Registered Nurse
Baton Rouge, LA · On-site
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...
Registered Nurse
Baton Rouge, LA · On-site
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...
... management process by determining patient financial and medical eligibility, medical necessity, and ... Responsible for the maintaining the knowledge and skill set related to utilization review, care ...
... management process by determining patient financial and medical eligibility, medical necessity, and ... Responsible for the maintaining the knowledge and skill set related to utilization review, care ...
Utilization Review RN
Baton Rouge, LA · On-site
This role does not manage people * This role reports to this job: Departmental Leadership ... QUALIFICATIONS * Must be a Registered Nurse with a current, unrestricted Louisiana license.
New
Utilization Review RN
Baton Rouge, LA · On-site
This role does not manage people * This role reports to this job: Departmental Leadership ... QUALIFICATIONS * Must be a Registered Nurse with a current, unrestricted Louisiana license.
New
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Appeals Pharmacist (Remote)
Baton Rouge, LA · On-site
$45 - $54.75/hr
Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ... Managed care or utilization management preferred. Hospital, ambulatory, and community pharmacists ...
Appeals Pharmacist (Remote)
Baton Rouge, LA · On-site
$45 - $54.75/hr
Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ... Managed care or utilization management preferred. Hospital, ambulatory, and community pharmacists ...
Advanced Practice Provider
Baton Rouge, LA · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and ... Current Physician Assistant or Nurse Practitioner license in the state of practice. * Certification ...
Quick apply
Advanced Practice Provider
Baton Rouge, LA · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and ... Current Physician Assistant or Nurse Practitioner license in the state of practice. * Certification ...
Registered Nurse - RN
Baton Rouge, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - RN
Baton Rouge, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - RN
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - RN
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Participates in administrative duties as assigned, i.e,,Utilization Management an P&t Committee ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Participates in administrative duties as assigned, i.e,,Utilization Management an P&t Committee ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Utilization Management an P&t Committee activities. Attends meetings inside and outside of the ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Utilization Management an P&t Committee activities. Attends meetings inside and outside of the ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Participates in administrative duties as assigned, i.e,,Utilization Management an P&t Committee ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Participates in administrative duties as assigned, i.e,,Utilization Management an P&t Committee ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Ochsner Home Health of Baton Rouge, a ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Ochsner Home Health of Baton Rouge, a ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse - | Rouge, | Group
Baton Rouge, LA · On-site
$34.46 - $51.69/hr
Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Apprentice Utilization Management Nurse information
See Baton Rouge, LA salary details
$37.4K - $48.3K
15% of jobs
$48.3K - $59.1K
8% of jobs
$60.6K is the 25th percentile. Wages below this are outliers.
$59.1K - $69.9K
15% of jobs
The median wage is $76.8K / yr.
$69.9K - $80.7K
20% of jobs
$80.7K - $91.6K
11% of jobs
$97K is the 75th percentile. Wages above this are outliers.
$91.6K - $102.4K
13% of jobs
$102.4K - $113.2K
5% of jobs
$113.2K - $124K
3% of jobs
$124K - $134.9K
4% of jobs
$134.9K - $145.7K
3% of jobs
$145.7K - $156.5K
3% of jobs
$37.4K
$85.9K
$156.5K
How much do apprentice utilization management nurse jobs pay per year?
As of Aug 26, 2026, the average yearly pay for apprentice utilization management nurse in Baton Rouge, LA is $85,925.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,900.00 and $100,300.00 per year, depending on experience, location, and employer.
What is an apprentice utilization management nurse?
An Apprentice Utilization Management Nurse is a nursing professional in training who assists with the review and evaluation of healthcare services to ensure they are medically necessary and cost-effective. They work under the supervision of experienced utilization management nurses and follow established guidelines to assess patient care plans, medical records, and insurance policies. Their role is crucial in helping healthcare organizations maintain quality care while managing costs, and they may interact with physicians, patients, and insurance companies to clarify or justify treatment decisions. As apprentices, they are gaining hands-on experience to develop their skills and knowledge in utilization management.
What are the key skills and qualifications needed to thrive as an apprentice utilization management nurse, and why are they important?
To thrive as an Apprentice Utilization Management Nurse, you need a foundational understanding of nursing principles, strong analytical skills, and typically an RN license or progression toward one. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines such as Medicare or Medicaid are often required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and conveying clinical information. These competencies ensure accurate patient care reviews, compliance with regulations, and effective support in healthcare cost management.
What are some common challenges faced by apprentice utilization management nurses, and how can they be addressed?
Apprentice Utilization Management Nurses often encounter challenges such as learning to interpret complex medical records, understanding insurance policies, and adhering to strict regulatory guidelines. Balancing patient advocacy with cost-effective care decisions can also be demanding. These challenges can be addressed by actively participating in mentorship programs, seeking regular feedback from experienced colleagues, and utilizing ongoing training resources provided by employers. Developing strong communication and organizational skills will also help manage the workload and foster effective collaboration with physicians, case managers, and insurance representatives.
What is the difference between Apprentice Utilization Management Nurse vs Utilization Management Nurse?
| Aspect | Apprentice Utilization Management Nurse | Utilization Management Nurse |
|---|---|---|
| Credentials | Licensed RN, in training or early certification stage | Licensed RN with certification in utilization review |
| Work Environment | Supervised training setting, often in healthcare or insurance companies | Independent review in healthcare or insurance organizations |
| Job Responsibilities | Assisting with case reviews, learning utilization review processes | Conducting case assessments, making coverage decisions |
The Apprentice Utilization Management Nurse is in training, focusing on learning review procedures under supervision, while the Utilization Management Nurse is fully qualified, responsible for independent case evaluations and decision-making. The apprentice role is a stepping stone toward becoming a licensed Utilization Management Nurse.
What are the most commonly searched types of Utilization Management Nurse jobs in Baton Rouge, LA?
The most popular types of Utilization Management Nurse jobs in Baton Rouge, LA are:
Job description
Work At Home, LA
Contract
Position Summary:
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews.
Build strong direct relationships with providers and medical directors through review of member clinical information, applying criteria, and completing authorization determinations in accordance with company policies and procedures, Document patient care activity and communication with the, provider and medical director. Participate in on call rotation as indicated by staffing and business needs.
Duties:
-
Registered Nurse with current license in LA state of employment. Additional licensure may be required in multi-state service areas.
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Minimum 3 years nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience.
Experience :
Utilization Management. Prior Authorization Review experience
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com/) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
About US Tech Solutions
Sourced by ZipRecruiter
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Industry
It services
Company size
1,001 - 5,000 Employees
Headquarters location
Jersey City, NJ, US
Year founded
2000