Care Coordination Nurse
4 days ago
We 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 Responsibilities- Assess member needs and develop comprehensive disease management plans to address their healthcare requirements.
- Collaborate with healthcare providers, internal departments, and external stakeholders to coordinate care and ensure seamless transitions.
- Utilize clinical expertise to review medical necessity and make informed decisions regarding authorization and denial of services.
- Communicate effectively with members, providers, and internal teams to ensure timely and accurate information exchange.
- Monitor and evaluate the effectiveness of care coordination efforts and make data-driven decisions to improve outcomes.
- 4 years of direct patient care experience, preferably in a managed care or utilization review setting.
- Knowledge of medical terminology, ICD-10 codes, and insurance operations.
- Ability to work independently and as part of a team, with excellent communication and interpersonal skills.
- Strong analytical and problem-solving skills, with the ability to make sound judgments and decisions.
- Current licensure as a Licensed Practical Nurse (LPN) in the state of Louisiana.
- Certification in disease management, healthcare management, or utilization review.
- Experience with electronic health records and related software applications.
- Knowledge of Medicare guidelines and coding systems.
- A dynamic and supportive work environment with opportunities for professional growth and development.
- A competitive salary and benefits package, including medical, dental, and vision coverage.
- A comprehensive training program to ensure your success in this role.
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HIV Care Coordinator
1 week ago
Baton Rouge, Louisiana, United States Open Health Care Clinic Full timeJob 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...
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Nurse for Care Coordination
2 weeks ago
Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full timeAt 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...
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Registered Nurse Case Coordinator
2 weeks ago
Baton Rouge, Louisiana, United States Open Health Care Clinic Full timeJob 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...
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Patient Care Coordination Nurse
2 weeks ago
Baton Rouge, Louisiana, United States Bcbsla Full timeCompany 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...
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Weekend LPN
7 days ago
Baton Rouge, Louisiana, United States WHITE OAK POST ACUTE CARE Full timeJob 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,...
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Patient Care Coordinator
7 days ago
Baton Rouge, Louisiana, United States LHC Group Full timeAbout 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...
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Care Coordination Nurse
5 days ago
Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full timeAbout 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...
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Nurse Practitioner
4 days ago
Baton Rouge, Louisiana, United States Open Health Care Clinic Full timeJob 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...
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Travel Nurse RN
4 days ago
Baton Rouge, Louisiana, United States Travel Nurse Source Full timeJob Title: Travel Nurse RN - Progressive Care UnitAbout the Position:We are seeking a qualified PCU RN to join our team at Travel Nurse Source. As a travel nurse, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care in a Progressive Care Unit setting.Responsibilities:Provide direct patient care...
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LPN Weekend Nurse
1 week ago
Baton Rouge, Louisiana, United States WHITE OAK POST ACUTE CARE Full timeJob 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,...
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Patient Care Coordinator
13 hours ago
Baton Rouge, Louisiana, United States BATON ROUGE ORTHOPAEDIC CLINIC LLC Full timeJob SummaryThe Baton Rouge Orthopedic Clinic LLC is seeking a highly organized and detail-oriented Patient Care Coordinator to join our team. As a Patient Care Coordinator, you will be responsible for ensuring that our patients receive prompt and courteous service, while also accurately scheduling appointments and managing patient inquiries.Key...
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Licensed Practical Nurse
1 week ago
Baton Rouge, Louisiana, United States Care South Full timeJob SummaryCare South is seeking a skilled Licensed Practical Nurse to join our team. As a key member of our healthcare team, you will provide high-quality patient care and support our mission to deliver exceptional healthcare services.Key ResponsibilitiesAssessment and Care Planning: Conduct thorough assessments of patients to identify their healthcare...
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Practical Nursing Specialist
1 week ago
Baton Rouge, Louisiana, United States Care South Full timePosition Overview:The Practical Nursing Specialist delivers compassionate and safe nursing care to patients, including the administration of medications, performing venipuncture, and other essential tasks.Key Responsibilities:Conduct initial patient assessments in accordance with departmental policies and procedures.Perform age-specific evaluations,...
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Nursing Care Assistant
2 weeks ago
Baton Rouge, Louisiana, United States WHITE OAK POST ACUTE CARE Full timeJOIN OUR TEAM AT WHITE OAK POST ACUTE CAREWe are in search of enthusiastic, professional, and reliable individuals who aspire to make a meaningful difference in the lives of our residents. If you possess a passion for caregiving and exceptional customer service skills, we would love to hear from you.What We Provide:Competitive CompensationComprehensive...
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Nurse Practitioner
2 weeks ago
Baton Rouge, Louisiana, United States Open Health Care Clinic Full timeJob SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Open Health Care Clinic. As a key member of our clinical care team, you will be responsible for providing high-quality patient care and contributing to the development of a nursing care plan.Key ResponsibilitiesAdminister the fundamentals of the nursing process,...
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Nurse Practitioner
2 weeks ago
Baton Rouge, Louisiana, United States Open Health Care Clinic Full timeJob SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Open Health Care Clinic. As a key member of our clinical care team, you will be responsible for providing high-quality patient care and contributing to the development of a nursing care plan.Key ResponsibilitiesAdminister the fundamentals of the nursing process,...
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Nursing Care Specialist
6 days ago
Baton Rouge, Louisiana, United States PINES RETIREMENT CENTER OF BATON ROUGE Full timeAbout the RoleWe are seeking a compassionate and skilled LPN to join our team at The Pines Retirement Center of Baton Rouge. As a Nursing Care Specialist, you will play a vital role in providing high-quality patient care and ensuring the comfort and health of our residents.Key ResponsibilitiesProvide direct patient care within a skilled nursing facility,...
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Travel Nurse RN
6 days ago
Baton Rouge, Louisiana, United States Supplemental Health Care Full timeJob Title: Travel Nurse RN - Telemetry SpecialistSupplemental Health Care is seeking a skilled Travel Nurse RN - Telemetry Specialist to join our team.Job Summary:We are looking for a highly motivated and experienced Travel Nurse RN - Telemetry Specialist to work in a dynamic healthcare environment. As a Travel Nurse RN - Telemetry Specialist, you will be...
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Clinical Care Nurse
2 weeks ago
Baton Rouge, Louisiana, United States Franciscan Missionaries of Our Lady Health System Full timePosition Overview:The Clinical Care Nurse will be tasked with providing essential patient care across multiple clinics within the healthcare network. This role is pivotal in ensuring that established protocols and practices are adhered to while delivering quality service to patients.Key Responsibilities:- Collaborate with physicians, nursing staff, and...
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Licensed Practical Nurse
6 days ago
Baton Rouge, Louisiana, United States Franciscan Missionaries of Our Lady Health System Full timeJob SummaryThe Licensed Practical Nurse provides high-quality patient care in a long-term care setting, working under the supervision of a Registered Nurse. This role involves providing routine and standardized care to patients with predictable outcomes, while also assisting the healthcare team to achieve desired patient outcomes.ResponsibilitiesPerformance...