26 Results for

Clinical Specialist Jobs in Baton Rouge, LA

Jobs

Baton Rouge, LA30+ days ago

$35.25–$54.39 Per Hour

The Clinical Documentation Specialist ensures clinical documentation is accurate, consistent, compliant, and specific through the performance of reviews and initiation of queries to providers to achieve appropriate ICD-10 code and DRG (Diagnosis Related Groups) assignment for each patient. Acute care includes medical/surgical or similar experience integrating knowledge of pathophysiology and acute care and disease management, physical assessment, clinical evaluation and monitoring with best practice treatment modalities for inpatient hospital populations (excluding rehab, psych).

New!

Baton Rouge, LA6 days ago

Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._. The Senior Clinical Documentation Integrity Specialist ensures accurate, complete, and compliant clinical documentation that appropriately reflects severity of illness, risk of mortality, and supports correct reimbursement.

Baton Rouge, LA26 days ago

Remote

Full-time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

Baton Rouge, LA30+ days ago

Remote

Full-time

Assist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.

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, LA30+ days ago

$16.61–$26.96 Per Hour

The Specialist, Patient Registration is responsible for facilitating new patient’s transition to Option Care Health services with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care. Secures patient’s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).

Baton Rouge, Louisiana30+ days ago

Work with Care Management Team to improve chronic disease management and promote preventive care, as appropriate, to reduce the utilization of inappropriate care settings (e.g., avoidable emergency department visits). The Louisiana Primary Care Accountable Care Organization (LPCACO) was founded by 22 FQHCs and the LPCA in order to enter the Medicare Shared Savings Program (MSSP) for the 2017 program year.

Baton Rouge, Louisiana30+ days ago

Drawing on their own lived experience and specialized training, the Peer Support Specialist will facilitate individual and group support sessions, promote self-advocacy, and assist clients in building connections to community resources. The Peer Support Specialist will provide hope, encouragement, and guidance to individuals navigating recovery from substance abuse and mental health challenges within the Louisiana State Opioid Response (LaSOR) Program.

New!

Baton Rouge, LA1 day ago

1-2 years’ successful spinal cord stimulation or interventional spine sales experience preferred, may consider other healthcare related sales and or business to business sales experience. + Plans, coordinates, and executes local educational and sales events, with the support of other internal resources, intended to augment the business and help to achieve assigned sales goals.

Plaquemine, Louisiana30+ days ago

$22–$25

Provide Psychosocial Rehabilitation (PSR) services to help clients build daily living skills, social/interpersonal skills, and coping strategies. OVERVIEW:The Village Life Center (TVLC) is a growing, mission-driven agency serving children, adolescents, and adults in and around Baton Rouge and Plaquemine, LA.

Baton Rouge, LA30+ days ago

Remote

Full-time

o Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.

Baton Rouge, LA30+ days ago

$26.93–$40.98 Per Hour

This role plays a key part in CMS Stars initiatives, including but not limited to medication adherence, MTM (Medication Therapy Management), SUPD (Statin Use in Persons with Diabetes), and other targeted projects aimed at improving CMS Star Ratings. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

Baton Rouge, LA26 days ago

Full-time

The incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.

Baton Rouge, Louisiana20 days ago

Acts as a liaison between patients, clinical team and community resources including but not limited to:Assisting patients in seeking and receiving services to meet their individual social needs and provides support to facilitate patient success to maintain recovery. Provides peer support to clinically complex patients, drawing on common experiences as a peer; validates each individuals’ experiences and provides guidance and encouragement to these individuals to take responsibility and actively participate in their own recovery.

Baton Rouge, LA30+ days ago

Remote

$18.91–$28.04 Per Hour

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. This position supports a department or function by performing assigned tasks or assisting with assigned projects, allowing the intern to gain an understanding of the business function.

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

$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

$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

Full-time

all available promotional literature and selling tools (excel based reports, market share & usage reports, etc,) during sales calls as assigned; Educate, develop and maintain strong relationships with assigned territory healthcare . The Medical Sales Representative will promote our innovative products to hospitals, urgent care facilities, nursing homes,primary care and specialty physicians.

Clinton, LA22 days ago

Proactively research and identify new opportunities via outbound efforts utilizing university relationships, word of mouth, LinkedIn, social media platforms, networking, direct referrals, etc. Shall not misrepresent the nature of the school, facility, programs, expected outcome of training, employment, salary expectations, etc. in any way, either directly or indirectly, implied or omitted.

BATON ROUGE, Louisiana30+ days ago

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.

New!

Baton Rouge, LA1 day ago

Remote

$130,000–$170,000 Per Year

This is a unique opportunity to play a meaningful role in the launch and growth of our cardiometabolic portfolio, including Plozasiran (siRNA targeting APOC3), developed for patients with rare and high-need cardiovascular conditions such as Familial Chylomicronemia Syndrome (FCS) and Severe Hypertriglyceridemia (SHTG). Arrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates.

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

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.

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Clinical Specialist Jobs in Baton Rouge, LA

Jobs

Clinical Documentation SpecialistIntermountain Health

Senior Clinical Documentation Integrity SpecialistBlue Cross and Blue Shield of Louisiana

Program Integrity Clinical Specialist (RN or PA Req'd)TriWest Healthcare Alliance

Clinical Education Training SpecialistTriWest Healthcare Alliance

Assoc Clinical Spec (Regional)Fujifilm

Patient Registration SpecialistOption Care

Practice Transformation SpecialistLouisiana Primary Care Association

LaSOR Peer Support SpecialistLouisiana Primary Care Association

Associate Interventional Specialist (Baton Rouge, LA)Globus Medical, Inc.

Mental Health Specialist FT/PTThe Village Life Center Texas

Clinical Quality ReviewerTriWest Healthcare Alliance

Pharmacy Government Stars SpecialistIntermountain Health

Field Support SpecialistTriWest Healthcare Alliance

Certified Peer Support SpecialistBaton Rouge Comprehensive Treatment Center

Procurement Intern Specialist - Graduate - Remote-2Intermountain Health

Clinical Tech. (Medical Assistant)Fast Pace Health

Territory Sales ManagerOption Care Health

Manager of Territory SalesOption Care

Medical Device Sales RepCrown Medical, Inc.

Medical Device Sales - Paid InternshipMedical Sales College

Medical Sales Account ExecutiveRotech Healthcare Inc.

Specialty Sales Representative – Cardiometabolic Rare DiseaseTaylor Strategy Partners

Medical Director - Southeast RegionHumana

Medical Director - FloridaHumana

Medical Director - Mid West RegionHumana

Medical Director - Claims ManagementHumana

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