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Utilization Management Jobs in Baton Rouge, LA (NOW HIRING)

Financial Counselor Diffs

Baton Rouge, LA · On-site

$18.25 - $23.75/hr

Maintains daily contact with Utilization Management, Business Office, Patient Registration, Medical Records, Ancillary departments, physician offices, and other outside entities. g. Monitors ...

Financial Counselor (LSU Perkins)

Baton Rouge, LA · On-site

$18.25 - $23.75/hr

Maintains daily contact with Utilization Management, Business Office, Patient Registration, Medical Records, Ancillary departments, physician offices, and other outside entities. * Monitors ...

Consistently meets Utilization Management and billable services expectations Maintain knowledge of agency technology programs and/or systems needed to do the job and use them effectively Contact ...

Consistently meets Utilization Management and billable services expectations * Maintain knowledge of agency technology programs and/or systems needed to do the job and use them effectively Contact ...

case manager

Baton Rouge, LA · On-site

$19.25 - $24.75/hr

* The Behavioural Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. * Applies critical ...

Case Manager 3

Baton Rouge, LA · On-site

$19.25 - $24.75/hr

The Behavioral Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking ...

Adheres to and participates in the agency's utilization management model * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of ...

Registered Nurse - RN

Baton Rouge, LA · On-site

$34.46 - $51.69/hr

Adheres to and participates in the agency's utilization management model * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of ...

Showing results 41-60

Utilization Management information

See Baton Rouge, LA salary details

$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 degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

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 cities near Baton Rouge, LA are hiring for Utilization Management jobs?

Cities near Baton Rouge, LA with the most Utilization Management job openings:

Infographic showing various Utilization Management job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% In-person job distribution, with an average salary of $85,925 per year, or $41.3 per hour.

Unclassified Physician/Psychiatrist

State of Louisiana

Baton Rouge, LA

Full-time, Part-time, Contractor

Re-posted 12 days ago


State Of Louisiana rating

6.8

Company rating: 6.8 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

44th of 50 rated states


Job description

About this Job This position is part of the South Central Louisiana Human Services Authority and will be located at the Terrebonne Behavioral Health Clinic. This position may be filled as an Unclassified Full Time/Part Time Position Or Full Time or Part Time Contract Position. Salary is based on qualifications.

ALL SCLHSA SITES ARE NHSC (National Health Service Corps) APPROVED. QUALIFYING PHYSICIANS MAY BE ELIGIBLE TO PARTICIPATE IN THE LOAN REPAYMENT PROGRAM. No Civil Service test score is required in order to be considered for this vacancy.

To apply for this vacancy, click on the "Apply" link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. For further information about this vacancy contact: Melicia.Levron@la.gov South Central Louisiana Human Services Authority Human Resources 521 Legion Avenue Houma, LA 70364 985/857-3743 Minimum Qualifications Minimum Qualifications: Licensure to practice medicine in the State of Louisiana Board certification or eligibility in Psychiatry Medicare/Medicaid billing eligibility Expertise in use of psychotropic drugs for wellness recovery Ability to communicate information and ideas in speaking and written form so that others can clearly understand Outstanding organizational skills and attention to details Requires cultural proficiency that supports work with individuals from all racial, cultural, socioeconomic, and religious backgrounds and any sexual orientation Ability be a team player with a welcoming attitude Demonstrated commitment to the welfare of individuals and families with mental/behavioral health issues Knowledge of principles, methods, and procedures for diagnosis and treatment of mental illness and addictive disorders Knowledge of the information and techniques needed to diagnose and treat Mental Illness, Addictive Disorders, and co-morbidity. This includes symptoms, treatment alternatives, drug properties and interactions and preventative health care measures Knowledge of human behavior and performance in the social environment; individual differences in ability, personality, interests; and learning and motivation Complex problem solving: identifying complex problems and reviewing related information to develop and evaluate options and implement solutions Critical thinking skills: using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems Service orientation skills: actively looking for ways to help people Job Specification Function of work: Provide medical/clinical services to clients at the South Central Louisiana Human Services Authority/Terrebonne Behavioral Health Clinic

Job Duties and Other Information Essential Job Functions: Provide consultation and direct care for clients who present with mental health and addictive disorders Review diagnosis, evaluation and treatment plans in collaboration with clients and/or interdisciplinary staff as appropriate Prescribe and administer medications, monitor client's biological and psychological response, providing education about prescribed medications Supervise and provide necessary medical services for psychiatric clients. Responsible for referring Primary Care and/or non-psychiatric medical care issues to appropriate sources Responsible for patient management with a multidisciplinary team consisting of other clinical and nursing staff Supervise the treatment plans of assigned clients Complete medical records and other documentation in a timely and accurate manner in accordance with policy and procedure Provide crisis intervention and evaluation when needed Handle psychiatric emergencies, including issuing Physician Emergency Certificates Work with other clinical staff to ensure necessary and appropriate resource linkage Work in cooperative and problem-solving manner with other NEDHSA departments and community agencies Identify and report any concerns regarding improvement of the service delivery system Actively contribute to the functioning of the treatment team, informing members of issues impacting care in a succinct and timely manner. Consistently meets Utilization Management and billable services expectations Maintain knowledge of agency technology programs and/or systems needed to do the job and use them effectively.


What State Of Louisiana employees say

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About State of Louisiana

Sourced by ZipRecruiter

The State of Louisiana, based in Baton Rouge, LA, US, is not a traditional company per se, but a government body that oversees the administration of the state. As revealed on its official website, louisiana.gov, its wide range of services falls within public administration industry, including education, healthcare, infrastructure, environment conservation, and law enforcement. Founded in 1806, the State of Louisiana’s mission is to ensure a high quality of life for its residents by effectively managing public resources, enforcing laws, and fostering economic growth. Its most notable achievements include the successful implementation of its Coastal Master Plan, aimed at conserving Louisiana's extensive coastline, and the dramatic overhaul of its public education system.

Industry

Public administration

Company size

10,000+ Employees

Headquarters location

Baton Rouge, LA, US

Year founded

1812

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