Utilization Review & Care Coordination Case Manager
Freedom Behavioral Hospital of Monroe
Freedom Behavioral Hospital of Monroe is seeking an experienced Utilization Review/Case Manager to coordinate patient care, manage utilization review functions, and secure insurance authorizations. You will liaise with the hospital, payors, patients, families, and referral partners to support clinical and financial outcomes. Responsibilities include discharge planning, collaboration with the treatment team, documentation, and participation in PI/QM activities. #J-18808-Ljbffr Freedom Behavioral Hospital of Monroe
- The Utilization Review/Case Manager is responsible for coordinating patient care services and managing utilization review functions to ensure appropriate level of care, timely insurance authorization, and effective discharge planning. This role serves as the primary liaison...SuggestedFull timeLocal area
- ...has an immediate opening for a Utilization Review representative. At Freedom, we put patient care first in all we do, and our... ...consultation and referral to Case Management/SocialServices personnel. PREFERRED... ...or Experience: 1+ years coordinating utilization review and...SuggestedImmediate start
- FMOL Health in Monroe, LA seeks a Case Manager 1 to direct utilization review of patient charts, treatment plans... ...discharge planning to ensure quality of care. The role emphasizes independence... ...to apply clinical expertise in a coordinated care setting within FMOL Health....Suggested
- Freedom Behavioral Hospital of Monroe seeks a Utilization Review representative to assess patient status, interpret data, and ensure compliance... ...as well as precertification requests and referral of complex cases to medical leadership. Ideal candidates have 1+ years in...Suggested
- Glenwood Regional Medical Center in West Monroe, LA, is seeking a case management professional to assume primary responsibility for... ...arranging transfers when needed, and ensuring appropriate level of care. Collaboration with case managers and allied health professionals...Suggested
- Case Manager - RN/LPN/Social Worker Location: US-LA-Monroe... ...leader in value-based care, we offer senior... ...clinicians alongside care coordinators, analysts, operators,... ...education and assistance with utilizing Align Senior Care... ..., or concurrent review. Proficiency using basic...Full timeH1bWork at officeLocal areaImmediate startHome officeNight shift2 days per week3 days per week
- ...hospice must designate a registered nurse to coordinate the implementation of the POC for each... ...Healthcare Hospice and Palliative Care.Our Mission is to provide the highest standard... ...the clinical note; andAnnual performance review for each aide documented in the individual...Full timePart time
- ...Case Manager 1 The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of...Relief
- ...Case Manager 1 The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of...Work at officeImmediate start
- Steward Health Care seeks a qualified Case Manager to assume primary responsibility for documenting medical necessity for inpatient and/or observation status in the acute hospital setting. The role involves communications with physicians, staff, and payers, ensuring proper...
- ...is seeking a Medical Support Assistant (Advanced) to join an interdisciplinary care delivery team in Monroe, LA. The AMSA coordinates with the patient care team to review clinic utilization and use reports to ensure the clinic runs smoothly and adjustments are made to...
- ...Center is a busy and growing eye care practice looking for a... ...detail-oriented Patient Care Coordinator to join our Monroe team.... ...for scheduled appointments Review patient paperwork for accuracy... ...service issues to the Front Office Manager when appropriate Protect...Full timeWork at office
- ...Assume primary responsibility of cases for documentation of appropriate... ...indicated Assures proper level of care assignment. Facilitates with Case Managers and other allied health... ...setting One-year experience in utilization management/case management is preferred...
- ...seeking a motivated, detail-oriented Case Manager to join our Case Management team. This... ...assistance, communicating with patients, and coordinating among referring clinics, insurance... ...Referral & Patient Case Management Review referrals and supporting documentation...Local area
- Louisiana Blue is seeking a Case Management Nurse to provide telephonic case management for members enrolled in Medicare and Medicaid... ...and BCBSLA policies. You will assess member needs, coordinate with care teams, and develop individualized care plans, guiding members...
- UnitedHealth Group is seeking a Per Diem Registered Nurse Case Manager for Heart of Hospice, part of LHC Group, to deliver the Plan of Care for hospice patients and ensure high-quality care. You will evaluate patients, coordinate planning, and document progress with the...Hourly payDaily paid
- Louisiana Hospice and Palliative Care, part of LHC Group, a UnitedHealth Group company... ..., is hiring a Per Diem Registered Nurse Case Manager. You will oversee the Plan of Care for... ...evaluations within 48 hours of referral, and coordinate care with the IDG to ensure quality,...Daily paid
- Allegiance Healthcare Hospice and Palliative Care in West Monroe, LA, seeks a registered nurse to coordinate the implementation of the POC for each patient. Responsibilities include assessing physical, psychosocial, and environmental needs, coordinating with the IDT, and...
- Curana Health is seeking a Case Manager (RN/LPN or Social Worker) in Monroe, LA to join an interdisciplinary care team and coordinate comprehensive care for members in senior living communities. The role requires travel to facilities about 2-3 days per week, with remaining...Home office2 days per week3 days per week
- Louisiana Hospice and Palliative Care, a part of LHC Group, part of the Optum family... ...is seeking a Per Diem Registered Nurse Case Manager to deliver the Plan of Care for hospice... ..., assessing patient/family needs, coordinating care plans, and documenting progress with...Daily paid
- ...Northeast Hospice in West Monroe, LA seeks a registered nurse to coordinate patient-specific POC implementation. The RN will document... ...status, collaborate with the IDT, and guide patient/family self-care practices. The role includes supervising aides, ensuring accurate...Full timePart timeRelief
- ...Patient Care CoordinatorTurpin Orthodontics is looking for a Patient Care Coordinator to join our established Ruston/West Monroe/Monroe team. The best candidate for this role has strong attention to detail and a patient-centered mindset. If this sounds like you and you...Work at office
$67k
...seeking a Social Worker Care Manager who has their MSW to... ...issues and their families. Utilize assessment tools to... ...medical needs. Reviews benefits options, research... ...community resources, coordinates services, trains/creates... ...populations in home care, case management, discharge...Work experience placementLocal areaMonday to Friday$16 - $25 per hour
...Overview We are seeking a motivated and detail-oriented Patient Care Coordinator to join our team! This role is a key part of our front office, where you will help patients understand their treatment options, coordinate care, and support the office with receptionist...Hourly payFull timeWork at officeMonday to Thursday- ...LHC Group, a leading post-acute care partner for hospitals,... ...the Home Health Patient Care Manager, you are responsible for the overall supervision and coordination of clinical services. Coordinates... ...accordance with physician orders Reviews assessments and plans of care...Minimum wageFull timeWork experience placementLocal area
$76.23k - $114.34k
...LHC Group, a leading post-acute care partner for hospitals,... ...the Home Health Patient Care Manager, you are responsible for the overall supervision and coordination of clinical services. Coordinates... ...accordance with physician orders Reviews assessments and plans of care...Minimum wageFull timeWork experience placementLocal area- ...in Monroe, LA is seeking a Registered Nurse to provide professional nursing care following established standards. You will assist physicians, coordinate patient care and access, and help manage patient flow and referrals. You may serve as a preceptor and lead team members...
- Diversicare is seeking an Administrative Operations Coordinator in Monroe, LA to manage center administrative processes across business office, HR, payroll, and compliance. You’ll maintain confidential records, support Medicaid coordination, and ensure timely billing and...Work at office
- Heart of Hospice, part of LHC Group and within the Optum family, is hiring a Per Diem Registered Nurse Case Manager to oversee the Plan of Care for hospice patients. You will deliver high-quality nursing care, continuously evaluate performance, and ensure alignment with...Daily paid
- Steward Health Care is seeking a Medical Surgical RN to lead nursing care on the Med Surg unit, directing, planning, and organizing activities to meet patient, physician, and staff needs. The RN provides care under Medical Staff direction, aligned with the hospital's mission...
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