• Care Manager - Behavioral

    Molina Healthcare (Jackson, MS)
    …for regular outreach and management. * Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...care settings. * Field-based case management or home health experience. * Certified Case Manager (CCM)… more
    Molina Healthcare (06/04/25)
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  • RN Manager for Behavioral

    Community Health Systems (Jackson, MS)
    …accounts + Life and disability insurance and more **Job Summary** Assisting the Behavioral Health (BH) Director in planning, supervising and evaluating the ... nursing care of psychiatric patients. Observe professional ethics in maintaining...adaptable to meet clients needs. + Strong understanding of health and wellness principles + Knowledge of medical and… more
    Community Health Systems (05/13/25)
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  • Care Manager - Registered Nurse

    CVS Health (Jackson, MS)
    …medical conditions, and/or behavioral health + Experience conducting health -related assessments and facilitating the care planning process + Bilingual ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member… more
    CVS Health (05/30/25)
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  • Care Manager RN - Remote

    Highmark Health (Jackson, MS)
    …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
    Highmark Health (05/21/25)
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  • Care Manager (RN)

    Centene Corporation (Jackson, MS)
    …and/or Compact State Licensure required **Magnolia Health Plan:** Experience with foster care and behavioral health preferred Pay Range: $55,100.00 - ... the needs of the member, barriers to accessing the appropriate care , social determinants of health needs, focusing on what the member identifies as priority and… more
    Centene Corporation (03/15/25)
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  • Care Manager Transition…

    Centene Corporation (Jackson, MS)
    …compact license, or willing to obtain. **Education/Experience:** Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....compact license, or willing to obtain.** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects… more
    Centene Corporation (06/04/25)
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  • Complex Case Manager RN - Oncology (Remote)

    Highmark Health (Jackson, MS)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers,… more
    Highmark Health (05/31/25)
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  • Sales Alliance Manager

    Highmark Health (Jackson, MS)
    …or provider) and familiarity with key domains like CMS interoperability, Quality management, care & utilization management, and digital health + 3 years' ... support enGen's growing business, we're hiring a Sales Alliance Manager that will be responsible for supporting technology and...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more
    Highmark Health (05/06/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone…

    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 ... a number of other activities to help improve the health outcomes of members; care plans include...1 year in advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
    Highmark Health (04/25/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Jackson, MS)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (06/05/25)
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  • Transition of Care Coach (Must Reside…

    Molina Healthcare (Jackson, MS)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... + 1-3 years in case management, disease management, managed care or medical or behavioral health...+ Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education… more
    Molina Healthcare (06/01/25)
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  • Provider Contracts Manager (Remote in MS)

    Molina Healthcare (Jackson, MS)
    …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years contract-related experience in the health care field including, but not limited to, provider's office,… more
    Molina Healthcare (04/27/25)
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  • Divisional Director of Care Management,…

    CenterWell (Jackson, MS)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (05/23/25)
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  • Care Navigator

    Centene Corporation (Jackson, MS)
    …of Mississippi. Preferred experience in social work/case management as well as Behavioral Health /Mental Health . _** **Position Purpose:** Develops, assesses, ... members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care more
    Centene Corporation (04/16/25)
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  • Senior Business Intelligence Engineer

    CenterWell (Jackson, MS)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... also contributing to a larger mission of enhancing patient care and health outcomes. It's not just...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (05/31/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Jackson, MS)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... career development and contribute to driving disruption in the health care industry. The PCO provides primary...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (05/28/25)
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  • Clinical Registered Nurse - Remote

    Sharecare (Jackson, MS)
    …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
    Sharecare (05/10/25)
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  • Physician PRN

    CenterWell (Jackson, MS)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... health first** The Physician serves as a health - care professional and capable of handling a...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/26/25)
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  • Market Partnership and Finance Strategy Lead - MRA

    CenterWell (Jackson, MS)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (04/26/25)
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  • Program Coordinator

    Sevita (Brandon, MS)
    …-** **_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care . We believe that everyone deserves to live a full, more ... $13.25/hr** Do you have a background in providing direct care and are you thinking of taking your career...provide to them. + Assist in accessing medical and health -related services for the individuals that receive our services… more
    Sevita (05/21/25)
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