Top 151 Nurse case manager Jobs in Ridgeland, Ms

Experienced Case Manager RN - Case Management (Full Time, Days)
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- Full-time
- Nursing
- RN License
- Hospital
Registered Nurse - Case Manager
Central Mississippi Planning And Development District —Jackson, MS
- $43,200 - $59,800 a year
- Full-time
- Nursing
- Experience working with individuals with disabilities
- Word processing
- Health insurance
- Dental insurance
Experienced Case Manager - RN
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- Day shift
- Nursing
- RN License
- Hospital
Quick Apply
Clinical Transition Coordinator - RN
Soleo Health Inc —Ridgeland, MS
- Weekends as needed
- RN License
- Mid-level
- Patient care
- Paid parental leave
- Health savings account
Quick Apply
RN Care Management Coordinator
Blue Cross & Blue Shield of Mississippi —Flowood, MS
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- 401(k)
Experienced Case Manager - RN PRN Premium
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- PRN
- Nursing
- RN License
- Hospital
RN Clinical Liaison
Gentiva —Jackson, MS
- Full-time
- CPR Certification
- Nursing
- Management
Quick Apply
RN Case Manager - Hospice
Arden Home Health and Hospice —Ridgeland, MS
- Full-time
- RN License
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
RN I Case Manager - Coordinated Care
Healthier Mississippi People LLC —Jackson, MS
- Nursing
- RN License
- Hospital
Maternal Care Management Coordinator, RN
Blue Cross & Blue Shield of Mississippi —Flowood, MS
- Full-time
- Nursing
- RN License
- Mid-level
RN Case Manager- Heart of Hospice Jackson
Optum —Jackson, MS
- $71,640 - $107,460 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
Quick Apply
Registered Nurse Case Manager - Hospice - FT
VitalCaring Group —Flowood, MS
- Full-time
- CPR Certification
- Nursing
- RN License
- Continuing education credits
- Health savings account
8d
RN Case Manager - Home Health
Arden Home Health and Hospice —Ridgeland, MS
- PRN
- RN License
- Mid-level
- Home Health
Quick Apply
14d
CLINICAL MANAGER
MedCentris —Flowood, MS
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Home Health Clinical Liaison
Enhabit Home Health & Hospice —Flowood, MS
- Full-time
- Nursing
- RN License
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
3d
Registered Nurse
A First Name Basis —Jackson, MS
- Remote
- RN License
- Mid-level
- Administrative experience
Quick Apply
Registered Nurse
Legacy Hospice, Inc. —Jackson, MS
- $60,000 - $80,000 a year
- Full-time
- Pass drug screening
- Mid-level
- Organizational skills
- Mileage reimbursement
- Paid time off
Quick Apply
RN
Healthier Mississippi People LLC —Jackson, MS
- RN License
- Customer service
- Mid-level
RN Case Manager - Emergency Department - Days - 7a-7p
Healthier Mississippi People LLC —Jackson, MS
- RN License
- Mid-level
- Team management
PRN Nurse (RN) - Hospice
Arden Home Health and Hospice —Ridgeland, MS
- PRN
- RN License
- Mid-level
Quick Apply
3d

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nurse case manager jobs near ridgeland, ms

Experienced Case Manager RN - Case Management (Full Time, Days)

Franciscan Missionaries of Our Lady Health System -
Jackson, MS

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Job Details

Full-time

Qualifications

RN License
Working with pediatric populations
Working with geriatric patients
Pediatrics
Adolescents
Geriatrics

Full Job Description

The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to the assigned areas. Relies on education, experience, professional training and judgment to accomplish responsibilities. A wide degree of creativity and latitude is expected. Works under minimal supervision. Directs the utilization review of patient charts and treatment plans pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager of Clinical Services specializes in the review of information pertaining specifically to the assigned area (i.e.: Case Management, Geriatrics, Mental & Behavioral Health, Home Health). Most, but not all, of the accountabilities below may apply to each specific area.

Evaluation and Analysis:
- Contributes to cost effectiveness/efficiency and demonstrates awareness of benefit system and cost benefit analysis. Demonstrates the ability to maximize financial outcomes of assigned patient load using the continuum of care philosophy. Assists in the development, monitoring, and analysis of annual financial goals of targeted population.
- Understands the capabilities of outside referral sources such as home health, sub-acute care and skilled nursing facilities. Understands the different types of healthcare delivery systems and the requirements for prior approval by payor for admissions, procedures, and continued stay.
- Meets with treatment team to provide utilization review information, discusses issues pertaining to continued stay, discharge and aftercare plans, evaluates current financial resources, and discusses whether documentation reflects the need for continued stay and at what level of care is the most appropriate.

Partnership and Collaboration
- Performs effective utilization review techniques to work with physicians, third party payors, and federal and local agencies to prevent denials of payment or days.
- Acts as a resource for unit personnel in the resolution of utilization/case management problems and expediently communicates identified problems to appropriate personnel in an effort to enhance departmental operating efficiency.
- Collaborates with all members of the health team to ensure reimbursement optimization, appropriate discharge planning, and cost-effective quality care. Plays a key role in the discharge planning process assessing patient's needs for referrals and/or alternate levels of care. Appropriately tracks and reports avoidable days.
- Demonstrates competence in coordination and service delivery. Understands methods for assessing an individual's level of physical/mental impairment. Assesses patient clinical information and in collaboration with the healthcare team, develops treatment/discharge plans.

Quality
- Evaluates the quality of necessary medical services, utilizes criteria to determine medical necessity of admission and interacts with physicians to facilitate patient assignment to appropriate alternative of care.
- Provides appropriate and timely information to third party payors to facilitate financial outcomes and ensures patients are receiving appropriate level of care; includes coordinating denials/appeals.
- Demonstrates ability to access and utilize community resources. Is knowledgeable of the ADA and other federal legislation affecting individuals with disabilities. Knows how to establish a client support system.
- Observes and adheres to all departmental and hospital policies and procedures, and follows all safety, quality assurance, and infection control standards.
- Promotes the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations.

Other Duties as Assigned
- Performs other duties as assigned or requested.

Graduate from an accredited school of nursing, RN.Minimum of two years' clinical experience required. Case management or Utilization management experience preferred. Employee must demonstrate ability to recognize patients' individual needs based on medical conditions, age (infants, pediatrics, adolescents, young adults, middle-aged and geriatric), limitations and planned procedures. Requires oral and written communication skills; professional affiliations.Current Mississippi RN license required.

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Refine Your Search

nurse case manager jobs in ridgeland, ms

Experienced Case Manager RN - Case Management (Full Time, Days)

Registered Nurse - Case Manager

Experienced Case Manager - RN

Clinical Transition Coordinator - RN

RN Care Management Coordinator

Experienced Case Manager - RN PRN Premium

RN Clinical Liaison

RN Case Manager - Hospice

RN I Case Manager - Coordinated Care

Maternal Care Management Coordinator, RN

RN Case Manager- Heart of Hospice Jackson

Registered Nurse Case Manager - Hospice - FT

RN Case Manager - Home Health

CLINICAL MANAGER

Home Health Clinical Liaison

Registered Nurse

Registered Nurse

RN

RN Case Manager - Emergency Department - Days - 7a-7p

PRN Nurse (RN) - Hospice

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