NewClinical Manager Home Health RN Enhabit Home Health & HospiceClinical Manager Home Health RNGulfport, MississippiFull timeWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
NewClinical Manager Home Health RN Enhabit IncClinical Manager Home Health RNGulfport, MSWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what's possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEGulfport, MSRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
RN | Full Time | Mids - Emergency Room Services Singing River Health System GulfportRN | Full Time | Mids - Emergency Room ServicesGulfport, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. RNs working in the below specialty areas are required to complete and maintain certifications as listed: Cath Lab – ACLS.
NewRegistered Nurse (RN) | Full Time | Nights - Emergency Room Services Singing River Health System GulfportRegistered Nurse (RN) | Full Time | Nights - Emergency Room ServicesGulfport, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. RNs working in the below specialty areas are required to complete and maintain certifications as listed: Cath Lab – ACLS.
Registered Nurse (RN) | Part Time | Variable Shifts - Emergency Room Services Singing River Health System GulfportRegistered Nurse (RN) | Part Time | Variable Shifts - Emergency Room ServicesOcean Springs, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. RNs working in the below specialty areas are required to complete and maintain certifications as listed: Cath Lab – ACLS.
Registered Nurse (RN) | Part Time | Mid Shift - Emergency Room Services Singing River Health System GulfportRegistered Nurse (RN) | Part Time | Mid Shift - Emergency Room ServicesGulfport, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. RNs working in the below specialty areas are required to complete and maintain certifications as listed: Cath Lab – ACLS.
Behavioral Health Specialist II (Psychometrist) - Diagnostic Services, Long Beach (5183) State of MississippiBehavioral Health Specialist II (Psychometrist) - Diagnostic Services, Long Beach (5183)Long Beach, MS$43,509.31–$59,390.21 / yearDemonstrates knowledge of various service options, eligibility for services, and community resources • Uses equipment such as desktop computer, tablet computer, scanner, copy machine, fax machine • Uses applicable computer software to complete job duties • Uses Division of Medicaids LTSS electronic record system • Complies with all Diagnostic Services and SMRC policies and procedures and DMH requirements • Other tasks as assigned QUALIFICATIONS: Requires a Masters Degree in a related field acceptable to the hiring agency (Psychology, Counseling, Counselor Education, Community Counseling, or Psychometry), a minimum of 5-6 years of experience and full licensure or certification (LPC, LMFT, LM/CSW, L/CMHT, L/CIDDT, L/CAT). WORK LOCATION: Long Beach Campus, 1170 West Railroad St., Long Beach, MS 39560 PAY: $49,789.00 JOB DESCRIPTION: Fourth-level professional work which involves providing psychotherapeutic interventions (individual, group, and family therapy), developing intervention strategies, ensuring the implementation of the strategies, and initiating treatment plans.
Case Manager - RN Singing River Health System GulfportCase Manager - RNGulfport, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Case Managers must have strong written and oral communication skills, analytical and critical thinking skills, conflict management and team-building skills, and strong organizational skills.
Registered Nurse (RN) | Part Time | Variable Shifts - Emergency Room Services Singing River Health SystemRegistered Nurse (RN) | Part Time | Variable Shifts - Emergency Room ServicesOcean Springs, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease.
Registered Nurse (RN) | Part Time | Emergency Room Services Singing River Health SystemRegistered Nurse (RN) | Part Time | Emergency Room ServicesGulfport, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease.
Diversified Tech - Emergency Services | FT | Midshift Singing River Health System GulfportDiversified Tech - Emergency Services | FT | MidshiftGulfport, MississippiThe Diversified Technician provides basic nursing care (i.e. personal and restorative care) to patients according to predefined guidelines; a plan of care established by a Registered Nurse, and under the direct supervision of the Registered Nurse; the CDC Guidelines for Infection Control; and Singing River Health System Department of Nursing Plan for Provision of Care, Treatment and Services. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Patient Care Coordinator (RN) | Full Time | Nights - Emergency Room Services Singing River Health System GulfportPatient Care Coordinator (RN) | Full Time | Nights - Emergency Room ServicesOcean Springs, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. The Patient Care Coordinator organizes and facilitates the care of the patients by making and altering assignments based on patient needs, problem solving with the staff, and leading performance improvement projects.
NewAccount Manager or Account Manager Associate - Hattiesburg/Gulfport, MS Applied Medical Resources CorpAccount Manager or Account Manager Associate - Hattiesburg/Gulfport, MSGulfport, MS$50,000–$80,000 / yearAs an Account Manager or Account Manager Associate in the Hattiesburg and Gulfport Mississippi area, you will be responsible for working within the framework of a team and performing the following activities: Exceed quota expectations as established by management. Our dedication to delivering the highest quality products combined with our unique business model allows our team members the ability to truly partner with hospital accounts and contribute in a larger capacity than is possible in most sales positions.
Clinic RN | Singing River Pulmonary Services - Ocean Springs Singing River Health SystemClinic RN | Singing River Pulmonary Services - Ocean SpringsOcean Springs, MississippiEmotional stability conducive to dealing with high stress level for 6-8 hours/8 hour shifts associated with ongoing and changing needs of clinical areas as related to computer use and demands of maintaining effective working relationships with peers, physicians and other healthcare workers. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Dermatology Clinical Tech Fast Pace HealthDermatology Clinical TechGautier, MississippiFull timeThe ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers, and managers. Level 3: Certified MA/LPN with a current CPR license* and either (1) 3 years’ experience in a medical dermatology office assisting dermatology providers or (2) 5 years’ experience in relevant role in a clinical office setting.
Medical Assistant | Singing River Surgical Services - Ocean Springs Singing River Health SystemMedical Assistant | Singing River Surgical Services - Ocean SpringsOcean Springs, MississippiIf CMA: Certified/recognized as a Certified Medical Assistant (CMA) from one of the following institutions: Board of the American Association of Medical Assistants (AAMA); National Association for Health Professionals (NAHP); American Medical Technologists (AMT); Medical Career Assessments (MedCA); National Healthcareer Association (NHA); National Center for Competency Testing (NCCT); National Institute of Health Professionals (NIHP). Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Medical Assistant | Singing River Endocrinology Services Clinic - Ocean Springs and Pascagoula Singing River Health SystemMedical Assistant | Singing River Endocrinology Services Clinic - Ocean Springs and PascagoulaOcean Springs, MississippiIf CMA: Certified/recognized as a Certified Medical Assistant (CMA) from one of the following institutions: Board of the American Association of Medical Assistants (AAMA); National Association for Health Professionals (NAHP); American Medical Technologists (AMT); Medical Career Assessments (MedCA); National Healthcareer Association (NHA); National Center for Competency Testing (NCCT); National Institute of Health Professionals (NIHP). Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Clinical Psychologist (Mental Health Consultant) U.S. Department of DefenseClinical Psychologist (Mental Health Consultant)Gulfport, MS$106,437–$138,370 / yearFOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. Through a robust healthcare delivery system, and a dedicated team of inspired professionals, the Agency ensures the worldwide delivery of medical, dental, and pharmacy programs to more than 9.5 million uniformed service members, retirees, and their families, by improving health and building readiness.
NewClinical Rehab Liaison Encompass Health CorpClinical Rehab LiaisonGulfport, MSYou will develop and maintain excellent relationships with all stakeholders including prospective patients, family members, physicians, ICU and floor nurses, discharge planners, case managers and payer representatives. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Registered Nurse - Case Manager Akahi Associates/Kako'o Services, LLCRegistered Nurse - Case ManagerBiloxi, MississippiFull timeResponsibilities: Attends and participates in meetings during normal duty hours, professional staff inservices, and other appropriate professional activities such as, but not limited to the following: Population Health Function (PHF) meeting, Medical Management (MM) staff meetings, and others required by applicable regulations, MTF guidance, or as directed by the Director of Medical Management or his/her designated representative. With a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs, CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more.
Workforce Development Manager Singing River Health SystemWorkforce Development ManagerOcean Springs, MississippiThe Workforce Development Manager for the Singing River Healthcare Academy serves as the day to day operational leader for the Academy’s apprenticeship operating model, directly managing the educator team and ensuring consistent, compliant execution of the apprentice lifecycle end to end—from requisition alignment and cohort placement through candidate selection, onboarding/contracts, didactic instruction, and the transition to clinical practice. This role is the day‑to‑day operational leader for the Academy’s apprenticeship model and is accountable for the consistent, compliant end-to-end execution of the apprentice lifecycle—from requisition alignment and cohort placement through candidate selection, onboarding/contracts, instruction, and transition to clinical practice.
Nurse Case Manager Loyal Source Government Services LLCNurse Case ManagerBiloxi, MSThe Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.
Case Manager, Registered Nurse CVS Health CorpCase Manager, Registered NurseMS$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
Case Manager Encompass Health CorpCase ManagerGulfport, MSJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
RN Disease Manager Akahi Associates/Kako'o Services, LLCRN Disease ManagerBiloxi, MississippiFull timeWith a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs, CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more. -Implements disease management services for populations with chronic conditions, collaborates with patients in formulating patient-centered goals, and educates individuals .
Specialty Business Manager, Derm - Biloxi, MS Takeda Pharmaceutical Co LtdSpecialty Business Manager, Derm - Biloxi, MSBiloxi, MSRemote$63.51–$87.31 / hourEstablish professional working relationships with Health Care Providers decision makers, support staff, and other stakeholders within assigned customers, to support the safe and effective use of the company's products - through developing and applying clinical and business expertise, and effective selling skills. Develop and deliver a targeted sales message to HCPs to support patients' safe and effective use of assigned product based on accurate clinical information, utilizing approved marketing materials and medical reprints, and discuss therapeutic strategies to inform and educate decision makers.
Unit Manager (RN) Avardis HealthUnit Manager (RN)Pass Christian, MSFull timeAs a Unit Manager, you will play a key leadership role in ensuring that residents receive exceptional care while supporting and developing a strong team of nurses and CNAs. From telemedicine services and remote health monitoring to advanced diagnostic tools and customized wellness programs, we use innovation to make patient care accessible, efficient, and effective.
Case Manager RN JR101507 Singing River Health SystemCase Manager RN JR101507Ocean Springs, MSWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a com puter monitor to forms/printed material that are closer to compare data at close vision. Case Managers must have strong written and oral communication skills, analytical and critical thinking skills, conflict management and team-building skills, and strong organizational skills.
NewRN Patient Care Manager UnitedHealth Group IncRN Patient Care ManagerMS$38.80–$58.20 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team"s area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.
Case Manager RN Singing River Health SystemCase Manager RNOcean Springs, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Case Managers must have strong written and oral communication skills, analytical and critical thinking skills, conflict management and team-building skills, and strong organizational skills.
NewPharmacy Operations Manager Walgreen CoPharmacy Operations ManagerMS$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Field Reimbursement Manager FRM, Endocrinology - Gulf Coast/Mississippi Corcept Therapeutics IncField Reimbursement Manager FRM, Endocrinology - Gulf Coast/MississippiMSRemote$154,000–$200,000 / yearThis role serves as the subject matter expert on access and reimbursement for Korlym, Mifepristone AG, and Relacorilant, supporting healthcare providers (HCPs), field sales teams, specialty pharmacies (SPs), and our patient support HUB to resolve barriers to patient access. With advanced clinical trials in patients with hypercortisolism, solid tumors, ALS and liver disease, Corcept is unlocking the power of cortisol modulation to help address some of the most devastating diseases patients face today.
RN Care Manager Molina Healthcare IncRN Care ManagerMSCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
NewTerritory Manager Ten HealthcareTerritory ManagerBay Saint Louis, MS$85,000–$110,000 / yearBase salary: $65,000 + Bonus/Commission that is Performance-basedTotal Compensation varies by location and here are averages of Territory Managers the first. clinics (primary care, OB/GYN, pediatrics, urgent care, long-term care, and rural.
Patient Care Manager | Ortho/Neuro Singing River Health SystemPatient Care Manager | Ortho/NeuroOcean Springs, MississippiWork requires close visual acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. He/She applies advanced knowledge of nursing and management to manage systems of patient care, personnel development, fiscal and unit operations, performance improvement, and program development.
Dental Office Manager Healthy Smiles Family DentistryDental Office ManagerGULFPORT, MSResponsibilities also include supervising and coaching staff, maintaining regulatory compliance, managing vendor relationships, controlling expenses, and ensuring all equipment and systems are functioning properly. They are highly organized, communicate effectively, and have a proven ability to implement and improve systems that enhance productivity, patient satisfaction, and overall practice performance.
Neuroscience Account Manager (Psychiatry) - Biloxi, MS Vanda Pharmaceuticals IncNeuroscience Account Manager (Psychiatry) - Biloxi, MSBiloxi, MSThe primary responsibility of the Neuroscience Account Manager, which reports to the Neuroscience District Sales Manager, is to exceed the established goals by delivering real value to our customers through differentiated products and services. Must possess and maintain a valid driver's license and an acceptable driving record, and be able to operate a motor vehicle as required for local, regional, and occasional overnight travel.
Registered Nurse (RN) Clinical Team Leader Home Health Enhabit IncRegistered Nurse (RN) Clinical Team Leader Home HealthGulfport, MSWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what's possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsMS$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Newmanager pharmacy Ochsner Health Systemmanager pharmacyMSEven though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users.
Case Manager-RN Singing River Health System GulfportCase Manager-RNOcean Springs, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Case Managers must have strong written and oral communication skills, analytical and critical thinking skills, conflict management and team-building skills, and strong organizational skills.
Pharmacy Manager CVS Health CorpPharmacy ManagerDiberville, MS$65–$81 / hourSupporting access to care and helping to improve patient outcomes through pharmacist delivered clinical care such as testing and prescribing services (e.g., COVID/Flu, Hormonal Contraception, etc.) where permissible; empowers the pharmacy team to provide holistic care at every step in the patient care journey. Contributing to positive patient experiences by showing empathy and genuine care, and coaching the pharmacy team to do the same: demonstrating compassionate care, collaborating with the patient's total healthcare team, and proactively resolving insurance and/or medication issues.
RN Patient Care Manager- Deaconess Hospice Biloxi UnitedHealth Group IncRN Patient Care Manager- Deaconess Hospice BiloxiBiloxi, MS$37.35–$56.05 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
Case Manager-RN Singing River Health SystemCase Manager-RNOcean Springs, MississippiWork requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Case Managers must have strong written and oral communication skills, analytical and critical thinking skills, conflict management and team-building skills, and strong organizational skills.
Manager-Program Management Acadia Healthcare Co IncManager-Program ManagementGulfport, MSDevelop and implement procedures to ensure efficient operations of the program; continually identify opportunities to improve program''s efficiency; coordinate care delivery, work flow; oversee scheduling, registration, discharge and billing processes for the person(s) receiving services according to facility / clinic procedure. Work may involve directing counselors, clinical staff or other facility / clinic staff involved in the delivery of services through the program.
Manager-Program Management Cable Bridge II Supervised Living HomeManager-Program ManagementGulfport, MississippiFull timeDevelop and implement procedures to ensure efficient operations of the program; continually identify opportunities to improve program's efficiency; coordinate care delivery, work flow; oversee scheduling, registration, discharge and billing processes for the person(s) receiving services according to facility / clinic procedure. Work may involve directing counselors, clinical staff or other facility / clinic staff involved in the delivery of services through the program.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Biloxi, MSREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Registered Nurse (RN) | Full Time | Nights Singing River Health SystemRegistered Nurse (RN) | Full Time | NightsGulfport, MSRNs working in the below specialty areas are required to complete and maintain certifications as listed: Cath Lab - ACLS Cardiac Rehab - ACLS Congestive Heart Failure - ACLS Cardiovascular Surgery - ACLS Emergency Department - ACLS, PALS, TNCC Intensive Care Units - ACLS Labor & Delivery - ACLS, NRP (Neonatal Resuscitation) Medical Nursing - OB/GYN - PALS Nursery - NRP (Neonatal Resuscitation) Pediatrics - PALS PACU/Recovery - ACLS, PALS RNs have 12 months, from the date they begin working in the specialty area, to acquire the appropriate certification and 18 months to acquire TNCC certification for the Emergency Department. Whether we're saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day.** **With pride, passion, and commitment, we will improve health and save lives in our community every day.** **Shift:** 7PM-7AM **Location:** Singing River Gulfport Hospital ****Job Description Summary**** ****Job Description**** **Position Overview:** The Registered Nurse is a professional nurse who is educated in the art and science of nursing, with the goal of assisting patients attain, maintain, and restore health when possible.
RN | FT | SICU - JR100929 Singing River Health SystemRN | FT | SICU - JR100929Ocean Springs, MSRNs working in the below specialty areas are required to complete and maintain certifications as listed: Cath Lab - ACLS Cardiac Rehab - ACLS Congestive Heart Failure - ACLS Cardiovascular Surgery - ACLS Emergency Department - ACLS, PALS, TNCC Intensive Care Units - ACLS Labor & Delivery - ACLS, NRP (Neonatal Resuscitation) Medical Nursing - OB/GYN - PALS Nursery - NRP (Neonatal Resuscitation) Pediatrics - PALS PACU/Recovery - ACLS, PALS RNs have 12 months, from the date they begin working in the specialty area, to acquire the appropriate certification and 18 months to acquire TNCC certification for the Emergency Department. Whether we're saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day.** **With pride, passion, and commitment, we will improve health and save lives in our community every day.** **Shift:** N/A **Location:** Singing River Ocean Springs Hospital ****Job Description Summary**** ****Job Description**** **Position Overview:** The Registered Nurse is a professional nurse who is educated in the art and science of nursing, with the goal of assisting patients attain, maintain, and restore health when possible.