• North Mississippi Health Services (Amory, MS)
    North Mississippi Health Services is seeking a Registered Nurse (RN) Case Management for a nursing job in Gilmore Amory, Mississippi.Job Description & ... DME Providers, Home Health Agencies, Community Agencies, referral resource providers, Utilization Review Manager , patients, and family members Must have… more
    JobGet (06/16/24)
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  • Utilization Review Manager

    Universal Health Services (Gulfport, MS)
    …visit us at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the functioning of the ... provided by the hospital. Qualifications Education: Bachelor degree in Nursing or Master's Degree in human services field preferred....1 year of management experience with case management and the utilization review process including… more
    Universal Health Services (06/08/24)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Greenwood, MS)
    …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
    Fresenius Medical Center (05/05/24)
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  • Supervisor-Administrative House RN - NM…

    Baptist Memorial (Oxford, MS)
    …Education Preferred: Bachelor's degree or higher degree preferred. Experience Minimum: 5 years nursing with 1 year of management experience in related field. ... Summary Manages resource utilization and communication to achieve the organizational goals....Facility: BMH - North Mississippi Oxford Hospital Department: NM Nursing Admin BMH North MS Category: Nurse more
    Baptist Memorial (04/18/24)
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  • RN-Case Manager - JS Case Management

    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
    Baptist Memorial (05/10/24)
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  • RN Clinical Manager , Home Health

    CenterWell (Columbus, 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
    CenterWell (06/08/24)
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  • Clinical Manager

    Sedgwick (Jackson, MS)
    …PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...client locations; to provide expertise in client specific case management and utilization review requirements; and to… more
    Sedgwick (06/11/24)
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  • National Director, Transitional Care & High-Risk…

    CenterWell (Jackson, MS)
    …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management more
    CenterWell (05/03/24)
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  • Senior Sales Business Retention Representative…

    Wolters Kluwer (Jackson, MS)
    The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing Solutions products into existing and new ... with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and...analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from… more
    Wolters Kluwer (05/22/24)
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  • Family Health Advocate- Remote

    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
    Sharecare, Inc. (05/30/24)
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  • Clinical RN, Comprehensive Care- Remote

    Sharecare, Inc. (Jackson, MS)
    …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more
    Sharecare, Inc. (06/07/24)
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  • Healthcare Operations Facility Administrator

    Fresenius Medical Center (Greenville, MS)
    …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... Quality, and Technical Services departments. + Collaborates with the Home Therapies Manager to oversee the facility's Home Therapies Program. + Maintains integrity… more
    Fresenius Medical Center (06/14/24)
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