- 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. - 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
- 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
- Community Health Systems (Hattiesburg, MS)
- …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Care Manager - RN is responsible for...Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management ... case management throughout the continuum of care. The case manager will offer guidance. support, and...+ A current, valid and unrestricted license as a Registered Nurse ( RN ) + Minimum… more
- South Central Regional Medical Center (Laurel, MS)
- REGISTERED NURSE - QUALITY CARE MANAGER Position: Quality Care Manager - RN Department: Quality Management Reports to: Director/Designated Manager ... Summary Through the Quality Care Management department, the Quality Care Manager supports clinical workflow that integrates value-based performance criteria. The… more
- Sedgwick (Jackson, MS)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… 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
- Molina Healthcare (MS)
- …Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), ... achieving and maintaining optimal health status. + May request RN input for member care planning. + Typically works...planning. + Typically works with members with moderate to complex clinical needs. + Conducts standardized Health Risk Appraisals… more