37 Results for

Clinical Services Manager Jobs in Baton Rouge, LA

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Jackson, LA6 days ago

Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).

BATON ROUGE, LA30+ days ago

Sodexo is seeking a Patient Service Manager 1 who will support the FMOL healthcare system in the Baton Rouge/Lafayette, LA region, requiring travel across multiple locations. develop and maintain client and customer relationships (i.e., comfortable in c-suite settings where communication skills are imperative when serving as top level site management).

Baton Rouge, LA30+ days ago

Remote

$59,300–$80,900 Per Year

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/care givers toward and facilitates interaction with resources appropriate for the care and wellbeing of members.

Baton Rouge, LA30+ days ago

The position requires the demonstrated ability to provide direction and support to paraprofessional staff in the supervision of recipients, implementation of recipient treatment plans, utilization of community service systems, and training and continued evaluation of staff and program. Gathers, compiles, and reports information to the Clinical Director that is necessary for the initiation of periodic review of programs and individual treatment plans.

Baton Rouge, LA30+ days ago

Establishment of organized and chartered Community Collaboratives, inclusive of identified key stakeholders, providers, and other members, whose focus will be on data-driven review of the Louisiana Crisis System and soliciting actionable feedback from participants to drive localized initiatives that improve local community access to effective crisis services. The Provider Relationship Account Manager, Community Engagement Louisiana Crisis Hub is responsible for developing and maintaining positive relationships with the provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.

Baton Rouge, LA30+ days ago

Remote

This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._.

Denham Springs, LA14 days ago

Compare inpatient medical records to established criteria and requests interdisciplinary feedback to determine appropriateness of treatment and level of care using pre-established criteria for intensity of service. At Sage Specialty Hospital, we invest in our people through an Employee Stock Ownership Plan (ESOP) — a unique benefit that makes you a true employee-owner.

Baton Rouge, LA30+ days ago

Remote

$203,400–$279,800 Per Year

Partnering with account executives and their teams to progress pipeline by infusing industry expertise into account strategy, forming relationships with key executives, and helping shorten deal lifecycles by helping the team highlight the business value and competitive differentiators. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

Baton Rouge, LA30+ days ago

Remote

The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. + For assigned case load, create care plans to address members’ identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.

Baton Rouge, LA30+ days ago

Presentation Skills: Exceptional presentation and communication skills, with the ability to effectively present complex information to diverse audiences, including executives, clinicians, and technical teams. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._.

Baton Rouge, LA30+ days ago

Remote

Serve as a clinical liaison by developing and delivering comprehensive weekly and monthly reports to senior management that details installation and usage progress/metrics, staff training needs and effectiveness of completed training, and identifying trends to inform and strengthen KOL (Key Opinion Leader) relationships that support strategic decision making. _For all positions, the Company encourages vaccination against COVID-19 and requires that the successful candidate hired be willing to test for the COVID-19 virus periodically and wear a face covering indoors as required, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption._.

Baton Rouge, Louisiana7 days ago

If you would like to contact us regarding the company’s diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need.

Baton Rouge, Louisiana13 days ago

This position will assist in the day-to-day program coordination and management activities related to clinical quality, which will include working to strengthen and expand substance use disorder/opioid use disorder prevention, treatment, and recovery services to enhance rural Louisiana residents’ ability to access treatment and move towards recovery. Provide information, education and support for providers related to opioid treatment resources and promote wellness, recovery, health management, and skill building to sustain better health for clients.

Baton Rouge, LA30+ days ago

Remote

$71,100–$97,800 Per Year

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 required. The Field Care Manager, Behavioral Health (Care Manager, Behavioral Health) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of member.

Baton Rouge, LA30+ days ago

Remote

The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan. The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members.

Baton Rouge, LA30+ days ago

Remote

$78,400–$107,800 Per Year

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and 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.

Baton Rouge, LA30+ days ago

Remote

Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Focus of this position is to enhance and nurture existing relationships resulting in client retention and identification of upsell (add-on business) opportunities and to lead streamlined, effective internal teams to support clients and customers.

Baton Rouge, LA30+ days ago

$112,750.31–$187,924.53 Per Year

Serves as an expert in local market dynamics for their assigned team (including payer issues, state and government regulations, provider payment issues, etc.) and clinically in the complex disease states Option Care services (Anti‐ invectives, nutrition, heart failure, immunological disorders, bleeding disorder, transplant, etc.). + Responsible for appropriate staffing and utilization of resources to include hiring staff, recommending pay increases, managing sales performance, performing performance reviews, training, and development of staff, estimating personnel needs, assigning work, interpreting, and ensuring consistent application of organizational policies.

Baton Rouge, LA30+ days ago

Remote

Full-time

The team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.

Baker, Louisiana12 days ago

Full-time

Ability to maintain the overall cleanliness of the office as needed to support the team and clinic environment, which may include, but not be limited to, taking out garbage, organization and cleanliness of desk, patient and office space and assistance with other team members to achieve a strong professional appearance for our employees, patients and visitors. (Medical Assistant) Overview: At Fast Pace Health, Clinical Techs provide clinical and administrative support essential for effective patient care under the direct supervision of a Provider, Nurse Practitioner or Physician Assistant.

Baton Rouge, LA30+ days ago

$115,005.32–$191,683.02 Per Year

Serves as an expert in local market dynamics for their assigned team (including payer issues, state and government regulations, provider payment issues, etc.) and clinically in the complex disease states Option Care services (Anti‐ invectives, nutrition, heart failure, immunological disorders, bleeding disorder, transplant, etc.). Responsible for appropriate staffing and utilization of resources to include hiring staff, recommending pay increases, managing sales performance, performing performance reviews, training, and development of staff, estimating personnel needs, assigning work, interpreting, and ensuring consistent application of organizational policies.

Baton Rouge, LA30+ days ago

Analyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices. + Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.

Baton Rouge, LA30+ days ago

Remote

$71,100–$97,800 Per Year

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

Baton Rouge, LA30+ days ago

Remote

$71,100–$97,800 Per Year

Baton Rouge, LA30+ days ago

$25.48–$31.85 Per Hour

ESSENTIAL DUTIES AND RESPONSIBILITIES (including but not limited to the following): Oversee and support the day-to-day activities in an accredited out-patient surgical facility, delivering the Sono Bello patient experience, efficiently running of center operations, and building an outstanding team member culture. Shares responsibility for the appropriate submission timeliness, accurate tracking, auditing, and reporting for the center, this includes but is not limited to; surgical note compliance, invoicing, bank deposits, payroll, logs, Patient Charts incidence reports, etc.

Baton Rouge, LA30+ days ago

Remote

$94,900–$130,500 Per Year

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance indicators, and people management/development.

Baton Rouge, LA30+ days ago

Necessary Contacts: department Managers, Authorization, Utilization Management, Case Management, Disease Management, Compliance personnel, and other employees as indicated, Licensed Doctors of Medicine (Physicians), Hospitals, and other healthcare providers, Parish and state medical agencies and societies as needed, Accreditation and governmental entities’ personnel as needed. + Fulfills medical director duties as appropriate which include but are not limited to: peer reviews, case reviews, completion of inter-rater reliability case reviews annually, active participation in training activities, provision of documentation to support compliance with annual licensure requirements, claims review to determine proper resolution, maintaining a working knowledge of company policies and procedures.

Baton Rouge, LA30+ days ago

Remote

Full-time

Leadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.

Baton Rouge, LA30+ days ago

Remote

$223,800–$313,100 Per Year

The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, quality metrics, population health, and disease or care management. The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Baton Rouge, LA30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Baton Rouge, LA30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Baton Rouge, LA30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Baton Rouge, LA30+ days ago

Remote

$223,800–$313,100 Per Year

Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

Baton Rouge, LA30+ days ago

Remote

$223,800–$313,100 Per Year

Baton Rouge, LA30+ days ago

Remote

$223,800–$313,100 Per Year

PORT ALLEN, LA30+ days ago

May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions.

BATON ROUGE, LA30+ days ago

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Clinical Services Manager Jobs in Baton Rouge, LA

Jobs

Outpatient Registered Nurse - RNFresenius Medical Care

Patient Services Manager 1Sodexo

Social Services Care ManagerHumana

Home ManagerLA Health and Rehab, Inc.

Provider Relationship Account Manager, Community Engagement Louisiana Crisis HubElevance Health

Care Manager RN - (Remote)Highmark Health

Case Manager (RN)Sage Specialty Hospital (LTAC)

Market VP, Market Strategy and Client ServicesCenterWell

Complex Case Manager RN - Oncology (Remote)Highmark Health

Product Manager - Utilization ManagementHighmark Health

Assoc Clinical Spec (Regional)Fujifilm

RN Care Manager - LACareforth

LaSOR Program Coordinator – RN/LPN Clinical QualityLouisiana Primary Care Association

Behavioral Health Field Care ManagerHumana

Care Manager, Registered Nurse- RemoteSharecare

Manager, Fraud and WasteHumana

Client Success Manager - RemoteSharecare

Territory Sales ManagerOption Care Health

Clinical Quality Review Team LeadTriWest Healthcare Alliance

Clinical Tech. (Medical Assistant)Fast Pace Health

Manager of Territory SalesOption Care

Dental Network Service RepresentativeHighmark Health

Care Manager- Telephonic Nurse - Part Time Evenings & WeekendsCenterWell

Care Manager- Telephonic Nurse Part TimeCenterWell

Associate Practice Manager- Surgical CenterSono Bello

Branch Director, Home HealthCenterWell

Medical DirectorBlue Cross and Blue Shield of Louisiana

Director, Medical Document OptimizationTriWest Healthcare Alliance

Behavioral Health Medical Director - MedicareHumana

Medical Director - National Medicare TeamHumana

Medical Director - Southeast RegionHumana

Medical Director - FloridaHumana

Medical Director - Mid West RegionHumana

Medical Director - Claims ManagementHumana

Medical Director - Northeast RegionHumana

Pharmacy Technician / Pharm Tech ApprenticeshipWalgreens

Certified Pharmacy TechnicianWalgreens

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