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 ...
Utilization Review RN
Baton Rouge, LA · On-site
This role does not manage people * This role reports to this job: Departmental Leadership ... QUALIFICATIONS * Must be a Registered Nurse with a current, unrestricted Louisiana license.
Utilization Review RN
Baton Rouge, LA · On-site
This role does not manage people * This role reports to this job: Departmental Leadership ... QUALIFICATIONS * Must be a Registered Nurse with a current, unrestricted Louisiana license.
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62K - $84K/yr
Education/Experience: LPN or LVN license. RN license preferred. 4+ years of clinical nursing ... Experience working in managed care, utilization management, case management, or quality improvement ...
Appeals Pharmacist (Remote)
Baton Rouge, LA · On-site
$45 - $54.75/hr
Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ... Managed care or utilization management preferred. Hospital, ambulatory, and community pharmacists ...
Appeals Pharmacist (Remote)
Baton Rouge, LA · On-site
$45 - $54.75/hr
Collaborate with physicians, nurses, and medical directors during case reviews. * Track and report ... Managed care or utilization management preferred. Hospital, ambulatory, and community pharmacists ...
CVS Health accomplishes this goal by not only meeting the academic standards of the school, but by ... Exposure to the case management care model of service delivery; * An understanding of how a ...
CVS Health accomplishes this goal by not only meeting the academic standards of the school, but by ... Exposure to the case management care model of service delivery; * An understanding of how a ...
Advanced Practice Provider
Baton Rouge, LA · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and ... Current Physician Assistant or Nurse Practitioner license in the state of practice. * Certification ...
Quick apply
Advanced Practice Provider
Baton Rouge, LA · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and ... Current Physician Assistant or Nurse Practitioner license in the state of practice. * Certification ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Walker, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Walker, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Baton Rouge, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Baton Rouge, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Denham Springs, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Denham Springs, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Walker, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Walker, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Denham Springs, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Denham Springs, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Baton Rouge, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Baton Rouge, LA · On-site
$54K - $116K/yr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Walker, LA · On-site
$54K - $116K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Walker, LA · On-site
$54K - $116K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Denham Springs, LA · On-site
$54K - $116K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Case Manager Registered Nurse- Field - Must live in Louisiana
Denham Springs, LA · On-site
$54K - $116K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Position Summary Coordinates all case management activities with members to evaluate medical needs ...
Registered Nurse
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Utilization Management an P&t Committee activities. Attends meetings inside and outside of the ...
Certification as a Psychiatric/Mental Health Nurse Practitioner is required and must be maintained ... Utilization Management an P&t Committee activities. Attends meetings inside and outside of the ...
CVS Health RN-to-BSN Program This program aims to develop RN-to-BSN students to be ready for the ... Exposure to the case management care model of service delivery; * An understanding of how a ...
CVS Health RN-to-BSN Program This program aims to develop RN-to-BSN students to be ready for the ... Exposure to the case management care model of service delivery; * An understanding of how a ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Registered Nurse
Plaquemine, LA · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model You'll be rewarded and ...
Weekday Cvs Utilization Management Nurse 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 weekday cvs utilization management nurse jobs pay per year?
As of Sep 1, 2026, the average yearly pay for weekday cvs utilization management nurse 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 a Weekday CVS Utilization Management Nurse?
A Weekday CVS Utilization Management Nurse is a registered nurse who works for CVS Health, focusing on evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. This role involves reviewing patient cases, coordinating with healthcare providers, and ensuring that treatments and services meet established guidelines and insurance requirements. These nurses typically work regular weekday hours, rather than nights or weekends. They play a key role in helping patients receive appropriate care while also managing healthcare costs for the organization.
What are the key skills and qualifications needed to thrive as a Weekday CVS Utilization Management Nurse?
To thrive as a Weekday CVS Utilization Management Nurse, you need a valid RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management software, insurance guidelines, and medical coding systems such as ICD-10 is typically required. Exceptional critical thinking, attention to detail, and effective communication help nurses advocate for appropriate patient care while collaborating with providers and payers. These skills ensure proper resource utilization, regulatory compliance, and optimal patient outcomes in a managed care setting.
How does a Weekday CVS Utilization Management Nurse typically collaborate with physicians and case managers?
As a Weekday CVS Utilization Management Nurse, you will regularly interact with physicians and case managers to review patient care plans and ensure appropriate resource utilization. This role involves evaluating medical records, discussing treatment options, and providing clinical recommendations to support cost-effective, quality care. Effective communication and teamwork are essential, as you’ll serve as a bridge between clinical staff, patients, and administrative teams to coordinate authorizations and resolve coverage questions.
What is the difference between Weekday Cvs Utilization Management Nurse vs Weekend Cvs Utilization Management Nurse?
| Aspect | Weekday Cvs Utilization Management Nurse | Weekend Cvs Utilization Management Nurse |
|---|---|---|
| Work Schedule | Monday to Friday, standard business hours | Weekend shifts, typically Saturday and Sunday |
| Certifications | RN license, utilization review certification often preferred | RN license, utilization review certification often preferred |
| Work Environment | Office-based, healthcare setting, insurance company | Office-based, healthcare setting, insurance company |
| Job Responsibilities | Review medical necessity, authorize services, coordinate care | Review medical necessity, authorize services, coordinate care |
The main difference between Weekday Cvs Utilization Management Nurse and Weekend Cvs Utilization Management Nurse lies in their work schedule. Both roles require similar certifications, responsibilities, and work environments, but the weekday nurse works during standard business hours, while the weekend nurse covers weekend shifts. Both positions are essential for continuous patient care and insurance operations.
What are the most commonly searched types of Cvs Utilization Management Nurse jobs in Baton Rouge, LA?
The most popular types of Cvs Utilization Management Nurse jobs in Baton Rouge, LA are:
Other
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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