Manager

• Coordinate all case management activities with members to evaluate medical needs
• Facilitate the overall wellness of members
• Develop strategies to address issues, outcomes, and opportunities to enhance members' overall wellness through integration
• Instruct on programs and procedures in compliance with network management and clinical coverage policies
• Travel within 125 miles round trip for 1 day in the field
• Work a variable schedule, including 2 days weekly until 9pm local time
• Achieve performance metrics and maintain compliant documentation

Case Manager, RN – Field

• Coordinate all case management activities with members to evaluate medical needs
• Facilitate the overall wellness of members
• Develop strategies to address issues, outcomes, and opportunities to enhance members' overall wellness through integration
• Instruct programs and procedures in compliance with network management and clinical coverage policies
• Travel within 125 miles round trip for 1 day in the field
• Work variable schedules, including 2 days weekly until 9pm local time

• Coordinate all case management activities with members to evaluate medical needs
• Facilitate members' overall wellness
• Develop strategies to address issues, outcomes, and opportunities to enhance members' wellness through integration
• Instruct on programs and procedures in compliance with network management and clinical coverage policies
• Travel within 125 miles round trip for 1 day in the field
• Work a variable schedule, including 2 days weekly until 9pm local time
• Achieve performance metrics and maintain compliant documentation

Case Manager, RN - Field

• Coordinate all case management activities with members to evaluate medical needs
• Facilitate the overall wellness of members
• Develop strategies to address issues, outcomes, and opportunities to enhance members' overall wellness through integration
• Instruct programs and procedures in compliance with network management and clinical coverage policies
• Travel within 125 miles round trip for 1 day in the field
• Work a variable schedule, including 2 days weekly until 9pm local time

• Apply advanced clinical judgment to facilitate appropriate member physical health and behavioral healthcare
• Implement strategies to assess and plan care
• Direct provider collaboration
• Coordinate psychosocial wraparound services
• Instruct the application of available resources to produce optimal, cost-effective outcomes
• Travel within 125 miles round trip for 1 day in the field
• Work a variable schedule, including 2 days weekly until 9pm local time

Clinical Case Manager, Behavioral Health

• Apply advanced clinical judgment to facilitate appropriate member physical health and behavioral healthcare
• Implement strategies to assess and plan care
• Direct provider collaboration
• Coordinate psychosocial wraparound services
• Instruct the application of available resources to produce optimal, cost-effective outcomes

Clinical Case Manager, BH Field

• Monitor and analyze department performance metrics including utilization, staffing levels, work-in-progress, and forecasts.
• Review departmental P&L reports, identify trends, discrepancies, and implement corrective actions where needed.
• Participate in the development and execution of annual business plans.
• Lead business development efforts, providing strategic direction and oversight to the sales team.
• Plan and manage workforce needs; support recruiting, hiring, and coaching of technical and operational staff.
• Promote and enforce company safety policies and ensure participation in new hire and annual safety training.
• Maintain adherence to quality standards and ensure all work follows Standard Operating Procedures.
• Collaborate with other branch and department managers to deliver seamless, company-wide customer solutions.
• Partner with HR, Workforce Development, and Regional Management to foster a culture of continuous improvement.
• Mentor and develop subordinate managers to strengthen leadership and technical capabilities.
• Perform other duties as needed to support organizational success.

Field Service Manager

• Determine psychosocial, environmental, family, and economic dynamics affecting patients
• Confirm physician-specific care setting orders and apply hospital-approved medical necessity criteria
• Review appropriate admissions, levels of care, and continued stays
• Document completed reviews in the hospital-approved data set
• Discuss alternative care options with ED, admitting, or attending physicians when appropriate
• Serve as liaison and communicator with patients, caregivers, multidisciplinary teams, post-acute care providers, and third-party payers
• Perform pre-admission, admission, and continued-stay activities
• Maintain open communication with appropriate parties
• Manage planning for patients’ movement through the healthcare system
• Interact with managed-care and third-party payers to obtain financial certification, secure appropriate reimbursement, and minimize denials
• Manage assigned patients’ care through the healthcare system based on individual needs
• Maintain compliance with applicable laws, accreditation standards, and regulatory requirements
• Report known or suspected unethical, questionable, safety, privacy, or compliance-related concerns

RN Utilization Manager – OLG Case Management

• Authorize and review utilization of mental health and substance abuse services in inpatient and/or outpatient care settings
• Collect and analyze utilization data
• Assist with discharge planning and care coordination
• Provide member assistance with mental health and substance abuse issues
• Participate in special quality improvement projects
• Monitor levels of care to ensure medical necessity and effectiveness
• Provide telephone triage, crisis intervention, and emergency authorizations
• Perform concurrent reviews for inpatient and/or outpatient care and other levels of care within scope of practice and experience
• Develop discharge plans with providers and facilities and oversee implementation
• Perform quality clinical reviews and educate members and providers
• Provide information about benefits, community treatment resources, managed care programs, policies, procedures, and criteria
• Interact with Physician Advisors regarding clinical and authorization questions
• Participate in quality improvement activities, including data collection, tracking, and analysis
• Maintain workload according to National Care Manager performance standards
• Work with community agencies and propose alternative treatment plans when services do not meet medical necessity criteria
• Participate in network development, including identifying and recruiting quality providers
• Advocate for patients and interact professionally with providers

Care Manager, BH – Louisiana License Required

• Lead sales at the territory level and serve as the primary liaison between customers and SpringWorks Therapeutics
• Deliver revenue goals by executing brand objectives through approved clinical information, account planning, and commercial team collaboration
• Promote rare disease products in accordance with company and industry guidelines
• Maintain expert knowledge of company policies, compliance, and business conduct requirements
• Ensure compliance with company, industry, and government laws and regulations
• Manage overall territory revenue and customer support
• Identify customer needs and provide solutions in live, virtual, community, and academic settings
• Build relationships with healthcare professionals, physician practices, hospitals/clinics, practice managers, and major cancer centers
• Develop market, customer, product, and competitive insights and adapt to the evolving healthcare landscape
• Complete ongoing training and development in product knowledge, selling skills, planning, analysis, marketing tools, clinical information, and sales competencies
• Prioritize activities that accelerate delivery of medicines to patients
• Review data, understand trends, prepare and communicate plans, and use digital platforms and omnichannel strategies
• Participate in field coaching sessions focused on account-plan execution and competency development
• Coordinate communication and tactics with field and headquarters colleagues
• Support local and area key opinion leaders

Manager jobs in Louisiana

Case Manager, RN – Field

Case Manager, RN – Field

Case Manager, RN - Field

Case Manager, RN – Field

Clinical Case Manager, Behavioral Health

Clinical Case Manager, BH Field

Field Service Manager

RN Utilization Manager – OLG Case Management

Care Manager, BH – Louisiana License Required

Territory Business Manager – New Orleans