care options with patient ...

We are seeking a Utilization Management Clinical Consultant to coordinate and document all aspects of the utilization/benefit management program. The ideal candidate will have experience in psychiatric settings and be knowledgeable in clinically appropriate treatment and evidence ...

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. · ...

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 consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. · Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management progr ...

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. · ...