30 registered nurse case manager jobs found

Essential Functions Coordinates: Consults with physician services Utilizes clinical diagnostics, physician documentation and non-physician clinical guidelines to facilitate status determination of inpatient, outpatient or outpatient observation. Coordinates final status with admitting and attending physicians Performs initial and concurrent clinical reviews as indicated by payer and patient clinical needs Inpatient and/or outpatient notification and precertification of services to payers Facilitates peer to peer, written reconsiderations or appeals throughout all denial cycle as appropriate Facilitates appropriate observation utilization Consults with patient financial services Educations: Provides education and literature to physician services regarding IPPS and OPPS Educates physicians and other care team member on level of care criteria and other third party...

Review Activities: monitors individual cases in relation to established criteria, LOS & patient care guidelines assures patient is meeting level of care criteria & issues denial of care letters as necessary intervenes as indicated to promote the timely provision of care & utilization of resources serves as a resource for physicians & nurses in understanding criteria for continued stay & medical necessity monitors patient outcomes to evaluate clinical & financial effectiveness reconciles services rendered with patient benefits & communicates with physicians & 3 rd party payers to assure appropriate reimbursement Clinical Practice: collaborates with patient care team to move population along the continuum by effectively planning for continued care as moving to another level of care to ensure all patient needs are addressed assesses social/emotional factors...

JOB SUMMARY The Care Manager at North Mississippi Health Services plays a critical role in coordinating and delivering direct patient care to an assigned caseload in the Home Health/Hospice department. They conduct thorough assessments, develop individualized care plans, and ensure accurate documentation while collaborating with the healthcare team to optimize patient outcomes. As a manager of process, this role optimizes operations within a designated department or area, ensuring productivity and effective management of processes. JOB FUNCTIONS Nursing Care: Has the direct responsibility of caring for an assigned caseload of patients. Responsibilities include comprehensive assessment defined by COPs. Develop and implement appropriate revisions to individualized plans of care. Deliver highest standard of care specific to patient condition/need. Responsible for appropriate and timely documentation of care...

Now Hiring: RN Case Manager - MS Region Work from home + local field travel Salary: Competitive & commensurate with experience Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus Location Requirement Candidates can be based in any MS City. ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management. This is your chance to grow your career, earn great rewards, and enjoy true work-life...

Registered Nurse (RN) Weekend Option Opportunity at Greenwood Meadows Full Time Day, Evening and Night Shift Available  As a Registered Nurse , you will have the opportunity to develop meaningful relationships by learning about the life stories of our residents and staff. Each day, our nurses utilize their nursing skills to promote the physical and psychosocial well-being of the residents, leading to a rewarding sense of fulfillment and satisfaction.  Skills Needed: Supportive Presence:  Creating a comforting and engaging atmosphere for our residents. Leadership :  Promote teamwork within the care team to exceed the needs of our residents.  Collaboration:   The ability to work with nursing and other facility teams to ensure coordinated and comprehensive resident care. Teamwork:  The ability to work towards a common goal of excellent care for our residents. Interpersonal Communication:   Support a respectful and positive work environment....

Registered Nurse (RN) Opportunity at Greenwood Meadows Full Time and Part Time for Evening and Night Shift Available  As a Registered Nurse , you will have the opportunity to develop meaningful relationships by learning about the life stories of our residents and staff. Each day, our nurses utilize their nursing skills to promote the physical and psychosocial well-being of the residents, leading to a rewarding sense of fulfillment and satisfaction.  Skills Needed: Supportive Presence:  Creating a comforting and engaging atmosphere for our residents. Leadership :  Promote teamwork within the care team to exceed the needs of our residents.  Collaboration:   The ability to work with nursing and other facility teams to ensure coordinated and comprehensive resident care. Teamwork:  The ability to work towards a common goal of excellent care for our residents. Interpersonal Communication:   Support a respectful and positive work environment....

The Graduate Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees. Communication:...

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The Graduate Registered Nurse at North Mississippi Health Services is responsible for using the nursing process to provide safe, quality patient care, communicating effectively with the multidisciplinary team, and complying with regulatory requirements. The role requires effective leadership skills, problem-solving abilities, and the ability to respond to rapidly changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees. Communication: Maintains communication with multidisciplinary team members to...

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The Graduate Registered Nurse at North Mississippi Health Services is responsible for using the nursing process to provide safe, quality patient care, communicating effectively with the multidisciplinary team, and complying with regulatory requirements. The role requires effective leadership skills, problem-solving abilities, and the ability to respond to rapidly changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees. Communication: Maintains communication with multidisciplinary team members to...

JOB SUMMARY The Graduate Registered Nurse at North Mississippi Health Services is responsible for using the nursing process to provide safe, quality patient care, communicating effectively with the multidisciplinary team, and complying with regulatory requirements. The role requires effective leadership skills, problem-solving abilities, and the ability to respond to rapidly changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees. Communication: Maintains communication with multidisciplinary team members to...

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....

JOB SUMMARY The  Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. JOB FUNCTIONS Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees....