- Select Medical (Jackson, MS)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager ** _Requires a current licensure in a clinical...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Prime Therapeutics (Jackson, MS)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Baptist Memorial (Jackson, MS)
- …11344 - RN-Case Manager Facility: MBMC - Hospital Department: JS Case Management Administration MBMC Category: Nurse RN Type: Clinical Work Type: Full Time ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...BSN or MSN Minimum: Diploma or Associate Degree in Nursing Experience Preferred: RN with 3 years of clinical… more
- CenterWell (Morton, MS)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Baptist Memorial (Jackson, MS)
- …assistance/continuing education + Employee referral program Job Summary: Position: 13129 - Manager -Case Management RN Facility: MBMC - Hospital Department: JS ... of patient throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...Case Management Administration MBMC Category: Nurse Leader Type:… more
- Highmark Health (Jackson, MS)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- Huron Consulting Group (Jackson, MS)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Sharecare, Inc. (Jackson, MS)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Baptist Memorial (Jackson, MS)
- Summary Responsible for assisting the Unit Manager in the planning, organizing, and directing of patient care services. Responsibilities include fiscal, human ... resource, risk management , and operational functions.The Service Line Coordinator contributes to...anesthesia, surgeons, vendors and other units to maximize the utilization of the Operating Room and ensure quality patient… more