Care Coordination Nurse

1 week ago


Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full time
Job Summary

We are seeking a skilled Care Coordination Nurse to join our team at Blue Cross and Blue Shield of Louisiana. As a key member of our Population Health and Health Services department, you will play a critical role in assessing, planning, implementing, and evaluating options and services to meet the healthcare needs of our members.

Key Responsibilities
  • Assess member's status by collecting in-depth information about the patient's situation and functioning to identify needs in order to develop and implement a comprehensive disease management plan.
  • Develop and implement a plan by determining specific objectives, goals, and actions as identified through the assessment in action-oriented and time-specific indicators.
  • Implement specific interventions that will lead to accomplishing the goals established in the plan.
  • Coordinate by organizing, integrating, and modifying the resources necessary to accomplish the goals.
  • Monitor by gathering sufficient information from relevant sources in order to determine the effectiveness of the plan.
Requirements
  • High School Diploma or equivalent required.
  • 4 years of direct patient care experience required.
  • Managed Care or claims processing experience and knowledge of medical terminology and ICD 10 codes required.
  • 1 year of medical review and/or authorization experience preferred.
Preferred Qualifications
  • Knowledge of insurance, reinsurance, and/or customer service operations.
  • Ability to research and analyze cases and make appropriate quality and cost-effective decisions.
  • Must be able to communicate effectively with members, providers, pharmacy staff, and fellow employees at all levels of the organization.
Working Conditions

The physical demands described here are representative of those that must be met by an employee to successfully perform the accountabilities and essential functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.

Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting.



  • Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full time

    Job Title: Care Coordination NurseAt Blue Cross and Blue Shield of Louisiana, we are seeking a highly skilled Care Coordination Nurse to join our team. As a Care Coordination Nurse, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Job Summary:The Care Coordination Nurse will be responsible for assessing member...

  • HIV Care Coordinator

    3 weeks ago


    Baton Rouge, Louisiana, United States Open Health Care Clinic Full time

    Job OverviewPosition Summary:The HIV Care Coordinator is responsible for delivering comprehensive services to clients eligible for Ryan White and MAI programs, ensuring they receive the necessary medical care and supportive services.Key Responsibilities:1. Core Competencies· Uphold professional standards and adhere to ethical guidelines and relevant...


  • Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full time

    At Blue Cross and Blue Shield of Louisiana, we prioritize the well-being of our employees, offering resources to promote health, continuous learning, skill development, and professional growth while serving our local communities. POSITION OBJECTIVE As part of the Population Health and Health Services team, the role involves a collaborative approach to...


  • Baton Rouge, Louisiana, United States Open Health Care Clinic Full time

    Job OverviewPosition Objective:The Registered Nurse Case Coordinator operates under the guidance of the Director of Nursing and collaborates with healthcare providers. This role is integral to the multi-disciplinary approach to patient care and treatment. The RN Case Coordinator offers clinical support and technical expertise to the medical team, ensuring...


  • Baton Rouge, Louisiana, United States Louisiana Nurse Staffing Corporation Full time

    Unlock Daily Pay and Thrive in a Rewarding CareerAt Louisiana Nurse Staffing Corporation, we're dedicated to delivering exceptional nursing services to local hospitals, skilled nursing facilities, and senior living communities. As a Licensed Practical Nurse (LPN), you'll play a vital role in our team, providing high-quality care and support to our elderly...


  • Baton Rouge, Louisiana, United States Louisiana Nurse Staffing Corporation Full time

    Unlock Daily Pay and Thrive in a Rewarding CareerAt Louisiana Nurse Staffing Corporation, we're committed to delivering exceptional nursing services to local hospitals, skilled nursing facilities, and senior living communities. As a Licensed Practical Nurse (LPN), you'll play a vital role in our team, providing high-quality care and support to our elderly...


  • Baton Rouge, Louisiana, United States Bcbsla Full time

    Company OverviewAt Blue Cross and Blue Shield of Louisiana, we prioritize the well-being of our employees, providing them with the necessary resources to maintain a healthy lifestyle, pursue continuous education, enhance their skills, and contribute positively to our communities. Position SummaryThe Care Coordination Nurse plays a crucial role within the...

  • Weekend LPN

    3 weeks ago


    Baton Rouge, Louisiana, United States WHITE OAK POST ACUTE CARE Full time

    Job SummaryWe are seeking a compassionate and skilled Licensed Practical Nurse (LPN) to join our team at White Oak Post Acute Care. As a Weekend LPN, you will play a vital role in providing high-quality patient care and ensuring the comfort and well-being of our residents.Key ResponsibilitiesProvide direct patient care, including assessing, planning,...


  • Baton Rouge, Louisiana, United States LHC Group Full time

    About the RoleThe Registered Nurse in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies.Key ResponsibilitiesCoordinate total plan of care with other healthcare professionals involved in careHelp to achieve and maintain...


  • Baton Rouge, Louisiana, United States Care South Full time

    Job Title: Licensed Practical NurseCare South is seeking a skilled Licensed Practical Nurse to join our team. As a LPN, you will play a vital role in providing high-quality patient care and contributing to the success of our healthcare team.Job Summary:The Licensed Practical Nurse will be responsible for delivering safe and effective nursing care to patients...


  • Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full time

    Job SummaryWe are seeking a highly skilled and experienced Care Coordination Nurse to join our team at Blue Cross and Blue Shield of Louisiana. As a key member of our Population Health team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Key ResponsibilitiesAssess member needs and develop comprehensive disease...


  • Baton Rouge, Louisiana, United States Louisiana Nurse Staffing Corporation Full time

    Job SummaryWe are seeking a dedicated and compassionate Nursing Assistant to support patient care with professionalism and empathy. As a key member of our healthcare team, you will assist patients with daily living activities, provide basic nursing care to non-acutely ill patients, and help maintain a safe and clean environment.Key ResponsibilitiesProvide...


  • Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full time

    About the RoleWe are seeking a highly skilled and experienced nurse to join our team as a Care Coordination Nurse - Population Health Specialist. This role will play a critical part in ensuring our members receive high-quality, cost-effective healthcare services.Key ResponsibilitiesAssess member's status by collecting in-depth information about the patient's...

  • Nurse Practitioner

    2 weeks ago


    Baton Rouge, Louisiana, United States Open Health Care Clinic Full time

    Job SummaryWe are seeking a highly skilled and compassionate Nurse Practitioner to join our team at Open Health Care Clinic. As a key member of our primary care team, you will provide high-quality, patient-centered care to individuals and families in our community.Key ResponsibilitiesAssess, diagnose, and manage acute and chronic health conditions in...


  • Baton Rouge, Louisiana, United States Louisiana Nurse Staffing Corporation Full time

    Job SummaryWe are seeking a skilled Licensed Practical Nurse to join our dedicated healthcare team at the Louisiana Nurse Staffing Corporation. As a Professional Nurse, you will play a vital role in delivering high-quality patient care, working collaboratively with our team of healthcare professionals to ensure the best possible outcomes for our patients.Key...

  • Data Coordinator

    3 days ago


    Baton Rouge, Louisiana, United States Care South Full time

    Job SummaryWe are seeking a highly skilled Data Coordinator to join our team at Care South. The successful candidate will be responsible for managing and analyzing data related to our Ryan White Program, ensuring accuracy, integrity, and security of data. This is a unique opportunity to work in a dynamic environment and contribute to the success of our...


  • Baton Rouge, Louisiana, United States Home Instead Full time

    Client Care Coordinator RoleAt Home Instead, we're seeking a skilled Client Care Coordinator to join our team. As a key member of our client care team, you'll play a vital role in enhancing the lives of aging adults and their families.Key Responsibilities:Conduct care consultations with potential clients and family members to discuss their needs and provide...

  • Intake Coordinator

    2 days ago


    Baton Rouge, Louisiana, United States Open Health Care Clinic Full time

    Job Title: Intake CoordinatorAt Open Health Care Clinic, we are seeking a highly skilled Intake Coordinator to join our team. As an Intake Coordinator, you will play a critical role in ensuring that patients receive excellent customer service during the intake process.Key Responsibilities:Provide exceptional customer service to patients and referral...


  • Baton Rouge, Louisiana, United States Home Instead Full time

    About the RoleAt Home Instead, we're committed to enhancing the lives of aging adults and their families. As a Client Care Coordinator, you'll play a vital role in delivering exceptional care services. Your primary responsibilities will include:Key ResponsibilitiesConducting care consultations with potential clients and their families to understand their...

  • MDS Coordinator

    1 week ago


    Baton Rouge, Louisiana, United States Baton Rouge General Full time

    Job Title: MDS CoordinatorAt Baton Rouge General, we are seeking a highly skilled MDS Coordinator to join our team. As an MDS Coordinator, you will play a critical role in ensuring the highest quality of care for our patients.Job Summary:The MDS Coordinator is responsible for coordinating the completion of resident assessments, analyzing patient assessments...