Strategic Utilization Review & Case Management Director
Freedom Behavioral
Freedom Behavioral Hospital of Monroe seeks a Utilization Review representative to assess patient status, interpret data, and ensure compliance with governmental and insurer requirements. The role includes reviewing admissions, treatments, and length of stay as well as precertification requests and referral of complex cases to medical leadership. Ideal candidates have 1+ years in utilization review or discharge planning, with strong communication and analytical skills, and the ability to work #J-18808-Ljbffr Freedom Behavioral
Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Strategic Utilization Review & Case Management Director in Monroe, LA vacancy
- 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
- ...Monroe has an immediate opening for a Utilization Review representative. At Freedom, we put... ...necessity, referring to the medical director those that require additional expertise... ...appropriate consultation and referral to Case Management/SocialServices personnel. PREFERRED...SuggestedImmediate start
- 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...Suggested
- ...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...SuggestedRelief
- ...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... ...as evidenced by direct observation in IDT by the Director and/or Manager and/or updates provided to LOS...SuggestedWork at officeImmediate start
- FMOL Health in Monroe, LA seeks a Case Manager 1 to direct utilization review of patient charts, treatment plans, and discharge planning to ensure quality of care. The role emphasizes independence and professional judgment under minimal supervision. Requires an RN with...
- Glenwood Regional Medical Center in West Monroe, LA, is seeking a case management professional to assume primary responsibility for documentation of medical necessity for inpatient and/or observation status in an acute hospital setting. The role involves communication with...
- Case Manager - RN/LPN/Social Worker Location: US-LA-Monroe ID: 2026-... ...Align Senior Care Board of Directors, the Senior Leadership Team,... ...education and assistance with utilizing Align Senior Care benefits.... ...discharge planning, or concurrent review. Proficiency using basic...Full timeH1bWork at officeLocal areaImmediate startHome officeNight shift2 days per week3 days per week
- ...SUMMARY Assume primary responsibility of cases for documentation of appropriate medical... ...assignment. Facilitates with Case Managers and other allied health professionals to... ...setting One-year experience in utilization management/case management is preferred...
Steward Health Care
West Monroe, LA17 hours ago - ...Reliant Healthcare is seeking a motivated, detail-oriented Case Manager to join our Case Management team. This position plays a key role... ...Key Responsibilities Referral & Patient Case Management Review referrals and supporting documentation for completeness and...Local area
Reliant Medical LLC
Monroe, LA16 days ago - ...relationships, services provided and instructions and comments given as well as other requirements of the clinical note; andAnnual performance review for each aide documented in the individual’s personnel recordAnnually conduct an on-site LPN supervisory visit with the LPN present...Full timePart time
Allegiance Hospice Care of South Central
Monroe, LA1 day ago $67k
...seeking a Social Worker Care Manager who has their MSW to join our... ...health issues and their families. Utilize assessment tools to determine... .../support medical needs. Reviews benefits options, research community... ...populations in home care, case management, discharge planning...Work experience placementLocal areaMonday to Friday- Louisiana Blue is seeking a Case Management Nurse to provide telephonic case management for members enrolled in Medicare and Medicaid, aligning with CMS standards and BCBSLA policies. You will assess member needs, coordinate with care teams, and develop individualized care...
- 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 hospice patients, perform initial evaluations within 48 hours of referral, and coordinate care...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 patients in home settings. You will evaluate performance, adhere to policies, and support quality...Daily paid
- 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...
- Allegiance Healthcare - Northeast Hospice in West Monroe, LA seeks a registered nurse to coordinate patient-specific POC implementation. The RN will document patient status, collaborate with the IDT, and guide patient/family self-care practices. The role includes supervising...Full timePart timeRelief
- 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
- ...Connecting. Growing together. As the Home Health Patient Care Manager, you are responsible for the overall supervision and coordination... ...criteria, and is in accordance with physician orders Reviews assessments and plans of care daily, per assigned workflow, and...Minimum wageFull timeWork experience placementLocal area
Optum
Monroe, LA4 days ago $76.23k - $114.34k
...Connecting. Growing together. As the Home Health Patient Care Manager, you are responsible for the overall supervision and coordination... ...criteria, and is in accordance with physician orders Reviews assessments and plans of care daily, per assigned workflow, and...Minimum wageFull timeWork experience placementLocal areaUnitedHealth Group
West Monroe, LA17 hours ago- ...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 support patient needs. Applicants may be...
- ...Accurately check patients in for scheduled appointments Review patient paperwork for accuracy and completion Update patient... ...patient concerns and communicate service issues to the Front Office Manager when appropriate Protect patient confidentiality and follow...Full timeWork at office
Haik Humble Eye Center
Monroe, LA17 hours ago $35.25 - $52.9 per hour
...Patient Care Manager - HospiceExplore opportunities with Heart of Hospice, a part of LHC Group. As part of the Optum family of businesses... ...Manager - Hospice assists Executive Administrator/Executive Director/Director of Clinical Operations with all patient care activities...Hourly payMinimum wageFull timeWork experience placementLocal areaCredenza Health
Monroe, LA17 hours ago- 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
Summit Dental
West Monroe, LA3 days ago - Elderwood IPA in the United States is seeking a Social Worker Care Manager who holds an MSW to join our team. You will collaborate with the RN and serve as a key resource for our members, coordinating medical, social, educational, psychosocial, financial, and other services...Monday to Friday
- Steward Health Care seeks a Medical Surgical RN to direct, plan and organize nursing activities on the Med Surg unit, focusing on patient, physician and staff needs. The RN supports medical care under the direction of the Medical Staff in alignment with the hospital's mission...
- Freedom Behavioral Hospital of Monroe seeks a licensed therapist to work in our inpatient and outpatient therapy programs. The role supports our social services team, discharge planning, and patient well-being in accordance with Joint Commission and state guidelines. The...Full time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Strategic Utilization Review & Case Management Director. Be the first to apply!
