Top 11 Utilization management nurse Jobs in Lafayette, La

Care Transition Coordinator
Allegiance Home Health of South LA —Lafayette, LA
- RN License
- Customer service
- Computer literacy
Quick Apply
Chief Flight Nurse
Acadian Air Med —Lafayette, LA
- Urgently hiring
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Advanced Practice Provider
NAUTILUS HEALTH PLLC —Lafayette, LA
- Contract
- Nursing
- Doctoral degree
- Clinic experience
Quick Apply
Registered Nurse
Optum —New Iberia, LA
- $64,100 - $141,500 a year
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Hospice RN
Foundations Hospice - Acadiana —New Iberia, LA
- Part-time
- Vital signs
- RN License
- HIPAA
- Mileage reimbursement
- Health insurance
Quick Apply
9d

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Chief Flight Nurse
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Medical Director Behavioral Health, Medicaid
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A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. Has a Louisiana medical license.
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Advanced Practice Nurse - Community Care
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The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients.
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Denials RN Coordinator
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Extensive review of medical records for medical necessity criteria, filing written letters of appeal on denied claims, filing complaints with state Department…
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Care Transition Coordinator

Allegiance Home Health of South LA -
Lafayette, LA

Quick Apply

Job Details

Qualifications

Customer communication
RN License

Full Job Description

Position Summary:

The Care Transition Coordinator position will act as a liaison and coach for selected patients identified to be at risk for readmission. The Care Transition Coordinator will coach the patient, ensure that the patients understand and are adhering to instructions, encourage self-engagement with a focus on the achievement of goals, ensure that critical elements of the care plan developed in one setting are transferred to the next and that patients are successfully transitioned to MD’s and other post-hospital providers, coordinate with other Care Transition Coordinator leaders from local facilities/hospitals and provide leadership in explaining complex strategies and implement measurement tools to assess results.

Essential Functions:

Reasonable Accommodations Statement:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform essential functions.

Job Responsibilities:

Work in a medical setting with physician practices and hospital teams to promote effective assessment for and utilization of post-acute services.
Coordinate such services for the patient who is returning to the community.
Provide education to physicians and other referral sources regarding post-acute services.
Perform ongoing assessment and data collection focusing on the patient's medical, psychosocial, and educational needs utilizing established home health nursing criteria.
Initiate the post-acute referral process in a knowledgeable, skillful, and consistent manner.
Establish priority of post-acute referrals based on patient need and available resources of time, personnel, equipment, and supplies.
Demonstrate good written and oral communication skills.
Document interactions with patients, family, hospital staff, and physicians.
Regularly communicate progress in the development of the post-acute referral.
Be responsible to comply with facility-specific documentation policy.

Position of Qualifications:

Accuracy - Ability to perform work accurately and thoroughly.
Applied Learning - Ability to participate in needed learning activities in a way that makes the most of the learning experience.
Customer Oriented - Ability to care for customers’ needs while following company procedures.
Safety Awareness - Ability to identify and correct conditions that affect employee safety.
Technical Aptitude - Ability to comprehend complex technical topics and specialized information.
Working Under Pressure - Ability to complete assigned tasks under stressful situations.
Accountability - Ability to accept responsibility and account for his/her actions.
Communication, Oral - Ability to communicate effectively with others using the spoken word.
Adaptability - Ability to adapt to change in the workplace.
Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards

Skills and Abilities:

Strong analytical, data management, and PC skills.
Current working knowledge of discharge planning, utilization, case, and disease management.
Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post-acute care.
Demonstrates ability to communicate effectively with customers, both internal and external.
Ability to perform multiple activities, meet deadlines, solve problems, utilize resources, make independent decisions, and work well in a team-based environment.
Valid LA Driver’s License and daily access to a reliable and insured vehicle.

Education and Experience:

A current, unencumbered nursing license in Louisiana.
RN preferred; LPN or another appropriately licensed clinician with strong clinical experience may also be considered.
A minimum of two years of strong clinical experience is required.
Computer literate with good working knowledge of Microsoft Suite and/or Google Suite.

Experience

Required

2 year(s): Minimum of 2 year's experience in same or similar role required.

Licenses & Certifications

Required

Registered Nurse

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

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utilization management nurse jobs in lafayette, la

Care Transition Coordinator

Chief Flight Nurse

Advanced Practice Provider

Registered Nurse

Hospice RN

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