- Highmark Health (Jackson, MS)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Jackson, MS)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Jackson, MS)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- CVS Health (Jackson, MS)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Jackson, MS)
- …. - Perform medical necessity reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. - A Registered Nurse that holds an active, unrestricted… more
- Public Consulting Group (Jackson, MS)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Jackson, MS)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- Highmark Health (Jackson, MS)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Jackson, MS)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... including a fresh perspective on workplace flexibility. **Location: Position is remote . Must live in Mississippi.** **Position Purpose:** Develops, assesses, and… more
- Highmark Health (Jackson, MS)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Centene Corporation (Jackson, MS)
- …perspective on workplace flexibility. **Must reside in Kentucky or Mississippi.** **For RN , must have compact license, or willing to obtain.** **Position Purpose:** ... Performs care management duties to assess, plan and coordinate aspects...and standards Must reside in Kentucky or Mississippi. For RN , must have compact license, or willing to obtain.… more
- Healthfirst (MS)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... **This position is 100% Remote **Duties and Responsibilities:** + Advocates, informs, and...to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans… more
- Healthfirst (MS)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for...+ Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- CenterWell (Jackson, MS)
- …with clinical-operational divisional dyads (Division CMO/Division Ops Leader) on care integration team foundational programs and future strategic opportunities for ... managing populations and coordinating care to reduce acute and post-acute care ...required,_ _advanced clinical professional license strongly preferred such as RN , MSW/LCSW, NP, PA, MD/DO_ + Excellent verbal and… more