Top 2 Rn case manager prn Jobs in Ridgeland, Ms

Experienced Case Manager - RN PRN Premium
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- PRN
- Nursing
- RN License
- Hospital
RN Case Manager - Home Health
Arden Home Health and Hospice —Ridgeland, MS
- PRN
- RN License
- Mid-level
- Home Health
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

RN Case Manager - Home Health
Arden Home Health and Hospice —Ridgeland, MS
In this role, you will provide skilled nursing care to patients in their homes in accordance with physician orders and individualized care plans.
Quick Apply
RN Case Manager-PRN
Merit Health River Region —Vicksburg, MS
RN - Registered Nurse - State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required.
Quick Apply
3d

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

RN Case Manager - Home Health Agency (PRN only: Weekdays, Daytime)
Home Care Network, Inc —Wshngtn Ct Hs, OH
At least 1 year of experience is required in: Case Management, Case Admissions and Discharges, wound care, PICC/PORT/IV Care, Transitional Care, lab draws,…
$35 - $40 an hour
Quick Apply
Payer Notification Specialist - Case Management, PRN
Knox Community Hospital —Mount Vernon, OH
Responsible for gathering and submitting all necessary clinical documentation with pre-certification/authorization initially and as directed by insurance payer…

Show more jobs in cities nearby

I want to receive the latest job alert for rn case manager prn in ridgeland, ms

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

rn case manager prn jobs near ridgeland, ms

Registered Nurse Home Health jobs in Ridgeland, MS

Case Manager jobs in Jackson, MS

Mvp Health Care jobs in Schenectady, NY

Masters In Health Administration jobs in Michigan

Independent Contractor Registered Nurse jobs in California

Case Manager jobs in New Hampshire

Case Manager jobs in Merced, CA

Medical Office Manager jobs in Remote

Auto Dealership General Manager jobs in Texas

Rn Case Manager jobs in New Jersey

Case Manager jobs in Pembroke Pines, FL

Case Manager jobs in Cincinnati, OH

Experienced Case Manager - RN PRN Premium

Franciscan Missionaries of Our Lady Health System -
Jackson, MS

Apply Now

Job Details

Qualifications

RN License
Associate's degree

Full Job Description

The Case Manager 1 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.

Experience - Three years in general or specialty nursing practice

Education - Associate's Degree

Licensure - Current and unrestricted Mississippi State License as RN

Apply Now

Refine Your Search

rn case manager prn jobs in ridgeland, ms

Experienced Case Manager - RN PRN Premium

RN Case Manager - Home Health

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for rn case manager prn in ridgeland, ms

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected