368 utilization jobs at 147 companies in Louisiana
2w
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RN Utilization Manager (PRN)
Covington, Louisiana, United States
OnsitePart Time
Graduate of accredited nursing school with active Louisiana RN license; experience in hospital nursing and utilization management preferred; knowledge of utilization review, CPT/ICD-9 and DRG principles; strong communication and organizational skills.
3mo
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UTILIZATION REVIEW DIRECTOR
Lake Charles, Louisiana, United States
OnsiteFull Time
1+ YOEOversee utilization review and discharge planning in compliance with CMS, state regulations; strong analytical and communication skills.
1mo
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Supervisor, Utilization Management
Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming or Phoenix
$101k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet, Internet, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System, American Dental codes
1mo
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River Place Facility - Manager - Utilization
LaPlace, Louisiana, United States
OnsiteFull Time
Monitor utilization and optimize reimbursement, secure payer authorizations, review clinical documentation, and provide staff management; licensure as LPN/RN or other clinical license where applicable; CPR and de-escalation/restraint required.
2mo
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Director, System Utilization Management
New Orleans, Louisiana, United States
OnsiteFull Time
7+ YOE7–10+ years leadership in Utilization Management or Case Management; RN preferred with certification in CM/UM; Epic EMR knowledge; BSN required, MSN preferred.
Epic, Healthcare Data Analytics, Microsoft Excel
3w
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Utilization Review Supervisor - Full Time
Lake Charles, Louisiana, United States
OnsiteFull Time
2+ YOEActive RN with 2+ years acute behavioral health experience, Louisiana or multi-state nursing license, CPR and Crisis Response Training, strong communication and utilization review skills.
2d
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Acquisition Utilization Specialist
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yr OnsiteFull Time
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Defense Travel System (DTS)
2mo
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Organ Placement and Utilization Manager
Covington, Louisiana, United States
OnsiteFull Time
3+ YOEOversee organ placement and utilization operations; lead a healthcare team; ensure regulatory compliance; travel as needed.
Microsoft Office, Google Workspace
1mo
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Utilization Review Nurse (RN)
Baton Rouge, Louisiana, United States
OnsiteFull Time
Current Louisiana RN license required; expert knowledge of InterQual or Milliman guidelines; recent hospital or insurance experience; strong communication and regulatory knowledge; ACM or CCM preferred.
InterQual Level of Care Criteria, Milliman Care Guidelines, Provider Link
1w
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Director of Utilization Review
Shreveport, Louisiana, United States
OnsiteFull Time
2+ YOE2+ MgmtBachelor's in social services or nursing or equivalent experience; 2+ years psychiatric/chemical dependency and 2+ years supervisory experience; strong UM, appeals, discharge planning, and communication skills.
Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Word
2d
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Utilization Management Nurse Consultant
Ohio or Georgia or Texas or Minnesota or New Mexico or Iowa or Michigan or Wisconsin or New York or Kansas or Connecticut or New Jersey or Indiana or Louisiana or Tennessee or Kentucky or Mississippi or Oklahoma or West Virginia or Massachusetts or Alabama or South Carolina or Missouri or Arizona or Virginia or Illinois or North Carolina or Colorado or Florida or Pennsylvania or Wyoming or Delaware
$29-$62/hr RemoteFull Time
3+ YOERequires 3+ years of hospital Med-Surg RN experience, active unrestricted RN licensure, an associate degree, Microsoft Office experience, and ability to use multiple IT systems. BSN, managed care, and UM experience preferred.
Microsoft Office, Microsoft Outlook, Microsoft Teams, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Google Workspace, VPN, EHR
1mo
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Director - Contracts & Utilization (sign-on bonus)
Elmwood, Louisiana, United States
OnsiteFull Time
10+ YOEBachelor's required (Master's preferred); 10 years healthcare purchasing experience (or 5 years with Master's); knowledge of MMIS; project management, communication, and analytical skills; ability to travel and work flexible/on-call schedule.
MMIS
1d
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Utilization Management Behavioral Health Professional
Louisiana, United States
$65k-$89k/yr RemoteFull Time
1+ YOEMaster's-level clinician with independent Louisiana licensure, 1+ year managed care experience, MCG and ASAM criteria experience, and proficiency with electronic information systems and Microsoft Office tools.
MCG, American Society of Addiction Medicine Criteria, Electronic Information Systems, Microsoft Word, Microsoft Outlook, Microsoft Excel
2w
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Utilization Review/Case Manager
West Monroe, Louisiana, United States
$18-$22/hr OnsiteFull Time
Coordinating utilization review, securing insurance authorizations, discharge planning, documenting care, and liaising with payors and clinical teams.
5d
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SUPERVISOR 1 – UTILITIES LINE LOCATE
St. Tammany Parish County, Louisiana, United States
$23-$24/hr FieldFull Time
5+ YOEHigh school diploma or GED, five years of sewer and water utility experience including underground utility locating, and a valid driver's license. Supervisory, construction, GIS, and LDH certification experience preferred.
GIS, GPS, geodatabase
1w
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Pipeline Operator - Associate
Gibson, Louisiana, United States
$62k-$92k/yr FieldFull Time
Operate and maintain gas and liquids pipeline systems, respond to emergencies, follow safety and environmental procedures, use tools and software, perform basic arithmetic, and travel up to 30% regionally.
CRT
1w
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Pipeline Operator - Associate
Gibson, Louisiana, United States
$62k-$92k/yr FieldFull Time
Experience, training, or knowledge of pipeline operations, safety procedures, environmental regulations, natural gas and liquids, pigging, tank gauging, construction methods, and cathodic protection. Basic arithmetic and computer skills required.
computers, Computer Monitor(s)
2w
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Meter Technician
Belle Chasse, Louisiana, United States
OnsiteFull Time
1+ YOEReads, inspects, installs, tests, repairs, and replaces water meters on assigned routes; requires high school diploma/GED, valid driver's license, and one year of related experience.
1d
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Field Meter Servicer
Shreveport, Louisiana, United States
$25-$31/hr FieldFull Time
High school diploma or GED, valid driver's license, basic understanding of electricity, safe work habits, communication skills, telephone or pager availability, and willingness to work overtime. One year of meter reading experience preferred.
Advanced Metering Infrastructure (AMI), HireVue, work management system
1mo
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O&M Manager - Hollis Creek
Many, Louisiana, United States
$115k-$155k/yr OnsiteFull Time
0.5+ MgmtManage day-to-day O&M of a 200 MW solar facility; high school diploma, 6+ months supervisory experience, valid driver’s license, ability to lift 100 lb, willing to travel up to 50%.
SunGrow, NXT Horizon, Jinko, SCADA, Microsoft Office, I-V curve tracer, Megger
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