Risk Manager jobs in Louisiana

Risk Manager manages and administers an organization's risk-management programs. Implements policies, procedures, and controls to monitor and minimize the risk exposure of assets. Being a Risk Manager researches internal and external risk factors including economic, market, and regulatory risks that may affect the organization. Routinely evaluates the effectiveness of procedures and collaborates with internal stakeholders to monitor changes in the business environment. Additionally, Risk Manager manages statistical analysis and designing of financial models to predict the risk exposure of an organization's assets. Reviews risk analysis reports to ensure risks are identified and managed effectively. Requires a bachelor's degree. Typically reports to a director. The Risk Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Risk Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Case Manager and Precertification Specialist
  • Gulf South Risk Services, Inc.
  • Houma, LA FULL_TIME
  • Description

    Responsible for obtaining prior authorization for all procedural orders by successfully completing the authorization process for group health plans. Coordinate care that is timely, effective, efficient, equitable and client/patient centered.

    Responsibilities

    • Review chart documentation to ensure patient meets medical policy guidelines
    • Prioritize incoming authorization requests according to urgency
    • Obtain authorization and follow-up regularly on pending cases
    • Review up-to-date requirements needed to successfully obtain authorizations
    • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
    • Review appeals for denied authorization
    • Meet weekly with the Third Party Administrator to review authorizations
    • Notify TPA of critical cases for referral to case management
    • Maintain client's records by reviewing case notes: logging events and progress
    • Advocate for needed services for the patient; obtain additional resources
    • Follow-up with patient by providing personal support
    • Correspond with medical providers regarding plan of care

    Knowledge, Skills and Abilities

    • Knowledge of the authorization procedure and its direct impact on the client's expenses
    • Proficient use of CPT and ICD-10 codes
    • Excellent computer skills including Excel, Word, and Internet use
    • Detail oriented with above average organizational skills
    • Plans and prioritizes to meet deadlines
    • Excellent customer service skills; communicates clearly and effectively
    • Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

    Education/Experience Required

    • Licensed Practical Nursing License
    • Prior medical authorization/case management experience preferred

    Job Type: Full-time

    Benefits:

    • Dental insurance
    • Health insurance
    • Life insurance
    • Retirement plan
    • Vision insurance

    Schedule:

    • Monday to Friday

    Experience:

    • Case Management or Prior Authorization: 1 year (Preferred)

    License/Certification:

    • LPN (Required)

    Work Location: In person

  • 16 Days Ago

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Regional Risk Manager
  • LAMMICO
  • Metairie, LA OTHER
  • Job Details Level: Management Job Location: LA - Metairie, LA Position Type: Full Time Education Level: RN Salary Range: $95,100.00 - $107,010.00 Salary Job Category: Insurance DescriptionPosition Sum...
  • 16 Days Ago

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Regional Risk Manager
  • LAMMICO
  • Lafayette, LA FULL_TIME
  • Attention Nurses! Are you eager to explore new avenues that allow you to apply your valuable healthcare facility experience? If yes, then we have an opportunity for you at LAMMICO! We are Louisiana's ...
  • 20 Days Ago

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Senior Federal Project Manager (Flood Risk Mitigation)
  • AECOM
  • Orleans, LA FULL_TIME
  • **Company Description** **How will you make your mark?** At AECOM, our work in providing access to clean water enables communities to thrive and ecosystems to flourish, contributing to a resilient fut...
  • 2 Days Ago

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Senior Federal Project Manager (Flood Risk Mitigation)
  • AECOM
  • Baton Rouge, LA FULL_TIME
  • Company Description How will you make your mark? At AECOM, our work in providing access to clean water enables communities to thrive and ecosystems to flourish, contributing to a resilient future. As ...
  • 5 Days Ago

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UTILITY SENIOR SERVICES MANAGER (Risk Managment)
  • City of New Orleans
  • Orleans, LA OTHER
  • Professional, supervisory, administrative and technical work directing all activities relating to a large S&WB Bureau. Some positions may also function as the second in command to a Utility Services A...
  • 1 Month Ago

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Manager Risk Management
  • Fusion Solutions, LLC
  • New York, NY
  • Job Summary: The Risk Management Manager reports to the hospital's Director of Risk Management. The Risk Management Mana...
  • 6/2/2024 12:00:00 AM

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Manager, Risk Management
  • Hackensack Meridian Health
  • Neptune, NJ
  • Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients liv...
  • 6/2/2024 12:00:00 AM

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Manager Risk Management
  • CME Group
  • New York, NY
  • Description The Collateral Risk Manager will be responsible for identifying, evaluating, measuring, and monitoring key f...
  • 6/2/2024 12:00:00 AM

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Manager, Risk Management
  • Williams-Sonoma
  • Olive Branch, MS
  • Job Description We hope you're interested in building a home with us. Even if you don't feel that you meet every require...
  • 6/2/2024 12:00:00 AM

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Manager, Risk Management
  • RWJ Barnabas
  • Elizabeth, NJ
  • Job Overview: We are searching for a dynamic risk management leader who can interface with quality leadership and legal ...
  • 6/1/2024 12:00:00 AM

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Manager, Risk Management
  • Hollywood Presbyterian Medical Center
  • Los Angeles, CA
  • CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood commun...
  • 5/30/2024 12:00:00 AM

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Manager, Risk Management
  • Tandem Diabetes Care Inc.
  • San Diego, CA
  • GROW WITH US: Tandem Diabetes Care creates new possibilities for people living with diabetes, their loved ones, and thei...
  • 5/30/2024 12:00:00 AM

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Risk Manager - Risk Management
  • Acadia Healthcare
  • Detroit, MI
  • Direct and oversee the risk management program in collaboration with the corporate risk manager designee. Investigate an...
  • 5/29/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Risk Manager jobs
$114,247 to $148,623

Risk Manager in Topeka, KS
This post provides complete information on the job description of an Information Technology risk manager to increase your knowledge of the role.
November 01, 2019
Risk Manager in Shreveport, LA
To take risks effectively you need to anticipate the possible impacts of your actions, and then make a conscious decision about whether to go forward or not, or to go forward in a way that will reduce negative consequences.
December 04, 2019
Risk Manager in Alamogordo, NM
As the health care field has become increasingly complex, health care organizations have added risk managers to mitigate internal and external risks to the organization.
December 09, 2019