Utilization Review Jobs in Baton Rouge, LA

About this Job The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services the development and stimulation of services of others and the utilization of available reso More...

DescriptionThe Case Manager 1directs 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 s More...

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 th More...

DescriptionUnder broad direction from the Sr. Director of Utilization Management is responsible for the daily operations of the Centralized Utilization Management Programs for FMOLHS which serves infant pediatric adolescent young adult adult and geriatric patients. This position colla More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

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 More...

DescriptionThe Case Management Representative (CMR) coordinates the daytoday operations of Utilization Management by providing all insurance companies with the information required to obtain approved days. Directing all denials and appeals to the appropriate person or team. The CMR wi More...

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 More...

Supplemental InformationLouisiana Department ofPublic Safety & Corrections Corrections ServicesHEADQUARTERS OFFICESBaton Rouge LATHIS POSITION WILL BE FILLED BY PROMOTIONOF A PERMANENT CLASSIFIED EMPLOYEE OFLA DPS&C CORRECTIONS SERVICES (Adult DOC)This position will be locate More...

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

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 More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

Work Place Flexibility: OnsiteLegal Entity:Entergy Services LLCNotice: As a safety sensitive position compliance with Department of Transportation (DOT) and Pipeline & Hazardous Materials Safety Administration (PHMSA) drug and alcohol regulations is required including but not limi More...

Supplemental InformationWorkers Compensation Medical Services AnalystOffice of Workers Compensation Division: Medical ServicesLocation: Baton Rouge LAAnnouncement: WCMSAHCPosition InformationThis position may be filled as either a Probational or a Job Appointment (open to all qualifie More...

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 andinnovate.Webelieve that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways More...

The Utilization Review Analyst analyzes patient records daily to determine the appropriateness of admission level of care continued stay and discharge specifically for an inpatient behavioral health unit. Abstracts variances to standard pathway process. Provides ongoing support and ex More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

We take great strides to ensure our employees have the resources to live well be healthy continue learning develop skills grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.Residency in or relocation to Louisiana is preferred for a More...

Supplemental InformationThis is as fulltime position located at the Capitol Annex Building in Baton Rouge LA.About this position:The Cultural Program Coordinator conducts professional work for the Louisiana Division of the Arts focusing on developing research initiatives and statewide More...