Clinical Utilization Manager
4 weeks ago
Specialists Hospital Shreveport, LLC seeks a skilled Clinical Utilization Manager to coordinate care plans for assigned members and conduct pre-certification, concurrent review, discharge planning, and case management as assigned.
Key Responsibilities- Perform risk-identification, preadmission, concurrent, and retrospective reviews to evaluate the appropriateness and medical necessity of treatments and service utilizations.
- Ensure care delivered in a fiscally responsible manner.
- Report exceptions and variances to the Quality Committee and/or responsible staff.
- Maintain current and up-to-date knowledge of relevant case management and utilization management policies, laws, and practices.
- Associate or Bachelor's Degree in Nursing.
- Current state RN licensure.
- 5 years Utilization Review experience preferred.
- Seven paid holidays.
- Sick and vacation after waiting period.
- Health, vision, and dental coverage.
- Employer-paid life insurance and long-term disability.
- 401k with employer contribution.
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Clinical Utilization Specialist
4 weeks ago
Shreveport, Louisiana, United States Specialists Hospital Shreveport Full timeJob SummaryWe are seeking a skilled Clinical Utilization Specialist to join our team at Specialists Hospital Shreveport. As a key member of our Utilization Management department, you will play a critical role in coordinating care plans, conducting reviews, and ensuring efficient utilization of health services.Key ResponsibilitiesPerform pre-certification,...
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Clinical Pharmacist I-Pharm General-PRN
4 weeks ago
Shreveport, Louisiana, United States CHRISTUS Health Full timeJob Summary:As a Clinical Pharmacist I-Pharm General-PRN at CHRISTUS Health, you will play a vital role in providing exceptional pharmacy services with compassion, excellence, and efficiency. Your primary responsibility will be to fill orders for drugs, monitor patient drug therapies, and provide drug information to patients and healthcare professionals.Key...
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Care Manager
4 weeks ago
Shreveport, Louisiana, United States Willis Knighton Health Full timeJob Summary:As a Care Manager at Willis Knighton Health, you will play a vital role in ensuring that our patients receive quality care in a cost-effective manner. You will work closely with our Case Managers to review patient plans of care, orders, and summaries to ensure that they align with reimbursement guidelines. This position requires strong clinical...
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Clinical Care Coordinator
4 weeks ago
Shreveport, Louisiana, United States CHRISTUS Health Full timeJob SummaryA professional who utilizes the nursing process to assess, implement, coordinate, and evaluate patient care activities. Collaborate with other Clinical Associates and Healthcare disciplines to meet individual needs using appropriate resources to ensure quality, safe, and cost-effective care.Responsibilities• Nurtures a working relationship with...
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Clinical Leadership Position
4 weeks ago
Shreveport, Louisiana, United States CHRISTUS Health Full timeJob SummaryThe LVN Clinic Supervisor plays a crucial role in guiding and directing medical practice sites to ensure patient safety and clinical quality. This position is responsible for implementing policies and processes that assess, train, and drive clinical competence and positive patient outcomes.Key ResponsibilitiesProvides guidance and direction to...
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Clinical Services Director
4 weeks ago
Shreveport, Louisiana, United States Insulet Corporation Full timeTransforming Lives with Innovative Diabetes CareAt Insulet Corporation, we're dedicated to empowering people living with diabetes to take control of their health. As a Clinical Services Manager, you'll play a pivotal role in driving our patient-centric mission forward by creating a culture of collaboration aimed at simplifying life for people managing their...
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Clinical Pre-Certification Specialist
1 month ago
Shreveport, Louisiana, United States Willis Knighton Health Full timePre-Certification Representative OpportunityWe are seeking a highly skilled Pre-Certification Representative to join our team at Willis Knighton Health. As a key member of our clinic, you will play a crucial role in ensuring seamless communication with insurance companies and patients.Key Responsibilities:Submit requests to insurance companies for...
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Shreveport, Louisiana, United States Christus Health Full timeJob Summary:This leadership role provides guidance and direction to medical practice sites, driving patient safety and clinical quality. The LVN Supervisor implements policies and processes to assess, train, and drive clinical competence and positive patient outcomes.Key Responsibilities:Maintains technical competency and serves as a role model for clinical...
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Emergency Medicine Physician Assistant
4 weeks ago
Shreveport, Louisiana, United States SCP Health Full timeSCP Health is a physician-led team of clinical and operational experts, collectively passionate about revitalizing healthcare. We craft and utilize proven models of care, proprietary technology, and data-driven insights to accelerate progress in care delivery across healthcare organizations. Our clinical offerings currently span the entire continuum of care,...
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Clinical Dietician
4 weeks ago
Shreveport, Louisiana, United States Willis Knighton Health Full timeAs a Clinical Dietician at Willis-Knighton Health, you will provide medical nutrition therapy to patients under the supervision of the Coordinator of the Diabetes and Nutrition Center and the Director of Nutritional Services.You will plan, direct, and provide nutrition care to patients, conduct nutrition screenings and assessments, and supervise the work of...
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Clinical Research Nurse
4 weeks ago
Shreveport, Louisiana, United States Willis Knighton Health Full timeThe Willis Knighton Health Clinical Research Department is seeking a highly skilled Registered Nurse to join our team at the WK Cancer Center.This position offers the selected candidate the opportunity to be part of the latest scientific treatments in oncology and is highly rewarding on both a personal and professional level.The qualified applicant will be...
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Account Manager
1 month ago
Shreveport, Louisiana, United States Pacira BioSciences, Inc. Full timeAbout Pacira BioSciences, Inc.Pacira BioSciences, Inc. is a leading provider of non-opioid pain management and regenerative health solutions dedicated to improving outcomes for healthcare practitioners and their patients.Our in-depth knowledge of non-opioid pain management, coupled with our passion for advancing patient care, drives our commitment to...
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Dental Director
4 weeks ago
Shreveport, Louisiana, United States Aspen Dental Full timeJob Summary:As a Lead Dentist at Aspen Dental, you will be responsible for leading a patient-centric team and assuming excellent quality of care for all patients. You will conduct comprehensive full mouth exams, diagnose dental conditions, and provide high-quality clinical treatments. Additionally, you will mentor and coach new dentists and maintain an...
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Project Manager
4 weeks ago
Shreveport, Louisiana, United States Hargrove Engineers & Constructors Full timeJob SummaryWe are seeking a highly skilled and experienced Project Manager to join our team at Hargrove Engineers & Constructors. As a Project Manager, you will be responsible for managing all aspects of project management for moderately complex engineering project assignments, ensuring total delivery of services on time, within performance budget, and...
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Project Manager
4 weeks ago
Shreveport, Louisiana, United States Jobs - PTS Advance Full timeJob Title: Project Manager - Refinery OperationsJob Summary: We are seeking a highly skilled Project Manager to lead refinery projects from conception to completion. The ideal candidate will have a strong background in project management, with experience in refinery operations and a proven track record of delivering projects on time and within budget.Key...
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Senior Project Manager
4 weeks ago
Shreveport, Louisiana, United States Jobs - PTS Advance Full timeJob Summary: We are seeking a highly skilled Senior Project Manager to support all aspects of projects from conception to completion. The ideal candidate will have a minimum of five years of experience in a refinery or heavy industrial plant environment, with expertise in project management, engineering, and construction.Key Responsibilities:Coordinate AFE...
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Clinical Pharmacist I-Pharm General-PRN
1 month ago
Shreveport, Louisiana, United States CHRISTUS Health Full timeJob SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team at CHRISTUS Health. As a Clinical Pharmacist, you will play a vital role in providing exceptional patient care and contributing to the success of our healthcare organization.Key ResponsibilitiesPrepare and dispense medication orders accurately and efficientlyMonitor patient drug...
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Shreveport, Louisiana, United States Willis Knighton Health Full timeJob Summary:We are seeking a highly skilled Licensed Practical Nurse (LPN) to join our cardiology clinic team. As an LPN, you will be responsible for providing exceptional patient care and working closely with physicians, managers, and other healthcare professionals to ensure the highest level of patient satisfaction.Key Responsibilities:Give excellent...
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Monroe VA Clinic Physician Opportunity
5 days ago
Shreveport, Louisiana, United States Department of Veteran Affairs Full timeThe Monroe VA Clinic is hiring a board-certified/board-eligible Primary Care Physician to join our team.Key Highlights:Competitive salary: $215,000 - $230,000Work schedule: Monday to Friday, 8am-4:30pm, with occasional weekend callProvide comprehensive assessment and intervention to patients in the outpatient clinic settingCollaborate with healthcare...
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Clinical Pharmacist
4 weeks ago
Shreveport, Louisiana, United States Ochsner LSU Health System Full timeJob SummaryThis role assumes responsibility for the medication management of assigned patients, ensuring appropriateness based on the patient's health status, institutional criteria, and cost-efficient measures. The successful candidate will remain integrally involved in the education of Pharmacy and Medical Residents and provide education to healthcare...