Top 18 Utilization review Jobs in Covington La

RN Utilization Manager (PRN)
St. Tammany Health System —Covington, LA
- Part-time
- Nursing
- RN License
- Senior level
3h
MDS Clinical Care Coordinator - Trinity Trace Community Care Center
COMMCARE CORPORATION —Covington, LA
- $32 an hour
- Full-time
- Background check
- Skilled nursing facility
- Current TB test
Quick Apply
Organ Placement and Utilization Manager
Louisiana Organ Procurement Agency —Covington, LA
- Full-time
- Google Workspace
- Hospital
- Word processing
Quick Apply
LPN Behavioral Health
Eating Disorder Treatment Centers LLC —Covington, LA
- Nursing
- Vital signs
- Mid-level
Quick Apply
RN Case Manager - PRN
Ochsner Health System —Slidell, LA
- Weekends as needed
- Acute care
- Nursing
- RN License
RN Clinical Surgical Reviewer-SMH Cancer Center
Ochsner Health System —Slidell, LA
- Full-time
- Nursing
- Surgery
- RN License
RN Clinical Manager Peds Private Duty - Covington
Optum —Covington, LA
- $51,528 - $77,292 a year
- Full-time
- Nursing
- RN License
- Pass drug screening
Quick Apply
3d
Rehab Director- Physical Therapist Assistant
tmc —Hammond, LA
- $33 - $37 an hour
- Full-time
- Physical & Rehabilitation Medicine
- In-person
- Senior level
- Continuing education credits
- Paid holidays
Quick Apply
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
2d
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred. Must be 21 or older.
$24 - $32 an hour
Quick Apply

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utilization review jobs near covington la

RN Utilization Manager (PRN)

St. Tammany Health System -
Covington, LA

Apply Now

Job Details

Part-time
3 hours ago

Qualifications

Nursing
Confidential information handling
Utilization review
RN License
Utilization management
Nursing

Full Job Description

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.

We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

JOB DESCRIPTION AND POSITION REQUIREMENTS

Scheduled Weekly Hours: TBD

Work Shift: (Usually 6 P.M. - 11 P.M.)

Summary of the Job:

The Utilization Manager is responsible to assist in the development, planning, coordination, and administration of the activities of Utilization Management. Job responsibilities include but are not limited to the following: daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness. Assumes responsibilities delegated by the Department Head.

Minimum Qualifications:

Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Five years of hospital nursing experience preferred. Experience in the field of Utilization Management activities highly preferred. Basic understanding of CPT-ICD-9 coding principles and DRG management preferred. Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Ability to demonstrate effective written and verbal communication skills and possess emotional and professional maturity. Highly organized and efficient in establishing priorities and performing tasks within specific timeframes. Self-motivator requiring minimal supervision. Views problems as a challenge and investigates alternatives which demand creativity, flexibility and the ability to work under stress. Responsible for maintaining strict confidentiality of all verbal & written information and documents. Knowledgeable in the Utilization Management review process.

Physical Demands:
Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 10 pounds is required.
Physical Effort required:

Constant (67%-100%) – seeing

Frequently (34%-66%) - handling/feeling, talking, hearing
Occasionally (1%-33%) – lifting, carrying, pushing/pulling, stooping, crouching, reaching

Contact Information:

Jennifer Saint, HR Talent Partner

Talent Acquisition - Human Resources

EMPLOYMENT

Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be found by clicking here, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process.

EQUAL OPPORTUNITY EMPLOYER

St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.

Apply Now

Refine Your Search

utilization review jobs in covington la

RN Utilization Manager (PRN)

MDS Clinical Care Coordinator - Trinity Trace Community Care Center

Organ Placement and Utilization Manager

LPN Behavioral Health

RN Case Manager - PRN

RN Clinical Surgical Reviewer-SMH Cancer Center

RN Clinical Manager Peds Private Duty - Covington

Rehab Director- Physical Therapist Assistant

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Utilization Management Reviewer

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