Utilization Management RN Jobs in Jackson, MS | Glassdoor

Utilization Management RN Jobs in Jackson, MS

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  • Thomson Alliance, Inc – Jackson, MS
    Est. Salary $57k-$92k
    3 days ago 3d
    Knowledgeable of utilization management as it relates to RAC preparedness and third-party payers; Ability to apply Utilization Review criteria… . Qualifications: * Current CA RN license * BSN * Supervisory or management experience * 3-5 years of acute care…
  • 3.2
    MHN – Jackson, MS
    Est. Salary $54k-$87k
    2 days ago 2d
    managed care preferred. Licenses/Certifications: Current state’s RN license. Centene is an equal opportunity employer that is committed… overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality…
  • 3.1
    WellCare – Jackson, MS
    Est. Salary $45k-$67k
    10 days ago 10d
    experience in current case management is preferred Managed care experience is preferred Prior utilization management experience preferred… and self-management activities. Interacts continuously with member, family, physician(s), and other providers utilizing clinical…
  • 1.9
    BlueCross BlueShield of Mississippi – Flowood, MS
    Est. Salary $49k-$67k
    25 days ago 25d
    Case Management or Quality Management. REQUIRED QUALIFICATIONS Bachelor’s degree in Nursing and RN licensure… Master’s degree in Nursing preferred. Background in Utilization Review in the health care field is preferred. Blue…
  • 2.8
    LiveHealthier – Jackson, MS
    Est. Salary $35k-$57k
    2 days ago 2d
    overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality… managed care preferred. Licenses/Certifications: Current state’s RN license. Centene is an equal opportunity employer that is committed…
  • 3.1
    Fresenius – Jackson, MS
    Est. Salary $65k-$87k
    18 days ago 18d
    required by the Area Manager, acts as the initial RN Case Manager for disease management patients. Plans, coordinates and acts as the… EDUCATION: * Graduate of an accredited School of Nursing (RN). * Current appropriate state licensure. * Advanced education…
  • 2.9
    Centene – Jackson, MS
    Est. Salary $54k-$87k
    2 days ago 2d
    overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality… managed care preferred. Licenses/Certifications: Current state’s RN license. Centene is an equal opportunity employer that is committed…
  • Heart Of Hospice, LLC – Jackson, MS
    Est. Salary $47k-$63k
    21 days ago 21d
    RN Case Manager - Field Nurse Job Description Summary The Registered Nurse Case Manager plans, organizes and directs… instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families…
  • 3.7
    St. Dominic Hospital – Jackson, MS
    Est. Salary $39k-$53k
    25 days ago 25d
    experience required. Current Mississippi RN license required; Case management or Utilization management experience preferred.… Responsible and accountable for day to day concurrent clinical management of assigned patient population and the dissemination of aggregate…
  • 3.1
    Fresenius – Jackson, MS
    Est. Salary $53k-$68k
    18 days ago 18d
    Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing… Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training…
  • 3.0
    Fresenius Medical Care – Jackson, MS
    Est. Salary $64k-$85k
    22 days ago 22d
    required by the Area Manager, acts as the initial RN Case Manager for disease management patients. Plans, coordinates and acts as the… EDUCATION: Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. Advanced education preferred…
  • 2.9
    AccentCare – Jackson, MS
    Est. Salary $63k-$80k
    26 days ago 26d
    efficient clinical and business management systems. Instruct and direct staff in developing and utilizing QI data, collections procedures… industry Knowledge of Quality Improvement, Utilization Review and Risk Management Excellent interpersonal/verbal and written…
  • 3.1
    WellCare – Jackson, MS
    Est. Salary $83k-$130k
    7 days ago 7d
    and any WellCare utilization review or case/disease management process. Oversees the utilization management-medical advisory… of prior authorization, concurrent review, utilization management and case management. Develops and manages provider partnerships…
  • 3.0
    Fresenius Medical Care – Jackson, MS
    Est. Salary $55k-$71k
    22 days ago 22d
    for Spectra or alternate lab Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing… Provide coverage at any or all area facilities as required by management ICD - 9 coding Training Nurses Technical Training Must…
  • 3.3
    U.S. Department of Veterans Affairs – Jackson, MS
    Est. Salary $52k-$70k
    7 days ago 7d
    of the quality of patient care, utilizing inter-professional collaboration in the management of complex patient care problems… (or designee). The Certified Diabetes Nurse Educator (CDNE) RN is responsible for promoting quality nursing care of Veterans…
  • 3.1
    WellCare – Jackson, MS
    7 days ago 7d
    committees such as: Quality Improvement, Utilization Management, Patient Safety and Risk Management. Responsible for monitoring and evaluating… Health Care Quality and Management (CHCQM) by the American Board of Quality Assurance and the Utilization Review Providers required…
  • 3.1
    Fresenius – Jackson, MS
    Est. Salary $53k-$68k
    18 days ago 18d
    Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing… Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training…
  • Mountain Home VAMC – Jackson, MS
    5 days ago 5d
    of the quality of patient care, utilizing inter-professional collaboration in the management of complex patient care problems… (or designee). The Certified Diabetes Nurse Educator (CDNE) RN is responsible for promoting quality nursing care of Veterans…
  • 3.3
    Fresenius Medical Care - North America – Jackson, MS
    Est. Salary $53k-$72k
    18 days ago 18d
    required by the Area Manager, acts as the initial RN Case Manager for disease management patients. Plans, coordinates and acts as the… EDUCATION: Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. Advanced education…
  • 3.3
    Fresenius Medical Care - North America – Jackson, MS
    Est. Salary $50k-$68k
    16 days ago 16d
    for Spectra or alternate lab Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing… Provide coverage at any or all area facilities as required by management ICD - 9 coding Training Nurses Technical Training Must…
  • 3.8
    Pride Institute – Flowood, MS
    Est. Salary $42k-$57k
    12 days ago 12d
    evaluates direct and indirect nursing care to assigned patients utilizing the nursing process. Responsible for the hands-on delivery… one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals…
  • 3.2
    MHN – Jackson, MS
    Est. Salary $39k-$61k
    9 days ago 9d
    Health. LCSW, LMFT, LPC, PhD, PsyD or RN license. 3 years of case and/or utilization management experience. Experience in psychiatric… Medical Management staff. Participate in on-going communication between case management staff, utilization management staff, health…
  • 2.9
    Centene – Jackson, MS
    Est. Salary $41k-$64k
    9 days ago 9d
    Health. LCSW, LMFT, LPC, PhD, PsyD or RN license. 3 years of case and/or utilization management experience. Experience in psychiatric… Medical Management staff. Participate in on-going communication between case management staff, utilization management staff, health…
  • 3.0
    Fresenius Medical Care – Jackson, MS
    Est. Salary $64k-$85k
    30+ days ago 30d+
    required by the Area Manager, acts as the initial RN Case Manager for disease management patients. Plans, coordinates and acts as the… EDUCATION: * Graduate of an accredited School of Nursing (RN). * Current appropriate state licensure. * Advanced education…
  • 2.8
    LiveHealthier – Jackson, MS
    Est. Salary $29k-$45k
    9 days ago 9d
    Health. LCSW, LMFT, LPC, PhD, PsyD or RN license. 3 years of case and/or utilization management experience. Experience in psychiatric… Medical Management staff. Participate in on-going communication between case management staff, utilization management staff, health…
  • 3.2
    MHN – Jackson, MS
    9 days ago 9d
    and case management team electronically or telephonically to coordinate member care Educate providers on utilization and medical… managed care preferred. Licenses/Certifications: Current state’s RN license. Centene is an equal opportunity employer that is committed…
  • 2.9
    Centene – Jackson, MS
    8 days ago 8d
    and case management team electronically or telephonically to coordinate member care Educate providers on utilization and medical… managed care preferred. Licenses/Certifications: Current state’s RN license. Centene is an equal opportunity employer that is committed…
  • UHS – Flowood, MS
    Est. Salary $42k-$53k
    15 days ago 15d
    evaluates direct and indirect nursing care to assigned patients utilizing the nursing process. Responsible for the hands-on delivery… one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals…
  • 2.8
    LiveHealthier – Jackson, MS
    8 days ago 8d
    and case management team electronically or telephonically to coordinate member care Educate providers on utilization and medical… managed care preferred. Licenses/Certifications: Current state’s RN license. Centene is an equal opportunity employer that is committed…
  • 3.3
    Fresenius Medical Care - North America – Flowood, MS
    Est. Salary $50k-$68k
    2 days ago 2d
    theUltraCare Home Therapies RN 1 may seek assistance from the CM/HTPM and or UltraCare Home Therapies RN levels 2-5 ) a)Evaluates… The registered professional nurse (UltraCare Home Therapies RN 1) is accountable and responsible for the provision and coordination…
  • 2.8
    Kindred At Home – Flowood, MS
    Est. Salary $49k-$67k
    8 days ago 8d
    nurse supervisor, nurse management, home health management, homecare management, home care management, QA RN, QA nurse, Q.A. nurse… nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management, case manager,…
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