163 utilization jobs at 69 companies in Ponchatoula, LA
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RN Utilization Manager (PRN)
Covington, Louisiana, United States
OnsitePart Time
St. Tammany Health System: Provides comprehensive hospital and outpatient healthcare services in Louisiana.
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.
Acadia HealthcareNasdaq: ACHC: Provider of inpatient and outpatient behavioral health services.
Manage utilization and optimize reimbursement, secure and maintain payer authorizations, review clinical documentation for stay justification, ensure program compliance, and provide staff management including hiring and training. Licensure (RN/LPN) and CPR/de-escalation required.
LCMC Health: Provides non-profit healthcare services and medical education in Louisiana.
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.
Baton Rouge Rehabilitation Hospital: Provides specialized inpatient and outpatient physical rehabilitation and medical services.
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
Freedom Behavioral: Provides specialized inpatient and outpatient psychiatric services for adults and seniors.
2+ YOEMinimum 2 years behavioral health/case management experience, knowledge of levels of care and payer medical necessity, EMR proficiency, strong communication and organizational skills.
Director - Contracts & Utilization (sign-on bonus)
Elmwood, Louisiana, United States
OnsiteFull Time
Ochsner Health: Non-profit academic healthcare system providing comprehensive medical services.
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.
Clinical Program Manager, Utilization Management - Remote
Houston or Atlanta or Nashville or New Orleans or Charlotte or Tampa
$92k-$164k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOE4+ MgmtMaster's/doctoral in behavioral health, current unrestricted independent clinical license, 5+ years post-licensure clinical experience, 4+ years people management, utilization management knowledge.
Inframark: Operates water utilities and provides residential community management services.
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.
Technician, (Gas Legacy Meter Reader) (Job Code: 31434025)
New Orleans, Louisiana, United States
OnsiteFull Time
Delta Utilities: Provides regulated natural gas distribution and utility services.
Reads and documents gas meter readings, identifies and programs/installs IMU devices, reports hazards, requires high school diploma, valid driver’s license, PC and handheld device proficiency, and ability to meet physical demands.
MasTecNew York Stock Exchange: MTZ: Builds and maintains energy, communications, and utility infrastructure.
Locate and mark subsurface utilities, read blueprints/plat maps, work outdoors, lift up to 50 lbs, possess valid driver's license and ability to obtain DOT medical card; HS/GED preferred; prior underground utility experience a plus.
EntergyNYSE: ETR: Electric and natural gas utility provider.
7+ YOE7+ years utility-sector data analysis experience; advanced SQL and Python (Pandas, NumPy); utility systems knowledge; strong analytical and communication skills.
CIS, MDM, GIS, Billing, SQL, Python, Pandas, NumPy, SAP IS-U, Oracle Utilities, Meter Data Management (MDM), NAICS, SIC
Boh Bros.: Provides heavy civil, marine, and industrial construction services.
3+ YOEExperience in civil utility construction; outdoor work in extreme weather; reliable transportation; 3+ years field experience; TWIC card preferred; union environment.
hand tools, power tools, pneumatic tools, wheelbarrow, plate compactor, pressure washer, weed eater, jackhammers, impact wrenches
United Utility Services: Provides engineering and construction for electrical power infrastructure.
5+ YOEBachelor's in Engineering/PM/Business; 5+ years PM experience in electric utility or related field; strong budgets, schedules, and stakeholder management; knowledge of utilities systems and regulatory standards.
Compass GroupLondon Stock Exchange: CPG: Provides contract food and support services globally.
Previous food service utility experience required; must maintain sanitation, clean equipment, remove trash, transfer supplies, and perform physical kitchen tasks.
Dycom IndustriesNYSE: DY: Provides specialty contracting services for telecommunications and utility infrastructure.
High school diploma/GED, 1+ year utility locating experience, strong knowledge of utility mapping/equipment/safety, ability to train and evaluate field technicians, willingness to travel up to 50%.