Louisiana Licensed Utilization Manager

Job Summary

A company is looking for a Registered Nurse (RN) - Utilization Manager.

Key Responsibilities

• Performs Pre-Admission, Admission, and Continued Stay activities
• Maintains open communication with all appropriate parties and manages patient movement through the healthcare system
• Interacts with managed care/third party payers to obtain financial certification and minimize reimbursement denials

Required Qualifications

• Registered Nurse Diploma or equivalent
• Current State of Louisiana Registered Nurse License
• 1 year of hospital-based experience in patient care delivery
• Experience in Case Management or Utilization Review preferred
• Knowledge of health care delivery systems and financial aspects of patient care preferred