Utilization Review Jobs in Monroe, LA

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 16 weekend hours. Monthly Required Hours: 32 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

DescriptionResponsible for the day to day management of the residency program by ensuring that regulatory and accreditation standards are met and activities that support the program are established.ResponsibilitiesProgram Management and Daily OperationsManages and coordinates the dail More...

DescriptionThe Case Management Representative (CMR) coordinates the day-to-day 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 More...

The Virtual Clinic Nurse Practitioner OR Physician Assistant will be responsible for providing direct patient care in Privias Virtual Clinic. Day-to-day this role will be treating patients virtually through a HIPAA-compliant telehealthplatform and will support efforts in developing cl More...

About this Job The mission of the Louisiana Veterans Homes is to primarily serve the Veterans population of Louisiana through the provision of medical restorative and rehabilitative services in an atmosphere of respect and compassion. The primary objective of the home is to provide More...

As a registered nurse with an Illinois nursing license you will work remotely to enhance the quality of member management maximize both satisfaction and cost effectiveness and assist in navigating the health care system as a collaborative health partner in their health care team. As a More...

About this Job The mission of the Louisiana Veterans Homes is to primarily serve the Veterans population of Louisiana through the provision of medical restorative and rehabilitative services in an atmosphere of respect and compassion. The primary objective of the home is to provide qu More...

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 10 weekend hours. Monthly Required Hours: 20 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

DescriptionThe Utilization Review Nurse performs Utilization Review on all patients to ensure appropriate resource utilization authorization of hospitalization and tracking of avoidable days. Relies on education some experience and judgment to accomplish job. Works under general super 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 on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# 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...