Top 12 Utilization management nurse Jobs in Monroe, La

Director Case Management
Glenwood Regional Medical Center —West Monroe, LA
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Medical Field Case Manager
Enlyte —Monroe, LA
- $70,000 - $75,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Nurse Manager
Freedom Behavioral Hospital of Monroe —West Monroe, LA
- $85,000 - $95,000 a year
- Full-time
- Acute care
- Nursing
- RN License
- 401(k)
- Vision insurance
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Registered Nurse - RN
Optum —West Monroe, LA
- $64,132 - $96,198 a year
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC)
LDH-Northeast Delta Human Services Authority —Monroe, LA
- Contract
- Nursing
- Psychiatry
- RN License
Utilization Review Coordinator
Lakeview Health —United States
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Case management
- Loan repayment program
- Health insurance
11d
Regional Director of Utilization Management
ADDICTION AND MENTAL HEALTH SERVICES, LLC —United States
- $115,000 - $130,000 a year
- Full-time
- Nursing
- 3 years
- Master's degree
- Loan repayment program
- Health insurance
12d

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Medical Field Case Manager
Enlyte —Monroe, LA
Active Registered Nurse (RN) license required. Education: Associates Degree or Bachelor’s Degree in Nursing or related field. In this role, you will:
$70,000 - $75,000 a year

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utilization management nurse jobs near monroe, la

Director Case Management

Glenwood Regional Medical Center -
West Monroe, LA

Quick Apply

Job Details

Full-time

Qualifications

Vendor relationship building
RN License

Full Job Description

POSITION SUMMARY

Responsible for the direction of staff and fiscal resources of the Case Management Dept. Oversight of the hospital Case Management program.

Provides direction and planning for physician advisor, and staff to establish priorities identifying trends. Develop short- and long-term goals for cost containment and reduction of LOS and utilization of hospital resources.
Provides direction and planning for physician advisor, and staff to establish priorities identifying trends. Develop short- and long-term goals for cost containment and reduction of LOS and utilization of hospital resources.
Develops structures and processes to facilitate participation by physicians, pharmacists, nurses, Social Workers and other health professionals in multidisciplinary care planning, care delivery, and discharge planning.
Directs utilization review activities for the hospital, interfacing with external payers and review companies to determine appropriate medical necessity of admissions and continued hospitalization.
Resolves conflicts related to discharge planning with patients/families, external agenand payers.
Facilitates transition of patients/families across the continuum by establishing relationships with appropriate providers and community services
Ensures compliance with DNV standards for the Continuity of Care function.
Participates as a member of DNV Task Force.
Establishes effective relationships with external agencies providing services to the organization (such as vendors, care providers, etc.)
Effectively audits and monitors areas of responsibility for compliance issues. Promptly follows up on compliance issues. Creates an environment that encourages staff to report/resolve complicated issues.

QUALIFICATIONS

Must be a graduate of an Accredited School of Nursing with a current La State Board License
RN Case Management experience in an acute care setting preferred. Previous supervisory experience preferred.
A current Louisiana license is required.
Computer skills preferred.

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utilization management nurse jobs in monroe, la

Director Case Management

Medical Field Case Manager

Nurse Manager

Registered Nurse - RN

Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC)

Utilization Review Coordinator

Regional Director of Utilization Management

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