- Cognizant (Jackson, MS)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Jackson, MS)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... SRO **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
- Humana (Jackson, MS)
- …make an impact** **Required Qualifications** + Associate's Degree or higher + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... health first** This is an opportunity to use your clinical knowledge and research skills to support the coordination,...an 8.5-hour shift between 7:00am - 5:00pm CST. The Utilization Management Nurse 2 uses knowledge, communication,… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Community Health Systems (Brandon, MS)
- …concerns with professionalism and empathy. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... with hospital policies and regulatory standards, serving as a resource for clinical and non- clinical staff. **Essential Functions** + Oversees hospital… more
- Community Health Systems (Flowood, MS)
- …concerns with professionalism and empathy. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... with hospital policies and regulatory standards, serving as a resource for clinical and non- clinical staff. **Essential Functions** + Oversees hospital… more
- Molina Healthcare (MS)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support...hearings as may be required. * Serves as a clinical resource for utilization management, chief medical… more
- CenterWell (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Humana (Jackson, MS)
- …help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... Facilities to obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
- Humana (Jackson, MS)
- …**Use your skills to make an impact** **Required Qualifications** + **Active Registered Nurse (RN) Multi-state/Compact State license with no disciplinary ... medication adherence and is trained to act as a clinical concierge. The NAL Telephonic Nurse role...care, skilled or rehabilitation setting, home health, DME, triage, utilization , or case management. + **Ability to work ANY… more
- Sharecare (Jackson, MS)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Molina Healthcare (MS)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or… more
- Datavant (Jackson, MS)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- STG International (Tupelo, MS)
- …the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. + Comply ... into the VA health care system. + Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership… more
- Ochsner Health (Union, MS)
- …Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma or bachelor's degree in related field Preferred - ... health, medications, psychosocial issues and identifies areas for education and clinical interventions based on current national diabetes care standards and… more
- Community Health Systems (Flowood, MS)
- …concerns with professionalism and empathy. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... compliance with hospital policies and regulatory standards, serving as a resource for clinical and non- clinical staff. **Why Merit Health?** We know it's not… more
- Gentiva (Picayune, MS)
- …Director** to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health, ... or clinical operations management. If you're a natural leader who...growth through census development, referral management, and efficient resource utilization + Maintain strong relationships with physicians, referral sources,… more
- Community Health Systems (Jackson, MS)
- …concerns with professionalism and empathy. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... with hospital policies and regulatory standards, serving as a resource for clinical and non- clinical staff. **Essential Functions** + Oversees hospital… more