Utilization Management Jobs in Baton Rouge, LA

DescriptionUnder 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. Incumbent of this position is...

DescriptionWe are currently offering a $7000 sign on bonus to experienced RNs!What Makes Us DifferentAt FMOL Health we offer you so much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healin...

About this Job The Division of Administration/Office of Community Development has a promotional vacancy. This job title has an assigned pay grade of AS-619.Incumbent is responsible for program implementation grant selection and funding policy and program planning reviewing and evaluating staff.The D...

DescriptionUnder 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. Incumbent of this position is...

DescriptionThe Clinical Access Nurse assists with the preliminary step of the utilization management process and serves as the access point for admissions. Is responsible for obtaining orders on all patients for appropriate status and level of care using InterQual criteria. Obtains precertification...

DescriptionThe Clinical Access Nurse assists with the preliminary step of the utilization management process and serves as the access point for admissions. Is responsible for obtaining orders on all patients for appropriate status and level of care using InterQual criteria. Obtains precertification...

DescriptionWhat Makes Us DifferentAt FMOL Health we offer you so much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As a Catholic hospital we are here to create a spirit o...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

DescriptionThe Case Manager PACE Works collaboratively with all members of the health care team and the participant/family to ensure coordination of participant care and resource utilization. The Case Manager participates in the assessment of participants including physical and psychological factors...

The Utilization Management Review Analyst analyzes patient records daily to determine the appropriateness of admission level of care continued stay and discharge. Abstracts variances to standard pathway process and provides ongoing support and expertise through comprehensive assessment planning impl...

Appeals Pharmacist Ensure Fair Medication Access for PatientsA confidential managed care organization is seeking an experienced Appeals Pharmacist to review evaluate and process medication coverage appeals. This role is ideal for pharmacists who want to leverage their clinical knowledge and critica...

Remote Prior Authorization Pharmacist Work From Home in Managed CareA confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests ensure medical necessity and improve patient access to safe and effective therapies. This work-...

DescriptionThe Case Manager 1 directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to...