- Highmark Health (Jackson, MS)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Jackson, MS)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Jackson, MS)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- Sharecare (Jackson, MS)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Baptist Memorial (Columbus, MS)
- …Preferred/Desired Licensure Minimum Required + License/Certification/Registries (valid for the State of MS): Registered Nurse ( RN ) by the State Board of ... collaborative process designed to manage medical/social/mental health conditions more effectively. The case manager 's objective is to achieve an optimal level of… more
- Evolent (Jackson, MS)
- …care across multiple settings and with multiple providers - **- Required** + Current Registered Nurse license without restrictions must be able to qualify for AK ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus -… more
- South Central Regional Medical Center (Laurel, MS)
- …and across other departments. JOB REQUIREMENTS Required Licenses [Mississippi, United States] Registered Nurse Must have a current Mississippi license or a ... SUMMARY Through the Quality Care Management department, the Quality Care Manager supports clinical workflow that integrates value-based performance criteria. The… more
- Highmark Health (Jackson, MS)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Baptist Memorial (Jackson, MS)
- …day documentation practices of the Medical Staff and healthcare team on a complex patient population, and offers education and recommendations in accordance with the ... resource to the coding staff. Reports to the Corporate Clinical Documentation Manager . Performs other duties as assigned. Responsibilities + Organizes and performs… more
- Cardinal Health (Jackson, MS)
- …life-changing therapies to patients who need them-faster.** **_Position Summary_** The Manager , Clinical is responsible for strategic oversight and management of ... demands to long-term implications, in alignment with the supporting business case + Prioritizes multiple tasks while meeting deadlines + Communicates program… more