NewRN Case Manager Amedisys, Inc.RN Case ManagerMetairie, Louisiana$63,000–$82,300 / yearFull timeOverview: Full-time days Make a difference every day as an Amedisys registered nurse case manager Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.
NewConsultant - Medical (Case Reviewer 2) MaximusConsultant - Medical (Case Reviewer 2)New Orleans, LAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries.
Field Care Management Behavioral Health - Field/Remote LA Humana IncField Care Management Behavioral Health - Field/Remote LALARemote$65,000–$88,600 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Case Coordinator Scheduler Home Care Part Time LHC Group IncCase Coordinator Scheduler Home Care Part TimeMetairie, LAResponsibilities Coordinates the delivery of care and services to agency clients including responding to inquiry calls from clients, families, physicians, referral sources, and care managers, assigning and scheduling appropriate caregivers, and providing in-home visits as needed. At Egan-Ochsner Pediatric Private Duty, part of the LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people.
Case Coordinator Scheduler Home Care LHC Group IncCase Coordinator Scheduler Home CareLaplace, LAResponsibilities Coordinates the delivery of care and services to agency clients including responding to inquiry calls from clients, families, physicians, referral sources, and care managers, assigning and scheduling appropriate caregivers, and providing in-home visits as needed. At Egan-Ochsner Pediatric Private Duty, part of the LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people.
Director, System Utilization Management Louisiana Childrens Medical Center IncDirector, System Utilization ManagementNew Orleans, LACollaborate with the Physician Advisor Team to both reduce denials and identify areas for clinical documentation improvement; collaborate with the Clinical Documentation Integrity Team ("CDI") on documentation improvement initiatives. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way.
Director, System Utilization Management LCMC HealthDirector, System Utilization ManagementNew Orleans, LACollaborate with the Physician Advisor Team to both reduce denials and identify areas for clinical documentation improvement; collaborate with the Clinical Documentation Integrity Team ("CDI") on documentation improvement initiatives. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way.
NewRegistered Nurse (Rn) - Care Management LCMC HealthRegistered Nurse (Rn) - Care ManagementMetairie, LAWhile our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Achieving the best possible patient outcomes, appropriate length of stay, efficient utilization of resources, coordination of patient, family, and staff communication and education is the center of your nursing universe.
Results Management Industrial Engineer CVS Health CorpResults Management Industrial EngineerLA$46,988–$112,200 / yearOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Additionally, lead and facilitate process improvement efforts that enhance productivity and labor utilization, while improving the overall customer experience.
SOCIAL SERVICE COUNSELOR 3 State Of LouisianaSOCIAL SERVICE COUNSELOR 3Reserve, LA$3,477–$6,264Join the State of Louisiana Department of Veterans Affairs at the Southeast Louisiana Veterans Home, where youll step into a role as a SOCIAL SERVICE COUNSELOR 3 employee that combines social service and excellence with genuine care for those who served. Job Duties: Serves as Case Manager for medically complex, intermediate, and skilled care, including Medicare veteran units with a caseload of veterans with multiple psychiatric, substance abuse, behavioral, and medical problems.
RN Outpatient Care Manager - Hybrid - Jeff Hwy-FT Ochsner Clinic FoundationRN Outpatient Care Manager - Hybrid - Jeff Hwy-FTNew Orleans, LouisianaUses the case management process to assess the healthcare needs of the enrollee, identify barriers to care, develop a comprehensive treatment plan complete with specific goals and objectives, implement a treatment plan in collaboration with the PCP team and the other providers involved in the patients’ care, negotiate and coordinate service for the patient, monitor and evaluate the effectiveness of the plan in achieving the goals and objectives, and change and modify the plan as needs and situations change. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
NewCare Navigator Via Link IncCare NavigatorNew Orleans, LAFull timeLouisiana birth-certificate (vital records) requests within program caps (10 orders/week; out-of-state orders accepted).Support disaster-related emergency housing navigation, including intake, eligibility screening (Louisiana residents, governor-declared disaster, client contact within 90 days post-disaster), and escalation of critical, same-night housing needs to the Program Manager or VP.Submit client-needs-fund requests for VP/CEO approval as needed; note that ongoing rental assistance is not covered, while minimal car repairs and reinstating suspended licenses may be considered. Position SummaryThe Care Navigator provides direct, person-centered case management to clients accessing VIA LINK's Care Navigation Program, connecting individuals and families to housing, vital records, and other essential services.
Field Reimbursement Manager - Kidney (East Texas-Louisiana) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (East Texas-Louisiana)LA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
NewCommunity Service Manager State Of LouisianaCommunity Service ManagerNew Orleans, LA$5,217–$9,403An advanced degree in a social sciences field, nursing, public health; public, hospital, or health administration; speech-language pathology or communication sciences and disorders; physical, occupational, recreational, or music therapy plus four years of experience in providing health or developmentally disabled services, counseling, health care management, or social services. Serve as a member of the Developmental Disabilities Leadership Team and provide regional leadership, participating in strategic planning, policy development, quality improvement initiatives, community forums, and representing MHSD/OCDD as assigned, including serving as Regional Administrator in their absence.
Social Worker LMSW - Social Services Louisiana Childrens Medical Center IncSocial Worker LMSW - Social ServicesNew Orleans, LAUniversity Medical Center, a world class academic medical center in LCMC Health's incredible community of care, is the largest medical training center for healthcare professionals in Louisiana and has long served as the region's safety net hospital for poor and underserved communities for 300+. Acts as active team member in the discharge planning process and assures patient is referred to appropriate social and financial resources post discharge: Identifies patients in assigned caseload with complex social and medical issues through case finding and referral process.
Social Worker Lmsw - Social Services LCMC HealthSocial Worker Lmsw - Social ServicesNew Orleans, LAUniversity Medical Center, a world class academic medical center in LCMC Health's incredible community of care, is the largest medical training center for healthcare professionals in Louisiana and has long served as the region's safety net hospital for poor and underserved communities for 300+. Acts as active team member in the discharge planning process and assures patient is referred to appropriate social and financial resources post discharge: Identifies patients in assigned caseload with complex social and medical issues through case finding and referral process.
RN - Transitional Care Coordinator-Jeff Hwy Ochsner Clinic FoundationRN - Transitional Care Coordinator-Jeff HwyNew Orleans, LouisianaUses the case management process to assess the healthcare needs of the enrollee, identify barriers to care, develop a comprehensive treatment plan complete with specific goals and objectives, implement a treatment plan in collaboration with the PCP team and the other providers involved in the patients’ care, negotiate and coordinate service for the patient, monitor and evaluate the effectiveness of the plan in achieving the goals and objectives, and change and modify the plan as needs and situations change. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
RN Clinic Manager Catholic Charities Archdiocese of New OrleansRN Clinic ManagerNew Orleans, LAFull timeWhat You'll Bring:Experience & Education(CMS required) Graduate of an accredited School of Nursing.(CMS required) Current RN license in good standing to practice in StateName.(CMS required) One year of experience working with a frail or elderly population or, in the absence of such experience, receive appropriate training from PACE on working with a frail or elderly population before providing direct patient care to PACE participants independently. Provides case management and care coordination during care transitions and proactively communicates with hospital and long-term care facility case managers regarding participant discharge care plans.
Behavioral Health Emergency Room Social Worker - UMC Louisiana Childrens Medical Center IncBehavioral Health Emergency Room Social Worker - UMCNew Orleans, LAYou're a life preserver for countless patients because, as a Social Worker, you're the hub of your patients' multidisciplinary team advocating, assessing, counseling, and supporting individual psychosocial needs and discharge planning resources for complex medical problems. University Medical Center, a world class academic medical center in LCMC Health's incredible community of care, is the largest medical training center for healthcare professionals in Louisiana and has long served as the region's safety net hospital for poor and underserved communities for 300+.
Nurse Care Manager Upward HealthNurse Care ManagerNorth Shore, LAThis role focuses on chronic care management and care transitions, particularly for patients discharged from inpatient settings, and involves both in-person and telephonic outreach, medication reconciliation, and ensuring continuity of care across the healthcare ecosystem. The Nurse Care Manager works with a multidisciplinary Care Team, collaborating to ensure optimal health outcomes for patients through personalized care plans, self-management, and disease prevention.