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Louisiana Licensed Utilization Manager

7/10/2025

Remote

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

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