Top 240 Nurse Jobs in Magee, Ms

Utilization Specialist
Millcreek Of Magee —Magee, MS
- $15 - $20 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
3d
Occupational Health Nurse- LPN
Wayne-Sanderson Farms —Collins, MS
- Weekends as needed
- Bilingual
- Nursing
- Microsoft Excel
Quick Apply
9d
RN Med Surg- $42 per hour
United Medical Staffing, Inc. —Magee, MS
- $42 an hour
- Online Application
- RN License
- PALS Certification
- Hospital
RN $42/hour Med Surg
United Medical Staffing, Inc. —Magee, MS
- $42 an hour
- Online Application
- Acute care
- RN License
- PALS Certification
Home Health Licensed Practical Nurse-PRN
Centerwell —Magee, MS
- $30.58 - $42.12 an hour
- Part-time
- CPR Certification
- BLS Certification
- Mid-level
- 401(k)
- Paid time off
LPN - CCH Clinic Family Care Express - Full Time
Covington County Hospital —Collins, MS
- Full-time
- BLS Certification
- HIPAA
- Mid-level
- Paid time off
- Vision insurance
Quick Apply
LPN - CCH Clinic Magee - Full Time
Covington County Hospital —Collins, MS
- Full-time
- CPR Certification
- BLS Certification
- HIPAA
- Paid time off
- Vision insurance
Quick Apply
RN
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- HIPAA
RN - Day Shifts (Self-Schedule) - Magee, MS
PediCare Nursing Agency —Magee, MS
- $33 an hour
- Part-time
- Background check
- RN License
- BLS Certification
Quick Apply
Registered Nurse/ RN, Home Health
AccentCare, Inc. —Magee, MS
- $71,000 - $79,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
- Health savings account
- Paid holidays
Quick Apply
LPN-RURAL HEALTH CLINIC
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- Computer literacy
- BLS Certification
RN-WEEKEND
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- 1 year
LPN - Med Cart Nurse - Arrington Living Center- Full Time- Day Shift
Covington County Hospital —Collins, MS
- Full-time
- Ability to walk for extended periods
- Mid-level
- Organizational skills
- Disability insurance
- Dental insurance
Quick Apply
Patient Clinical Manager-Prentiss Office
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- Bachelor of Science
RN-MEDICAL/SURGICAL
Forrest Health —Prentiss, MS
- Part-time
- Nursing
- RN License
- HIPAA
Home Care RN- Sumrall
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- Mid-level
Clinic Licensed Practical Nurse (LPN) - Full-time
Simpson General Hospital —Mendenhall, MS
- Full-time
- Nursing
- BLS Certification
- Clinic experience
- AD&D insurance
- Health insurance
Quick Apply
2d
LPN- Prentiss
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- Driver's License
- LPN
RN STAFF NURSE - MAGEE GENERAL HOSPITAL EMERGENCY DEPARTMENT
South Central Regional Medical Center —Magee, MS
- PRN
- Nursing
- RN License
- PALS Certification
2d
RN STAFF NURSE - MAGEE GENERAL HOSPITAL MED-SURG
South Central Regional Medical Center —Magee, MS
- PRN
- Nursing
- RN License
- PALS Certification
2d

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Utilization Specialist

Millcreek Of Magee
Magee, MS

Quick Apply

Job Details

Full-time
$15 - $20 an hour
3 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

CPR Certification
BLS Certification
High school diploma or GED

Full Job Description

ESSENTIAL FUNCTIONS:

Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Conduct quality reviews for medical necessity and services provided.
Facilitate peer review calls between facility and external organizations.
Initiate and complete the formal appeal process for denied admissions or continued stay.
Assist the admissions department with pre-certifications of care.
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
Required Education: High school diploma or equivalent.
Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
First aid may be required based on state or facility requirements.

ADDITIONAL REGULATORY REQUIREMENTS:

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

JOB CODE: URSPECF

POSITION TYPE: Non-Direct

FLSA STATUS: Non-Exempt

PURPOSE STATEMENT:

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.

ESSENTIAL FUNCTIONS:

Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Conduct quality reviews for medical necessity and services provided.
Facilitate peer review calls between facility and external organizations.
Initiate and complete the formal appeal process for denied admissions or continued stay.
Assist the admissions department with pre-certifications of care.
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Required Education: High school diploma or equivalent.
Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
First aid may be required based on state or facility requirements.

ADDITIONAL REGULATORY REQUIREMENTS:

Pay: $15.00 - $20.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

nurse jobs in magee, ms

Utilization Specialist

Occupational Health Nurse- LPN

RN Med Surg- $42 per hour

RN $42/hour Med Surg

Home Health Licensed Practical Nurse-PRN

LPN - CCH Clinic Family Care Express - Full Time

LPN - CCH Clinic Magee - Full Time

RN

RN - Day Shifts (Self-Schedule) - Magee, MS

Registered Nurse/ RN, Home Health

LPN-RURAL HEALTH CLINIC

RN-WEEKEND

LPN - Med Cart Nurse - Arrington Living Center- Full Time- Day Shift

Patient Clinical Manager-Prentiss Office

RN-MEDICAL/SURGICAL

Home Care RN- Sumrall

Clinic Licensed Practical Nurse (LPN) - Full-time

LPN- Prentiss

RN STAFF NURSE - MAGEE GENERAL HOSPITAL EMERGENCY DEPARTMENT

RN STAFF NURSE - MAGEE GENERAL HOSPITAL MED-SURG

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