Top 23 Utilization review Jobs in Covington La

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
RN Utilization Manager (PRN)
St. Tammany Health System —Covington, LA
- Part-time
- Nursing
- RN License
- Senior level
6h
RN - Admissions
Covington Behavioral Health —Covington, LA
- $34 - $42 an hour
- 12 hour shift
- CPR Certification
- Nursing
- RN License
- Health savings account
- Disability insurance
6d
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
LPN Behavioral Health
Eating Disorder Treatment Centers LLC —Covington, LA
- Nursing
- Vital signs
- Mid-level
Quick Apply
Organ Placement and Utilization Manager
Louisiana Organ Procurement Agency —Covington, LA
- Full-time
- Google Workspace
- Hospital
- Word processing
Quick Apply
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
Registered Nurse (RN) | Work from home | $34/hr | Starts 8/10/26
Carenet Health —United States
- $34 an hour
- Weekends as needed
- Remote
- Bilingual
- Nursing
- RN License
- Continuing education credits
- Paid holidays

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RN Case Manager - PRN
Ochsner Health System —Slidell, LA
Required - Current registered nurse license in state of practice. Collaborates with the care team to develop and implement discharge plans based on patient’s…
Registered Nurse (RN) Case Manager - OMC Jeff Hwy - PRN
Ochsner Health System —New Orleans, LA
Required - Current registered nurse license in state of practice. Collaborates with the care team to develop and implement discharge plans based on patient’s…

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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
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utilization review jobs near covington la

MDS Clinical Care Coordinator - Trinity Trace Community Care Center

COMMCARE CORPORATION -
Covington, LA

Quick Apply

Job Details

Full-time
$32 an hour

Qualifications

Collaborate with healthcare professionals
Patient progress tracking
Long-term care regulations
Medicare
Utilization review
Medicare coding guidelines
Patient assessment
Care documentation
Clinical case management notes
Transitional care planning in clinical case management
CMS regulatory compliance
Patient history taking
Overseeing care coordination
Medicare regulations
Utilization management
Centers for Medicare and Medicaid Services (CMS)
Clinical assessment documentation
Medical record abstraction
Multidisciplinary team collaboration for treatment planning
Clinical documentation improvement
Patient progress monitoring
Healthcare diagnosis
Clinical documentation standards
Managing patient records
Care coordination

Full Job Description

At CommCare Corporation, we’re not just another healthcare provider. We’re an established, forward-thinking leader in retirement living, skilled nursing, and hospice care across Louisiana and Mississippi. Our team is driven by creativity, expertise, and a passion for caregiving, and we’re looking for someone who shares these values to join us.

We’re seeking the right candidate for the position of MDS Clinical Care Coordinator at Trinity Trace Community Care Center. In this vital role, you’ll ensure that our residents receive the highest level of care while collaborating with a dedicated team, providing exceptional clinical leadership and support.

What You Bring to the Table:

Essential Qualifications:

- Conduct comprehensive assessments of patients' medical records, including medical history, diagnoses, and treatment plans.
- Collaborate with interdisciplinary teams to gather necessary information for MDS assessments and Care Plans.
- Ensure compliance with federal and state regulations related to MDS assessments and Care Plans.
- Accurately code medical diagnoses and procedures using appropriate coding systems.
- Utilize clinical documentation improvement strategies to ensure accurate and complete documentation.
- Monitor and track patient progress and outcomes to support care planning and utilization management.
- Collaborate with healthcare providers to develop effective discharge plans.
- Maintain up-to-date knowledge of Medicare guidelines and regulations.

The Ideal Candidate:

- MDS processes/planning, Care Plan management.
- Strong understanding of Medicare guidelines and regulations.
- Familiarity with utilization management processes.
- Experience with Matrix or similar electronic health record systems is a plus.
- Excellent attention to detail and organizational skills.
- Strong communication and interpersonal skills
- Organized and detailed in work performance.
- Excellent documentation skills; ability to write well to communicate patient care needs.
- Genuine caring for and interest in Residents of a nursing facility.

Other Qualifications

- Has not been excluded from participating in Medicare and Medicaid programs.
- Maintains eligibility to participate in Medicare and Medicaid programs throughout employment.

What We Bring to the Table:

At CommCare, we don’t just care for our residents – we care for our team. That’s why we offer competitive pay, a comprehensive benefits package, and a dynamic learning environment that attracts, nurtures, and empowers dedicated caregivers to provide exceptional care.

Ready to make an impact? Take the next step in your career by applying below or visiting CommCare.com/Careers to learn more about how you can join a team that values your passion, dedication and growth.

*All Offers of employment are subject to completion of a satisfactory background check, reference check, and eligibility for participation in Medicare and Medicaid program. Pre-employment and annual Tuberculosis screening examinations are also required*

cc104

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utilization review jobs in covington la

MDS Clinical Care Coordinator - Trinity Trace Community Care Center

RN Utilization Manager (PRN)

RN - Admissions

RN Case Manager - PRN

RN Clinical Surgical Reviewer-SMH Cancer Center

LPN Behavioral Health

Organ Placement and Utilization Manager

RN Clinical Manager Peds Private Duty - Covington

Rehab Director- Physical Therapist Assistant

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Utilization Management Reviewer

Registered Nurse (RN) | Work from home | $34/hr | Starts 8/10/26

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