- Baptist Memorial (Jackson, MS)
- …management , medical necessity reviews, verification of authorization, resource utilization , and denial prevention. Responsibilities + Completes and enters ... Overview Summary The Utilization Review Nurse is responsible for evaluating the...in the electronic medical record + Communicates with authorization coordinator + Communicates in-house high dollar case information Completes… more
- Molina Healthcare (Jackson, MS)
- **Job Description** **Job Summary** The EPSDT Coordinator oversees all EPSDT activities for the Health Plan and is responsible for identifying gaps in or barriers to ... EPSDT and HEDIS data to inform targeted interventions to increase utilization of well-child visits, screenings, exams, and associated services; and improving… more
- Sunrun (Jackson, MS)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... our commitment to diversity, inclusion and belonging. **Overview:** Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Jackson, MS)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
- Hinds Community College (Utica, MS)
- …Technical Dean of Public Services** **DEPARTMENT: Hospitality and Tourism Management Technology** **EXEMPT:** Yes **VICE PRESIDENT: Jonathan Townes** GENERAL ... and retention processes. + Attend staff meetings and communicate budget needs to management . + Maintain proper inventory on all equipment and tools assigned to the… more