- Baptist Memorial (Jackson, MS)
- …management , medical necessity reviews, verification of authorization, resource utilization , and denial prevention. Responsibilities + Completes and enters ... 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
- Entergy (Jackson, MS)
- …a plus. + The IT Specialist must demonstrate knowledge/experience in change management process utilization , in-depth Microsoft Office skillset including Excel, ... and Access Database utilization . + Knowledge of SNOW workflow management software is also important. + Successful candidate should be highly organized and have… 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 ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Terracon (Jackson, MS)
- …and in a timely manner. Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the maintenance and cleanliness of ... of the company Quality program and the Construction Materials Quality Management System (QMS). + Assists the Department Manager with overseeing calibration… more
- Highmark Health (Jackson, MS)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Sunrun (Jackson, MS)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… more
- Baptist Memorial (Jackson, MS)
- …of patient care services. Responsibilities include fiscal, human resource, risk management , and operational functions.The Service Line Coordinator contributes to ... skills needed to include, but not limited to, conflict management , negotiation, team building, communication, coaching/mentoring others.The Service Line Coordinators… more