Top 215 Nurse Jobs in Prentiss 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
5d
Occupational Health Nurse- LPN
Wayne-Sanderson Farms —Collins, MS
- Weekends as needed
- Bilingual
- Nursing
- Microsoft Excel
Quick Apply
11d
RN - Full Time - Day Shift
Covington County Hospital —Collins, MS
- Full-time
- CPR Certification
- RN License
- Hospital
- Disability insurance
- Dental insurance
Quick Apply
1d
RN
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- HIPAA
LPN- Prentiss
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- Driver's License
- LPN
LPN-RURAL HEALTH CLINIC
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- Computer literacy
- BLS Certification
LPN - Arrington Living Center - PRN
Covington County Hospital —Collins, MS
- Full-time
- CPR Certification
- Management
- Nursing home
Quick Apply
11h
RN-WEEKEND
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- 1 year
Home Care RN- Sumrall
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- Mid-level
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
St. Luke Home Health RN Oasis Nurse-7206-Columbia
Southwest Mississippi Regional Medical Center —Columbia, MS
- Full-time
- Mid-level
- Home Health
- Home health
SLHH MCCOMB/MONTICELLO HOSPICE 8129-RN Oasis Nurse-7221
Southwest Mississippi Regional Medical Center —Monticello, MS
- Full-time
- Mid-level
- Nursing
13d
RN-MEDICAL/SURGICAL
Forrest Health —Prentiss, MS
- Part-time
- Nursing
- RN License
- HIPAA
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
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
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
RN - Pediatric Private Duty Nurse - Columbia, MS
PediCare Nursing Agency —Columbia, MS
- $33 an hour
- Part-time
- Background check
- RN License
- BLS Certification
Quick Apply
RN-EMERGENCY ROOM
Forrest Health —Columbia, MS
- Full-time
- Nursing
- RN License
- Medical-surgical
LPN: Columbia Rehabilitation & Healthcare Center
Nexion Health, Inc. —Columbia, MS
- $24 - $26 an hour
- 12 hour shift
- Skilled nursing facility
- Rehabilitation center
- Children
- Paid holidays
- Health insurance
Quick Apply

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Utilization Specialist

Millcreek Of Magee
Magee, MS

Quick Apply

Job Details

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

Benefits

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

Qualifications

CPR Certification
Nursing
RN License
BLS Certification
High school diploma or GED
LPN

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 prentiss ms

Utilization Specialist

Occupational Health Nurse- LPN

RN - Full Time - Day Shift

RN

LPN- Prentiss

LPN-RURAL HEALTH CLINIC

LPN - Arrington Living Center - PRN

RN-WEEKEND

Home Care RN- Sumrall

LPN - CCH Clinic Family Care Express - Full Time

St. Luke Home Health RN Oasis Nurse-7206-Columbia

SLHH MCCOMB/MONTICELLO HOSPICE 8129-RN Oasis Nurse-7221

RN-MEDICAL/SURGICAL

Home Health Licensed Practical Nurse-PRN

RN Med Surg- $42 per hour

RN $42/hour Med Surg

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

RN - Pediatric Private Duty Nurse - Columbia, MS

RN-EMERGENCY ROOM

LPN: Columbia Rehabilitation & Healthcare Center

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