- Evolent (Jackson, MS)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Cognizant (Jackson, MS)
- …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. . Medical Necessity Reviews can… more
- IQVIA (Jackson, MS)
- **Position Title:** Mobile Registered Nurse - Per Diem, In-Home Services **Location:** Various US locations (local travel within designated geographic area) **About ... the Role:** IQVIA's In-Home Clinical Solutions team seeks a qualified and dedicated Mobile...Solutions team seeks a qualified and dedicated Mobile Registered Nurse to support patient care by delivering in-home diagnostic… more
- CVS Health (Jackson, MS)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- CVS Health (Jackson, MS)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health… more
- Community Health Systems (Flowood, MS)
- **Job Summary** The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and ... This role ensures that coded diagnoses and procedures reflect the patient's clinical status and care provided. The CDS collaborates with providers through education… more
- Cardinal Health (Jackson, MS)
- …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of… more
- Fujifilm (Jackson, MS)
- **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
- Fresenius Medical Center (Jackson, MS)
- …Paid Training Provided RN Tuition Assistance Available Low-Cost Benefits ( Medical , Dental, Vision, Well-Being) Flexible Schedules *Dialysis experience, CCHT ... for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …Veterans. Supervises direct reports, including psychiatrists, physician assistant, nurse practitioners, nurses, psychologists, neuropsychologists, clinical ... in the development of the PA patient care audit processes involving in-depth review and analysis of medical records. Reference: For more information on… more
- Humana (Jackson, MS)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …on moonlighting Major Duties and Responsibilities: - Provides guidance and clinical supervision for the nurse practitioners, physician assistants, and ... and other standards; Interacts effectively with the professional school and/or medical community; Adequately supervises assigned nurse practitioners; Ensures… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …care for high-risk Veterans. Supervises direct reports, including psychiatrists, nurse practitioners, nurses, psychologists, neuropsychologists, clinical social ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …care for high-risk Veterans. Supervises direct reports, including psychiatrists, nurse practitioners, nurses, psychologists, neuropsychologists, clinical social ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Inpatient Mental Health Program… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …care for high-risk Veterans. Supervises direct reports, including psychiatrists, nurse practitioners, nurses, psychologists, neuropsychologists, clinical social ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …care for high-risk Veterans. Supervises direct reports, including psychiatrists, nurse practitioners, nurses, psychologists, neuropsychologists, clinical social ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply Education… more