- Community Health Systems (Jackson, MS)
- …clinical staff in adhering to best practices and standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... **_Behavioral Health Registered Nurse_** _Position Type: Full..._Competitive salary and comprehensive benefits package._ **Job Summary** The Clinical Coordinator is responsible for coordinating clinical … more
- Humana (Jackson, MS)
- …and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... courses of action. The Utilization Management Behavioral Health Nurse uses clinical knowledge,...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license,… more
- CVS Health (Jackson, MS)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- Community Health Systems (Jackson, MS)
- …Time Off_ + _Competitive salary and comprehensive benefits package._ **Job Summary** The Registered Nurse ( RN ) provides patient-centered care through the ... **_Behavioral Health Registered Nurse_** _Position Type: Full...control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse -… more
- CVS Health (Jackson, MS)
- …Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying established medical necessity criteria to ensure… more
- Molina Healthcare (Ridgeland, MS)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
- CenterWell (Jackson, MS)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and ... RN license. + A minimum of three years clinical experience. + Prior clinical experience, managed...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CVS Health (Jackson, MS)
- …cost-effective care. Using advanced clinical judgment and critical thinking, the RN coordinates physical and behavioral health services, collaborates ... RN ** plays a vital role in improving member health outcomes by engaging telephonically with individuals living with...+ **Diabetes education experience** is required. + Current, unrestricted ** Registered Nurse ( RN ) license** ;… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …relevant patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and ... the EDRP application. Responsibilities Total Rewards of a Allied Health Professional **This is an Open Continuous Announcement, and...care to patients with a variety of physical and/or behavioral problems. Works with the RN and/or… more
- CVS Health (Jackson, MS)
- …and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... decision making + **Collaborates and leverages** the Care Manager RN clinical expertise to ensure members' needs...with individuals with SDoH needs, chronic medical conditions, and/or behavioral health + Experience conducting health… more
- Highmark Health (Jackson, MS)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Jackson, MS)
- …member panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management ... over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address… more