Utilization Review Nursing: Ensuring Medical Necessity and Efficiency

Registered Nurse (RN) | Rehab Location: New Orleans, LA Agency: AHS Staffing Pay: $1,944 per week Shift Information: Nights - 5 days x 8...

Registered Nurse (RN) | Rehab Location: New Orleans, LA Agency: Host Healthcare Pay: $1,720 to $1,873 per week Shift Information:...

Emergency Medicine physician job in Louisiana : TeamHealth has an outstanding opportunity for family medicine (FM) and internal medicine (IM) physicians to join our emergency medicine (EM) ambassador team of elite travel physicians.As a part of our EM ambassador team, you will assist with coverage a

Key Responsibilities: Review prior authorization requests for medical necessity and collaborate with Medical Directors as needed Utilize evidence-based criteria and governmental policies for medical necessity reviews and manage claims disputes Coordinate transitions of care and referrals to Care

Key Responsibilities Review and document prior authorization and appeals requests, along with member case history Analyze trends and recommend revisions to medical policies and utilization management based on case reviews Interface with members, providers, and internal departments to ensure effe

Registered Nurse (RN) | Rehab Location: New Orleans, LA Agency: TNAA | TotalMed Pay: Competitive weekly pay (inquire for details) Shift...

Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location: New Orleans, LA Agency: Host Healthcare Pay: $1,767 to $1,920 per...

Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: New Orleans, LA Agency: Magnet Medical Pay: $1,771 per week Shift Information:...

Additional Info: - Work as a lead in a collaborative and value-based care setting - our services are not volume-based, we focus on quality of care- Ongoing peer-to-peer collaboration and long-term career cultivation- Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Car

We???re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We???re different than most primary care providers.We???re rapidly expanding an

Registered Nurse (RN) | Rehab Location: New Orleans, LA Agency: Advantis Medical Staffing Pay: $1,960 per week Shift Information: Nights - 3 days...

Registered Nurse (RN) | Rehab Location: New Orleans, LA Agency: Magnet Medical Pay: $1,887 per week Shift Information: Nights - 3 days x 12...

Neonatology physician job in Louisiana : Global Medical Staffing - Looking to reconnect and extend your personal and professional world? Just pick up the phone and call Global Medical Staffing to get all the details of this assignment.Intubation, ventilation management, arterial lines required.Chest

Are you a skilled Breast Surgeon ready to take your career to the next level? This perm position with one of VISTA s premier healthcare partners in Louisiana offers the chance to join a thriving, patient-focused practice, collaborate with nationally respected colleagues and deliver cutting edge surg

Neonatology physician job in Louisiana : Weatherby Healthcare is currently seeking a Neonatology Physician in LA.If this opportunity sounds right for you, give us a call today to speak with an expert Weatherby consultant for details.Intubation, ventilation management, and central line procedures.Art

We're unique. You should be, too. We're changing lives every day. For both our patients and our...

Registered Nurse (RN) | Cardiovascular Operating Room Location: New Orleans, LA Agency: Host Healthcare Pay: $2,447 to $2,626 per week Shift...

Registered Nurse - Home Health Established Home Health Agency in Louisiana seeking experienced RN's to...

Job Description Company Description Boston Spine & Scoliosis is a patient-focused orthopedic spine practice with office locations in Hopedale, Woburn, and Newton Massachusetts.Our fellowship-trained surgeons provide comprehensive care for a full spectrum of spinal conditions, offering both advanced

Key Responsibilities Conducts clinical reviews of denied cases and reevaluates medical claims according to applicable guidelines Identifies quality of care issues and resolves escalated complaints related to utilization management Serves as a clinical resource and provides training to less exper