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Utilization review nurse Jobs in Baton Rouge, LA

Last updated: 18 hours ago
  • Promoted
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesLouisiana, Baton Rouge
We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Show moreLast updated: 1 day ago
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Pre-Closing Loan Doc Review Specialist II

Pre-Closing Loan Doc Review Specialist II

b1BANKBaton Rouge, LA, United States
Full-time
This position is responsible for supporting the bank's strategic goals and ensuring that loans are properly documented according to the credit approval, the bank's loan policies and procedures, as ...Show moreLast updated: 8 days ago
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Travel Registered Nurse - Labor / Delivery in Opelousas, LA

Travel Registered Nurse - Labor / Delivery in Opelousas, LA

Jackson Nurse ProfessionalsBaton Rouge, Louisiana, US
Full-time
We're offering a rewarding LD position for Registered Nurses with experience managing the care of mothers and their babies during the delivery process for a 13 week contract assignment at a state-o...Show moreLast updated: 1 day ago
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Travel Cath Lab Technologist - $2,572 per week

Travel Cath Lab Technologist - $2,572 per week

Reliable Nurse StaffingBaton Rouge, LA, US
$2,572.00 weekly
Full-time
Reliable Nurse Staffing is seeking a travel Cath Lab Technologist for a travel job in Baton Rouge, Louisiana.Job Description & Requirements Specialty : Cath Lab Technologist Discipline : Allied Healt...Show moreLast updated: 22 hours ago
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Nurse Practitioner

Nurse Practitioner

Avenues RecoveryBaton Rouge, LA, US
Full-time
Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen locations across five states. Offering the very highest standard of medical and clinical treatment, o...Show moreLast updated: 2 days ago
Utilization Management Clinical Consultant

Utilization Management Clinical Consultant

CVS HealthBaton Rouge, LA, US
$29.10–$62.31 hourly
Full-time
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
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Registered Nurse

Registered Nurse

Fresenius Medical CareBaton Rouge, LA, US
Full-time
The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provisio...Show moreLast updated: 18 hours ago
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Graduate Nurse to Registered Nurse - Full Time

Graduate Nurse to Registered Nurse - Full Time

CHRISTUS HealthYouree, LA, US
Full-time
Provides routine and complex care, with the ability to on long-range goals or plans.Continues to develop the ability to cope with and manage contingencies of clinical nursing.Makes appropriate assi...Show moreLast updated: 5 days ago
Utilization Review Clinician - Behavioral Health

Utilization Review Clinician - Behavioral Health

Centene CorporationBaton Rouge, 3854 American Way, Ste B, US
$25.97–$46.68 hourly
Remote
Full-time
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Show moreLast updated: 30+ days ago
Document Review Opportunities

Document Review Opportunities

Beacon HillBaton Rouge, Louisiana
$24.00–$26.00 hourly
Full-time
Beacon Hill Legal is one of the country's largest legal staffing agencies.We are privately owned and part of Beacon Hill Staffing Group, LLC. Beacon Hill Legal seeks US barred attorneys in the Louis...Show moreLast updated: 30+ days ago
Medical Benefit Review Services Associate III

Medical Benefit Review Services Associate III

Conduent Business ServicesBaton Rouge, LA, United States
$19.47 hourly
Full-time
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clien...Show moreLast updated: 1 day ago
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Registered Nurse I-Nurse Residency-Full Time

Registered Nurse I-Nurse Residency-Full Time

Christus HealthYouree, LA, US
Full-time
Description Summary : Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period.Provides direction a...Show moreLast updated: 26 days ago
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Remote LVN Utilization Review Nurse

Remote LVN Utilization Review Nurse

VirtualVocationsBaton Rouge, Louisiana, United States
Remote
Full-time
A company is looking for a Remote LVN Utilization Review Nurse.Key ResponsibilitiesConducts retrospective clinical reviews using InterQual guidelines for medical necessityFollows documented process...Show moreLast updated: 2 days ago
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Wound Care Nurse / Treatment Nurse

Wound Care Nurse / Treatment Nurse

Legacy Nursing and RehabilitationPort Allen, LA, US
Full-time
Here at Legacy we do our best to foster a fun, family-like atmosphere.We value compassion, hard-work, dedication, integrity, and accountability. The ideal candidate would have experience, but don...Show moreLast updated: 4 days ago
Utilization Behavioral Health Professional

Utilization Behavioral Health Professional

HumanaRemote, Louisiana, Baton Rouge
Remote
Full-time
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago
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MEDICATION NURSE

MEDICATION NURSE

Sunrise Senior LivingBaton Rouge, LA, United States
Full-time
Sunrise Senior Living was again certified as a Great Place to Work® by Activated Insights.This is the 7th time Sunrise has received this top culture and workplace designation, highlighting the spec...Show moreLast updated: 2 days ago
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Licensed Practical Nurse or Licensed Vocational Nurse

Licensed Practical Nurse or Licensed Vocational Nurse

Sono BelloBaton Rouge, LA, US
Full-time
Sono Bello is America's top cosmetic surgery specialist, with 185+ board-certified surgeons who have performed over 300,000 laser lipo and body contouring procedures. A career at Sono Bello mean...Show moreLast updated: 2 days ago
Claims Clinical Specialist – Medical Review Team

Claims Clinical Specialist – Medical Review Team

Genworth FinancialLouisiana
$124,600.00 yearly
Remote
Full-time
At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago
Lead Coordinator - Clinical Review, LPN / RN (Remote)

Lead Coordinator - Clinical Review, LPN / RN (Remote)

MaximusBaton Rouge, LA, US
$31.75 hourly
Remote
Full-time
Description & Requirements Maximus is currently hiring a Lead Coordinator - Clinical Review to support the Independent Medical Review (IMR) program. What You Will Receive : • Work / Life...Show moreLast updated: 7 days ago
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Paid Product Tester

Paid Product Tester

Product Review JobsPORT ALLEN, LA, United States
$500.00 weekly
Full-time
Compensation : Varies per assignment.Location : Remote (USA)Company : ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completing market research ...Show moreLast updated: 21 days ago
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesLouisiana, Baton Rouge
1 day ago
Job description

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, protected veteran status or any other characteristic protected by law.  Description

Job Type : Full-time

Work Location : Remote with possible periodic travel to our office in Itasca, IL.

Overview

We are seeking a detail-oriented and experienced Quality Review Supervisor to oversee a QV team in our Quality Review Department. The ideal candidate will have strong communication skills, an eye for detail, and a deep understanding of property inspection services. This is a work from home position that requires a Windows computer and high-speed internet.

Responsibilities

The Quality Review Supervisor’s primary responsibility is to manage the daily activities of the QV team, providing guidance and support. There are also performance management responsibilities to ensure team members are meeting monthly goals. This includes (but not limited to) managing schedules, hourly production, rejection percentages, and quality standards.

Using Millennium’s proprietary software, the Supervisor manages the QV process which includes reviewing a full inspection report that is comprised of a sketch of the home’s footprint, photos of the home which identifies construction materials, hazards, and client specific questions. Knowledge of sketching and replacement cost programs is a plus.

Compensation

  • We offer comprehensive training and a competitive starting salary and benefit package.

Schedule :  Monday to Friday

Benefits :
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance
  • HOW TO APPLY :

    Interested candidates should apply through the job portal.

    We look forward to meeting you and expanding our team!

    Position Requirements

    Qualifications

  • Bachelor’s Degree or equivalent industry experience
  • Previous supervisory experience a plus
  • Previous experience in the insurance inspections, appraisals, or claims adjusting
  • Well organized and detail oriented
  • Possess excellent oral and written communication skills
  • Adaptable to change and open to new ideas
  • Ability to work independently
  • Intermediate or above computer skills
  • Experience using Microsoft Office Suite : Outlook, Word and Excel
  • Additional information :

    Employment type : Full-time