Full Time Remote Utilization Review Jobs in Baton Rouge, LA

• $90-105 Annually 

• A full benefits package with choice of affordable PPO or HSA medical plans.
• Paid time off.
• Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.
• Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.*
• Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.
• 401(k) with a company match.
• Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.
• Fleet vehicle program (restrictions apply) and mileage reimbursement.
• And more.

• Evaluates assessments, documentation, photos and care plans to ensure appropriate treatment and adherence to evidence-based standards. 

• Provides real time virtual consultation with clinicians for complex patients to improve patient care and outcomes.  

• Conducts remote chart and wound image reviews for high-risk patients with wounds and provides clinical recommendations to support wound healing and improve patient outcomes. 

• Recommends evidence-based wound and ostomy care interventions, products and treatment approaches based on clinical characteristics and patient needs. 

• Coordinates care for the prevention and management of complications. 

• Utilizes advanced wound experience, clinical judgement, and critical thinking to assist clinicians and leaders in developing individualized care plans for complex wound or ostomy patients. 

• Serves as a clinical resource and subject matter expert for care center staff, clinicians, and leaders regarding wound and ostomy care best practices. 

• Collaborates with internal and external care providers to ensure appropriate clinical care aimed at improving outcomes. 

• Maintains current knowledge of wound care advances, standards, and best practices. 

• Solicits and provides feedback on educational offerings and tools/ resources related to wounds and ostomies for clinicians and leaders. 

• Current, unencumbered state license to practice as a registered nurse.  

• Board certified with the Wound Ostomy, Continence Nurses Society, The American Board of Wound Management or has completed an advanced practice nurse program (WOCN, CWS, MSN, APRN).  

• Three years of experience working as a registered nurse performing wound care in a clinical setting. One year of home health care experience preferred.  

Preferred  

• Knowledge of home health regulations, reimbursement models and quality programs. 

• Experience providing remote clinical consultation using virtual technology platforms. 

• Strong communication, collaboration, and clinical decision-making skills. 

• Current, unencumbered state license to practice as a registered nurse.  

• Board certified with the Wound Ostomy, Continence Nurses Society, The American Board of Wound Management or has completed an advanced practice nurse program (WOCN, CWS, MSN, APRN).  

• Three years of experience working as a registered nurse performing wound care in a clinical setting. One year of home health care experience preferred.  

Preferred  

• Knowledge of home health regulations, reimbursement models and quality programs. 

• Experience providing remote clinical consultation using virtual technology platforms. 

• Strong communication, collaboration, and clinical decision-making skills.