- Healthfirst (MS)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans...workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex . An ADN or ... responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN… more
- South Central Regional Medical Center (Laurel, MS)
- …SUMMARY Through the Quality Care Management department, the Quality Care Manager supports clinical workflow that integrates value-based performance criteria. ... caregivers and disciplines to create a structure of managed care for complex patients. Quality Care...through the ED - work collaboratively with the inpatient care manager and the utilization review department… more
- Community Health Systems (Flowood, MS)
- **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care , and case management activities ... with patients, families, and interdisciplinary teams. + Ability to assess complex situations, identify solutions, and implement care plans efficiently.… more
- Sharecare (Jackson, MS)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,...to ensure successful completion of member goals, while providing Complex Case Management and/or care management support… more
- Cardinal Health (Jackson, MS)
- …loyalty, sales growth and improved profitability. **_Job Summary_** The **Traditional Wound Care Product Manager ** , will have full portfolio ownership of ... the Cardinal Health Brand Traditional Wound Care portfolio. This role with be responsible for partnering...portfolio. **_Responsibilities_** + In conjunction with the Senior Marketing Manager and product stakeholders from a variety of functions,… more
- Cardinal Health (Jackson, MS)
- …on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient ... **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support… more
- Lumen (Jackson, MS)
- …as we digitally connect the world and shape the future. **The Role** The Customer Care Manager IV is the single point of contact for assigned customer accounts ... which typically have a large revenue scope, complex product needs, and/or require significant project management due to the size of the organization. Manages any… more
- Highmark Health (Jackson, MS)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...for additional support. + For assigned case load, create care plans to address members' identified needs, remove barriers… more
- Lumen (Jackson, MS)
- …typically have a medium to large revenue scope or have moderate to high complex product needs. Manages any interactions from the customer order through billing to ... mindset. * Ability to learn and adhere to customer care policies, processes, and principles. * Ability to maintain...mindset. * Ability to learn and adhere to customer care policies, processes, and principles. * Ability to maintain… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- Summary This position functions as the Case Manager for the Health Care for Homeless Veterans (HCHV) Program, within the Social Work Service Line. The HCHV ... The incumbent in this position functions as the Case Manager for the Health Care for Homeless Veterans… more
- Molina Healthcare (Biloxi, MS)
- …health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...+ RNs are assigned cases with members who have complex medical conditions and medication regimens. + RNs will… more
- Highmark Health (Jackson, MS)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …of the position include, but are not limited to: Leads the provision of nursing care to patients with complex care needs utilizing the nursing process ... EDRP participants ineligible to apply. Responsibilities The Assistant Nurse Manager (ANM) supports the Nurse Manager (NM)...concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex .… more
- Lumen (Jackson, MS)
- …as we digitally connect the world and shape the future. **The Role** The Customer Care Manager IV is the single point of contact for assigned hyperscale customer ... accounts which typically have a large revenue scope, complex product needs, and/or require significant project management due to the size of the organization.… more
- Molina Healthcare (Gulfport, MS)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… more
- Walmart (Columbia, MS)
- …The prescriptions are stocked. We need you to bring the passion. The Walmart Rx Manager operates the pharmacy from a place of true caring. Come ready to show your ... of your license, ensuring a high level of patient care , while also creating a strategy for growth. We...Volume Category (SVC) (based on facility sales volume) - Complex Structure (based on external factors that create challenges)… more
- CVS Health (Jackson, MS)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary:** Do you want to… more
- Humana (Jackson, MS)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives… more
- The Cigna Group (Jackson, MS)
- …Tri-South Market. Must reside in either: Arkansas, Alabama or Mississippi,_** The ** Manager , Network Management** serves as an integral member of the Provider ... + Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates "HCP" agreements that… more