Top 111 Registered 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
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
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
RN - Arrington Living Center - PRN
Covington County Hospital —Collins, MS
- PRN
- RN License
- Nursing home
- 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
Registered Nurse - MedSurg - Full-time
Simpson General Hospital —Mendenhall, MS
- $27.50 - $33.52 an hour
- Full-time
- Medication administration
- RN License
- PALS Certification
- AD&D insurance
- Disability insurance
Quick Apply
RN STAFF NURSE - MAGEE GENERAL HOSPITAL MED-SURG
South Central Regional Medical Center —Magee, MS
- PRN
- Nursing
- RN License
- PALS Certification
2d
RN
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- HIPAA
RN STAFF NURSE - MAGEE GENERAL HOSPITAL EMERGENCY DEPARTMENT
South Central Regional Medical Center —Magee, MS
- PRN
- Nursing
- RN License
- PALS Certification
2d
Patient Clinical Manager-Prentiss Office
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- Bachelor of Science
RN-WEEKEND
Forrest Health —Prentiss, MS
- Full-time
- Nursing
- RN License
- 1 year
Registered Nurse (RN) – Emergency Department (Full Time)
Simpson General Hospital —Mendenhall, MS
- Full-time
- Nursing
- RN License
- PALS Certification
- AD&D insurance
- Health insurance
Quick Apply
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
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Financial Professional Healthcare RN/NP/RCP
Precision Financial —United States
- $76,683.85 - $92,350.44 a year
- Part-time
- Remote
- Background check
- RN License
- Mid-level
- Professional development assistance
- Flexible schedule
Quick Apply
4d
Travel Nurse RN - ICU/Critcal Care - Up to $2,434/week
Health Carousel —United States
- Up to $9,736 a month
- Weekends as needed
- Up to 50% travel
- RN License
- BLS Certification
- Continuing education credits
- Health insurance
Quick Apply
11d
F-1 RN – South Carolina | Green Card + Relocation
Greenstaff Medical US International —United States
- $30 - $34 an hour
- Full-time
- RN License
- Hospital
- Mid-level
- Relocation assistance
- Health insurance
Quick Apply
5d
Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- RN License
- 3 years
- Health insurance
- Dental insurance
Quick Apply
3d

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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

registered nurse jobs in magee, ms

Utilization Specialist

RN Med Surg- $42 per hour

RN $42/hour Med Surg

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

RN - Arrington Living Center - PRN

Registered Nurse/ RN, Home Health

Registered Nurse - MedSurg - Full-time

RN STAFF NURSE - MAGEE GENERAL HOSPITAL MED-SURG

RN

RN STAFF NURSE - MAGEE GENERAL HOSPITAL EMERGENCY DEPARTMENT

Patient Clinical Manager-Prentiss Office

RN-WEEKEND

Registered Nurse (RN) – Emergency Department (Full Time)

RN-MEDICAL/SURGICAL

Home Care RN- Sumrall

Staff RN - ECMO Spec / FT, nights

Financial Professional Healthcare RN/NP/RCP

Travel Nurse RN - ICU/Critcal Care - Up to $2,434/week

F-1 RN – South Carolina | Green Card + Relocation

Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract

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