- Humana (Jackson, MS)
- …Government Business government contract requires US citizenship for this position.** The ** Clinical Quality Registered Nurse (RN)** collects and reviews records, ... (Via National Background Investigation Services NBIS)** + 3 or more years of clinical nursing experience + Active RN (Registered Nurse ) license in state… more
- Baptist Memorial (Jackson, MS)
- …- RN-Head Nurse Facility: MBMC - Hospital Department: JS MedSurg 5S MBMC Category: Nurse RN Type: Clinical Nurse Work Type: Full Time Work Schedule: Days ... Summary The Head Nurse is responsible for overseeing patient care, staff...patient autonomy, dignity and rights. Assists manager by providing clinical leadership for nursing employees on an assigned unit… more
- Prime Therapeutics (Jackson, MS)
- …Description Summary** This position has managerial and clinical oversight of the Clinical Pharmacist and Registered Nurse Review Team, playing a key ... drives every decision we make. **Job Posting Title** Supervisor Clinical Pharmacist Review - Remote in California...the clinical performance of a team of Clinical Pharmacist and Nurse Reviewers while supporting… more
- Molina Healthcare (Jackson, MS)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... in managed care, medical or behavioral health settings. + Two years of clinical auditing/ review experience. To all current Molina employees: If you are… more
- Baptist Memorial (Jackson, MS)
- Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed ... by utilization review standards. The UR Nurse works with...- Hospital Department: HS Case Mgmt Administration Corporate Category: Nurse RN Type: Clinical Work Type: Full… more
- Prime Therapeutics (Jackson, MS)
- …this program is provided by the Manager, Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years of post-degree clinical experience. + ... and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for performing… more
- Lincoln Financial Group (Jackson, MS)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application… more
- Highmark Health (Jackson, MS)
- …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and evaluates nursing care ... for individuals or families for whom the nurse is responsible. The Registered Nurse is...in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. +… more
- Edwards Lifesciences (Jackson, MS)
- …event narratives for internal review (eg R&D, quality, RA) or external review ( Clinical Endpoints Committee), as well as for regulatory submissions. + ... complaint information. + Collaborate with senior safety management to review and analyze aggregate safety reports to identify early...clinical and relevant industry experience Required Or + Nurse Practitioner (NP) with a Master's of Science in… more
- Baptist Memorial (Jackson, MS)
- …Manager Facility: MBMC - Hospital Department: JS Case Management Administration MBMC Category: Nurse RN Type: Clinical Work Type: PRN Work Schedule: Days ... life situation. Performs other duties as assigned. Responsibilities + Utilization Review + Discharge planning + Readmission Reduction Participation + Payer… more
- Fresenius Medical Center (Jackson, MS)
- …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and...activities. + Enters all treatment data into the designated clinical application accurately and in a timely manner. +… more
- Fresenius Medical Center (Flowood, MS)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
- CenterWell (Jackson, MS)
- …provision of services consistent with government laws/regulations, business policies/care guidelines/ clinical standards. Collaborates to develop annual clinical ... related to wound and ostomy care, patient care supplies and guidance with clinical care delivery including patient education. + Works as an integral part of… more
- CenterWell (Jackson, MS)
- …Assisting in resolution of inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and ... on wellness, prevention, and early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well as… more
- Highmark Health (Jackson, MS)
- …services to members with behavioral health concerns. The incumbent uses clinical and motivational interviewing skills to assess members' needs and establish ... resources and tools to assist in health-related decision making. Conduct telephonic clinical and psycho-social assessments that address the health and wellness needs… more
- Highmark Health (Jackson, MS)
- …**Job Description :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel ... of the Organization's members that range in health status/severity and clinical needs. Accountable for daily operation of unit including staffing and scheduling to… more
- Molina Healthcare (Jackson, MS)
- …non- clinical team activities to facilitate integrated proactive care review and management. + Develops, performs, and promotes interdepartmental integration and ... (Position oversees PA authorizations and manages the inpatient certification review staff for initial, concurrent, or retrospective reviews); long-term supports… more
- CVS Health (Jackson, MS)
- …outcomes as well as opportunities to enhance a member's overall wellness. + Uses clinical tools and information/data review to conduct an evaluation of member's ... in serving dual eligible populations by utilizing best-in-class operating and clinical models. We collaborate with members, providers, and community organizations in… more
- Sanofi Group (Jackson, MS)
- …with healthcare professionals, primarily the center coordinating genetic counselor, registered nurse , or other ancillary staff. The PEL works collaboratively in a ... including attendance at relevant symposium, scientific workshops, preceptorships, and review of key journals, and successful completion of internal training… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …and if necessary, basic medical assessment of psychiatric patients. ~ Provide clinical consultation to various disciplines and levels of training including Nurse ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Additional Information During the application process you… more