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 ...
Internal Medicine Physician General Internist - Physicians Only Apply - Perm
Baton Rouge, LA · On-site
Provides medical leadership for Medicare utilization management activities, Organizational Determinations, and medical review activities pertaining to utilization review, quality assurance, medical ...
Internal Medicine Physician General Internist - Physicians Only Apply - Perm
Baton Rouge, LA · On-site
Provides medical leadership for Medicare utilization management activities, Organizational Determinations, and medical review activities pertaining to utilization review, quality assurance, medical ...
Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. • ...
Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. • ...
Formulary Management Pharmacist
Baton Rouge, LA · On-site
$45.75 - $55/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
New
Formulary Management Pharmacist
Baton Rouge, LA · On-site
$45.75 - $55/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
New
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
Responsible for utilization of clinical and financial resources by: ensuring appropriate clinical ... CRITERIA E: Cost Management - Employee demonstrates effective cost management practices.
Responsible for utilization of clinical and financial resources by: ensuring appropriate clinical ... CRITERIA E: Cost Management - Employee demonstrates effective cost management practices.
Field Medical Director, Vascular Surgeon
Baton Rouge, LA · On-site
$130 - $140/hr
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Field Medical Director, Vascular Surgeon
Baton Rouge, LA · On-site
$130 - $140/hr
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
... 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 ...
Clinical Pharmacist - Medical Policy
Baton Rouge, LA · On-site
$113K - $135K/yr
Collaborates with pharmacy reporting and analytics for the purpose of measuring utilization management program effectiveness, identifying medical and pharmacy drug dosing and utilization management ...
Clinical Pharmacist - Medical Policy
Baton Rouge, LA · On-site
$113K - $135K/yr
Collaborates with pharmacy reporting and analytics for the purpose of measuring utilization management program effectiveness, identifying medical and pharmacy drug dosing and utilization management ...
Clinical Pharmacist - Medical Policy
Baton Rouge, LA · On-site
$113K - $135K/yr
Collaborates with pharmacy reporting and analytics for the purpose of measuring utilization management program effectiveness, identifying medical and pharmacy drug dosing and utilization management ...
Clinical Pharmacist - Medical Policy
Baton Rouge, LA · On-site
$113K - $135K/yr
Collaborates with pharmacy reporting and analytics for the purpose of measuring utilization management program effectiveness, identifying medical and pharmacy drug dosing and utilization management ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Qualifications Additional Information All your information will be kept confidential ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Qualifications Additional Information All your information will be kept confidential ...
Clinical Nurse Liaison
$62K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Additional Information All your information will be kept confidential according to EEO ...
Clinical Nurse Liaison
$62K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Additional Information All your information will be kept confidential according to EEO ...
Advanced Practice Provider
Baton Rouge, LA · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and current medical records. * Adhere to workers' compensation legislation and regulations. Qualifications:
Quick apply
Advanced Practice Provider
Baton Rouge, LA · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and current medical records. * Adhere to workers' compensation legislation and regulations. Qualifications:
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Baton Rouge, LA · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Baton Rouge, LA · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Radiation Oncology Field Medical Director
Baton Rouge, LA · On-site
$130 - $145/hr
Field Medical Director, Radiation Oncology As a FMD, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non ...
Radiation Oncology Field Medical Director
Baton Rouge, LA · On-site
$130 - $145/hr
Field Medical Director, Radiation Oncology As a FMD, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Currently seeking Endocrinologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Currently seeking Endocrinologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Currently seeking Rheumatologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Currently seeking Rheumatologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Currently seeking Otolaryngologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Currently seeking Otolaryngologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $96/hr
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $96/hr
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Baton Rouge, LA · On-site
$95 - $96/hr
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Baton Rouge, LA · On-site
$95 - $96/hr
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
Utilization Management 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 utilization management jobs pay per year?
As of Aug 17, 2026, the average yearly pay for utilization management 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 utilization management?
A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.
What are the typical daily responsibilities of a utilization management professional?
As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.
What are the key skills and qualifications needed to thrive in utilization management, and why are they important?
To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.
What are the most commonly searched types of Utilization Management jobs in Baton Rouge, LA?
The most popular types of Utilization Management jobs in Baton Rouge, LA are:
What are popular job titles related to Utilization Management jobs in Baton Rouge, LA?
For Utilization Management jobs in Baton Rouge, LA, the most frequently searched job titles are:
- Remote Utilization Review Nurse
- Remote Utilization Review Rn
- Flex Schedule Remote Utilization Review Nurse
- No Experience Utilization Management Nurse
- Contract Utilization Review Nurse
- Evening Utilization Review Nurse
- Full Time Physician Advisor Utilization Review
- Seasonal Remote Hedis Review Nurse
- Overnight Utilization Review Nurse
- Telephonic Nurse Case Manager
What job categories do people searching Utilization Management jobs in Baton Rouge, LA look for?
The top searched job categories for Utilization Management jobs in Baton Rouge, LA are:
- Utilization Review
- Lpn Utilization Review
- Authorization Utilization Review Bcba
- Cigna Utilization Review Remote
- Temporary Aetna Utilization Review Nurse
- Remote Dental Utilization Review
- Remote Hca Utilization Review
- Internship Rn Utilization Review Nurse
- Commission Authorization Utilization Review Bcba
- Utilization Review No Experience
What cities near Baton Rouge, LA are hiring for Utilization Management jobs?
Cities near Baton Rouge, LA with the most Utilization Management job openings:
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.
-
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