Baton Rouge, LA · On-site
$5.5K - $10K/mo
Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator, Utilization Review, and Support Service Review. Minimum Qualifications Possession of a current Louisiana Registered Nurse ...
Baton Rouge, LA · On-site
$5.5K - $10K/mo
Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator, Utilization Review, and Support Service Review. Minimum Qualifications Possession of a current Louisiana Registered Nurse ...
Gonzales, LA · On-site
$24.50 - $32.75/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Occupational Therapist; establishing and maintaining good working ...
Gonzales, LA · On-site
$24.50 - $32.75/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Occupational Therapist; establishing and maintaining good working ...
Baton Rouge, LA · On-site
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
Baton Rouge, LA · On-site
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
Baton Rouge, LA · On-site
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
Baton Rouge, LA · On-site
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
Gonzales, LA · On-site
$24.50 - $32.75/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Occupational Therapist; establishing and maintaining good working ...
Gonzales, LA · On-site
$24.50 - $32.75/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Occupational Therapist; establishing and maintaining good working ...
Baton Rouge, LA · On-site
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
Baton Rouge, LA · On-site
$24.50 - $32.25/hr
... utilization review, administrative staff/department head, and family conference activities/communications as directed by the Physical Therapist; establishing and maintaining good working ...
Baton Rouge, LA · On-site
$35.25 - $46.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$35.25 - $46.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$1.4K - $1.8K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$1.4K - $1.8K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$1.4K - $1.8K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$1.4K - $1.8K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$32 - $42.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$32 - $42.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$35.25 - $46.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$35.25 - $46.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$32 - $42.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$32 - $42.25/hr
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Zachary, LA · On-site
$1.3K - $1.7K/wk
... utilization review, case management, administrative staff/department head, and family conference activities/communications; establishing and maintaining a good working relationship with other health ...
Baton Rouge, LA · On-site
$5.5K - $10K/mo
Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator, Utilization Review, and Support Service Review. Minimum Qualifications Possession of a current Louisiana Registered Nurse ...
Baton Rouge, LA · On-site
$5.5K - $10K/mo
Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator, Utilization Review, and Support Service Review. Minimum Qualifications Possession of a current Louisiana Registered Nurse ...
$18.72 - $22.51
2% of jobs
$22.51 - $26.29
9% of jobs
$28.88 is the 25th percentile. Wages below this are outliers.
$26.29 - $30.08
21% of jobs
The median wage is $33.14 / hr.
$30.08 - $33.86
23% of jobs
$33.86 - $37.65
13% of jobs
$40.59 is the 75th percentile. Wages above this are outliers.
$37.65 - $41.44
10% of jobs
$41.44 - $45.22
8% of jobs
$45.22 - $49.01
5% of jobs
$49.01 - $52.79
5% of jobs
$52.79 - $56.58
2% of jobs
$56.58 - $60.37
2% of jobs
$18
$36
$60
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
The most popular types of Utilization Review jobs in Baton Rouge, LA are:
For Utilization Review jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Baton Rouge, LA are:
Cities near Baton Rouge, LA with the most Utilization Review job openings:
Baton Rouge, LA • On-site
$5.5K - $10K/mo
Full-time
Posted 13 days ago
Coordinate facility-wide programs related to infection control, discharge planning, quality assurance, and other areas.
Plan, implement, assess, and monitor infection control practices, including surveillance, education, and prevention measures.
Perform infection control rounds, complete reporting requirements, and ensure proper isolation procedures are followed.
6.8
Based on 73 frontline employees who took The Breakroom Quiz
44th of 50 rated states
About this Job The mission of the Louisiana Veterans Homes is to primarily serve the Veterans' population of Louisiana through the provision of medical, restorative, and rehabilitative services in an atmosphere of respect and compassion. The primary objective of the home is to provide quality nursing care to eligible veterans with the ultimate goal of returning the veterans to the highest possible levels of physical and mental capacity. We are seeking a dedicated and compassionate Registered Nurse-Program Coordinator to coordinate facility-wide programs, which will include, but not be limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator, Utilization Review, and Support Service Review.
Minimum Qualifications Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license issued by a Nursing Licensure Compact (NLC/eNLC) state to practice as a registered nurse plus one of the following: Three years of experience as a licensed registered nurse; OR A bachelor's degree in nursing plus two years of experience as a licensed registered nurse; OR A master's degree in nursing or public health plus two years of experience as a licensed registered nurse; OR A doctorate in nursing or public health plus one year of experience as a licensed registered nurse. Job Specification The official job specifications for this role, as defined by the State Civil Service, can be found here. Job Duties and Other Information Job Duties: As a Registered Nurse-Program Coordinator, you will plan, develop, implement, and monitor facility-wide multi-disciplinary programs, i.e., to coordinate facility-wide activities related to quality control, including, but not limited to: Infection Control, Discharge Planning, Quality Assurance, and DRG
The Registered Nurse-Program Coordinator also: Plans, schedules, implements, assesses, assures and directs infection control practices, prevention, education, and monitoring in infection control policies, procedures and practice. Implements and coordinates infection control programs such as TB skin testing program, RSV assessment, Covid outbreaks/screens/vaccinations/surveillance, shingles information/vaccination, seasonal concerns such as flu and pneumococcal, etc. Performs infection control surveillances throughout the home by doing rounds daily.
Completes / inputs / documents / reports regarding NHSN reporting requirements such as flu, Covid vaccinations, etc. Utilization of proper isolation procedures - enhanced barrier precautions, transmission based precautions. Position-Specific Details: Location: Nursing Department of the Northeast LA Veterans Home in Monroe, Louisiana.
Appointment Type: Probational or Job Appointment Work Schedule: Day Shift (8:00 a.m.- 4:30 p.m.) Work may involve shift work. Compensation: Premium pay for this position per hour physically worked is listed below: $2.00 work incentive pay upon hire $0.25 extra credential pay upon hire for ACLS $0.60 extra credential pay upon hire for ANCC How To Apply: 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
Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. *Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education)
Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete. Contact Information: For further information about this vacancy, contact: Jamaile Burton Human Resources Analyst Jamaile.Burton@la.gov Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
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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.
Public administration
10,000+ Employees
Baton Rouge, LA, US
1812
