Top 54 Care management case manager Jobs in Jackson, Tn

Care Management Case Manager
West Tennessee Healthcare —Jackson, TN
- 8 hour shift
- Nursing
- RN License
- Hospital
Case Manager
Support Solutions —Jackson, TN
- Mid-level
- Residential
- Driver's License
- Health insurance
Quick Apply
Youth Services Case Manager Supervisor
SUPPORT SOLUTIONS OF THE MID-SOUTH LLC —Jackson, TN
- Full-time
- Experience working with individuals with developmental disabilities
- CPR Certification
- Clean driving record
Program Manager III
West Tennessee Healthcare —Jackson, TN
- 8 hour shift
- Management
- Office
- Outpatient experience
Recruiter - Contract
Graybar Electric Company, Inc. —Jackson, TN
- $25 - $27 an hour
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Profit sharing
- Paid holidays
Quick Apply
2d
Clinician Non Licensed
West Tennessee Healthcare —Jackson, TN
- 8 hour shift
- Adults
- HIPAA
- Mid-level
Direct Support Professional
6916 - Encare LLC —Jackson, TN
- $14.50 an hour
- Full-time
- Adults
- High school diploma or GED
- Driver's License
- Opportunities for advancement
Quick Apply
Management & Sales Training Program- Jackson,TN
Sherwin-Williams —Jackson, TN
- $53,000 a year
- Weekends as needed
- 18 years or older
- Merchandising
- Ability to lift 50 pounds
RN Case Manager- Home Health
Beacon Home Health - TN —Jackson, TN
- Full-time
- CPR Certification
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
RN
Healogics —Jackson, TN
- $33.58 - $42.32 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
RN Case Manager (Weekends)
Beacon Home Health - TN —Jackson, TN
- Weekends as needed
- CPR Certification
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Nurse Practitioner - Wound Care Team Leader (In-Home Care)
Esperta Health —Jackson, TN
- Full-time
- BLS Certification
- Mid-level
- 3 years
- Mileage reimbursement
- Disability insurance
Quick Apply
Board Certified Behavior Analyst
Cultivate Behavioral Health and Education —Jackson, TN
- $77,000 - $97,000 a year
- Pass drug screening
- Master's degree
- Experience working with children
- Health insurance
- Dental insurance
Quick Apply
Chiropractor - Jackson, TN
The Joint Chiropractic —Jackson, TN
- $36 - $38 an hour
- Part-time
- Mid-level
- Clinic
- Bachelor's degree
- Paid time off
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance
Field Reimbursement Manager - Kidney (Southeast - AL, GA, FL)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance
Field Reimbursement Manager - Kidney (Michigan-North Ohio)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance
Field Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance
Field Reimbursement Manager - Kidney (Midwest - ND, SD, WI, MN)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance

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Case Manager
Support Solutions —Jackson, TN
A Bachelor Degree in a Human Services field to include Social Services, Psychology or Social Work. Completes case reviews that focus on the individuals progress…
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Care Management Case Manager
West Tennessee Healthcare —Jackson, TN
Current licensure as Registered Nurse in the state of Tennessee. Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all…

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care management case manager jobs near jackson, tn

Care Management Case Manager

West Tennessee Healthcare -
Jackson, TN

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Job Details

Full-time

Qualifications

Customer communication
RN License

Full Job Description

Category:

RN Professional

City:

Jackson

State:

Tennessee

Shift:

8 - Day (United States of America)

Job Description Summary:

Care Management Case Managers

Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients / caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient satisfaction, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team. Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence based practice, and to reduce the risk of readmission.

ESSENTIAL JOB FUNCTIONS:

Obtains or ensures acquisition of appropriate pre-certifications authorizations from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party payer guidelines
Obtains or facilitates acquisitions of urgent/emergent authorizations, continued stay authorizations, and authorizations for post-acute services as needed and with compliance with all regulatory and contractual requirements
Documents, monitors, intervenes/resolves, and reports clinical denials/appeals and supports retrospective payer audit denials; collaboratively formulates plans of action for denial trends with the care coordination teams, performance improvement teams, physicians/physician advisor, and third party payers, etc.
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all WTH staff regarding utilization review
Assumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care; delegates to others as appropriate
Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes
Interviews and collects patient specified data and chart review related to readmission and appropriately notifies care team
Communicates telephonically and electronically with outpatient providers in an effort to enhance the continuum of care
Integrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities; practice and governmental commercial payer guidelines
Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies
Assumes responsibility for WTH required continued education and owns professional growth
Performs other duties as assigned or required

JOB SPECIFICATIONS:

EDUCATION:

Bachelor of Science in Nursing preferred.
Associate or Diploma of Nursing required

LICENSURE, REGISTRATION, CERTIFICATION:

Current licensure as Registered Nurse in the state of Tennessee.
AHA Basic Cardiac Life Support preferred.
ACM, CCM or other certification applicable to Case Management within 3 years of hire preferred

EXPERIENCE:

Minimum 3 years of recent acute clinical care experience preferred
Preferred experience in care facilitation and management and utilization review

KNOWLEDGE, SKILLS AND ABILITIES:

Strong communication skills
Ability to develop and maintain positive relationships with customers internal and external to WTH Enterprise
Care coordination / discharge and transition planning and community resource knowledge preferred

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

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Refine Your Search

care management case manager jobs in jackson, tn

Care Management Case Manager

Case Manager

Youth Services Case Manager Supervisor

Program Manager III

Recruiter - Contract

Clinician Non Licensed

Direct Support Professional

Management & Sales Training Program- Jackson,TN

RN Case Manager- Home Health

RN

RN Case Manager (Weekends)

Nurse Practitioner - Wound Care Team Leader (In-Home Care)

Board Certified Behavior Analyst

Chiropractor - Jackson, TN

Family Medicine Medical Director Utilization Management

Field Reimbursement Manager - Kidney (Southeast - AL, GA, FL)

Field Reimbursement Manager - Kidney (Michigan-North Ohio)

Field Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS)

Field Reimbursement Manager - Kidney (Midwest - ND, SD, WI, MN)

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