Utilization Review Manager Jobs in Baton Rouge, LA

Participate in utilization review processes to evaluate the effectiveness of treatment plans ... management.

As a Cardiology, Field Medical Director you will be a key member of the utilization management team ... Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the ...

... utilization management team. We can offer you a meaningful way to make a difference in patients ... Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable ...

Certification in Case Management (CCM) or Utilization Review (UR). * Experience with Medicaid and Medicare policies and procedures * Knowledge of payer policies, insurance companies and government ...

... 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 Accreditation Commission (URAC), federal regulations and state law. * Assists in review of standard correspondence, notifying policy content experts of changes to standard policies ...

... utilization management team. We can offer you a meaningful way to make a difference in patients ... Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not ...

As a Field Medical Director, MSK Surgery you will be a key member of the utilization management ... Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do not initially ...

... utilization management team. We can offer you a meaningful way to make a difference in patients ... Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not ...

Administer IV infusions as required for wound management. * Process specimen collections for ... Participate in utilization review processes to evaluate the effectiveness of treatment plans.

Administer IV infusions as required for wound management. * Process specimen collections for ... Participate in utilization review processes to evaluate the effectiveness of treatment plans.

Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. * Basic computer skills, including proficiency in word processing and spreadsheet software.

... utilization review, administrative staff/department head, and family conference activities ... Enhancing clinical expertise, professional and management skills through interaction with managers ...

... utilization review, administrative staff/department head, and family conference activities ... Enhancing clinical expertise, professional and management skills through interaction with managers ...

... utilization review, administrative staff/department head, and family conference activities ... Enhancing clinical expertise, professional and management skills through interaction with managers ...

... utilization review, administrative staff/department head, and family conference activities ... Enhancing clinical expertise, professional and management skills through interaction with managers ...

... utilization review, administrative staff/department head, and family conference activities ... Enhancing clinical expertise, professional and management skills through interaction with managers ...

Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. * Basic computer skills, including proficiency in word processing and spreadsheet software.

Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. * Basic computer skills, including proficiency in word processing and spreadsheet software.

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