RN - Utilization Review - Utilization Review University of Mississippi Medical CenterRN - Utilization Review - Utilization ReviewJackson, MSPhysical and Environmental Demands: Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, no handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, no lifting/carrying up to 50 pounds, no lifting/carrying up to 75 pounds, no lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, no climbing, no crawling, occasional crouching/stooping, no driving, occasional kneeling, occasional pushing/pulling, occasional reaching, frequent sitting, occasional standing, occasional twisting, and frequent walking. Job Summary: RN-Utilization Review is accountable to perform utilization management services for designated patient case load, including prospective, concurrent, retrospective, and denial management reviews by applying clinical protocols and review medical necessity criteria.
RN - Utilization Review - PT University of Mississippi Medical CenterRN - Utilization Review - PTJackson, MSPhysical and Environmental Demands: Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, no handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, no lifting/carrying up to 50 pounds, no lifting/carrying up to 75 pounds, no lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, no climbing, no crawling, occasional crouching/stooping, no driving, occasional kneeling, occasional pushing/pulling, occasional reaching, frequent sitting, occasional standing, occasional twisting, and frequent walking. Job Summary: RN-Utilization Review is accountable to perform utilization management services for designated patient case load, including prospective, concurrent, retrospective, and denial management reviews by applying clinical protocols and review medical necessity criteria.
Care Review Clinician- Utilization Review (RN/LPN- Mississippi based- REMOTE) Molina Healthcare IncCare Review Clinician- Utilization Review (RN/LPN- Mississippi based- REMOTE)Jackson, MSRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Utilization Management RN SDH FMOL HealthUtilization Management RN SDHJackson, MSUnder broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric, adolescent, young adult, adult and geriatric patients. Ensures that appropriate priority is given to provide high quality care by ensuring guidelines are followed for core measures through concurrent chart review and follow-up with appropriate healthcare provider.
NewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantMS$26.01–$62.32 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Utilization Specialist Millcreek of MageeUtilization SpecialistMagee, MississippiFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Specialist Acadia Healthcare Co IncUtilization SpecialistMSLICENSES/DESIGNATIONS/CERTIFICATIONS: ?Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. ?Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Registered Nurse - Family Medicine University of Mississippi Medical CenterRegistered Nurse - Family MedicineJackson, MSParticipates in the control of cost effective services that reflect appropriate levels of staff, proper use of equipment, appropriate use of supplies, and effective management patient care. Demonstrates effective interviewing and assessment skills and integrates new or current techniques to obtain information from the resident/family to plan, implement, and evaluate patient care.
Registered Nurse (RN) - Nurse Manager CV OR Baptist Memorial Health Care CorpRegistered Nurse (RN) - Nurse Manager CV ORJackson, MSContributes to the development, and directs the implementation and improvement of care delivery models and services that supports the continuous enhancement of care delivery and patient/family, employee and provider satisfaction for area of responsibility. Directs a multidisciplinary work force that provides clinically competent, efficient, and compassionate care and services in a professionally challenging environment.
Case Manager - RN FMOL HealthCase Manager - RNJackson, MSGraduate from an accredited school of nursing, RN Minimum of two years clinical experience required Case management or Utilization management experience preferred Employee must demonstrate ability to recognize patients individual needs based on medical conditions, age (infants, pediatrics, adolescents, young adults, middle-aged and geriatric), limitations and planned procedures Requires oral and written communication skills; professional affiliations Current Mississippi RN license required. Meets with treatment team to provide utilization review information, discusses issues pertaining to continued stay, discharge and aftercare plans, evaluates current financial resources, and discusses whether documentation reflects the need for continued stay and at what level of care is the most appropriate.
NewHospice Nurse PRN RN AccentCare IncHospice Nurse PRN RNFlowood, MS$33–$36 / hourYou can find success in this role if you've held the following positions: Hospice Registered Nurse, Home Health Registered Nurse, Palliative Care Nurse, Med‑Surg Registered Nurse, Oncology Nurse, Geriatric Nurse, Field Nurse, Visiting Nurse, Admissions Nurse, Patient Care Nurse, RN Care Coordinator, or Clinical Nurse in acute care, home health, or community‑based settings. As a Hospice Registered Nurse (RN), you'll work at the center of an interdisciplinary care team, building trusted relationships with patients, families, physicians, and teammates.
Nurse-Navigator RN Baptist Memorial Health Care CorpNurse-Navigator RNJackson, MSProvide individual patient/family education and self-management support that is appropriate based on language, cognitive abilities, literacy level, learning style, cultural norms, patient preference, readiness for change and resources available. Assist with and facilitate the transition of care from inpatient settings such as hospital, rehabilitation facilities and skilled nursing facilities to home.
RN - Oncology Ambulatory - Cancer Clinic University of Mississippi Medical CenterRN - Oncology Ambulatory - Cancer ClinicJackson, MSResponsibilities: In collaboration with the oncologist provides direct patient care, initial and ongoing assessment, patient education, management of chemotherapy effects, medicine reconciliation, and coordination of care of patients enrolled in protocols and clinical trials. Coordinates the operations of assigned clinical area including protocol and non-protocol chemotherapy regimens, calculating dosages and administering intravenous chemotherapy, patient scheduling, patient records, and patient admission for adult cancer patients.
RN - Oncology - Ambulatory University of Mississippi Medical CenterRN - Oncology - AmbulatoryJackson, MSResponsibilities: In collaboration with the oncologist provides direct patient care, initial and ongoing assessment, patient education, management of chemotherapy effects, medicine reconciliation, and coordination of care of patients enrolled in protocols and clinical trials. Coordinates the operations of assigned clinical area including protocol and non-protocol chemotherapy regimens, calculating dosages and administering intravenous chemotherapy, patient scheduling, patient records, and patient admission for adult cancer patients.
Registered Nurse (RN) and Nurse LPN- Veteran Pathway Tyson Foods IncRegistered Nurse (RN) and Nurse LPN- Veteran PathwayJackson, MS$23.08–$38.46 / hourPhysical Requirements: Must be able to walk unassisted through the plant, quickly respond to medical emergencies, climb stairs, assess team members swiftly, and perform CPR if required; ensure team members and supervisors are following prescribed modified restricted duty requirements. Relevant Backgrounds May Include (Not Required): Army: 68W (Combat Medic Specialist), 68C (Practical Nursing Specialist), 68D (Operating Room Specialist), 68X (Behavioral Health Specialist).
Nurse-Navigator RN: Cancer Center Baptist Memorial Health Care CorpNurse-Navigator RN: Cancer CenterJackson, MSProvide individual patient/family education and self-management support that is appropriate based on language, cognitive abilities, literacy level, learning style, cultural norms, patient preference, readiness for change and resources available. Assist with and facilitate the transition of care from inpatient settings such as hospital, rehabilitation facilities and skilled nursing facilities to home.
RN Neurosurgery Coordinator - Neurosurgery University of Mississippi Medical CenterRN Neurosurgery Coordinator - NeurosurgeryJackson, MSAttention to details, effective communication and documentation with numerous physician, operating room (or), intensive care unit (ICU), emergency department (ED), radiology, pathology, oncology, and anesthesiology staff, insurance companies, other health facilities, the patient and patient family. Reviews patient's medical care including lab and procedural results review, accurate maintenance of medication reconciliation, assessment of patient issues and triage care with providers, while demonstrating a complete commitment to the overall welfare of the patient.
NewRN Care-Coordinator, Division of Transplant and Hepatobiliary Surgery, SOM-Surgery University of Mississippi Medical CenterRN Care-Coordinator, Division of Transplant and Hepatobiliary Surgery, SOM-SurgeryJackson, MSParticipates in the control of cost effective services that reflect appropriate levels of staff, proper use of equipment, appropriate use of supplies, and effective management patient care. Demonstrates effective interviewing and assessment skills and integrates new or current techniques to obtain information from the resident/family to plan, implement, and evaluate patient care.
NewHospice Registered Nurse RN Weekends AccentCare, Inc.Hospice Registered Nurse RN WeekendsFlowood, Mississippi$72,000–$76,000 / yearIf serving as a Care Manager, coordinates all aspects of patient care including scheduling, medication management, plan of care oversight, IDG collaboration, and supervision of LPNs, LVNs, and Hospice Aides; participates in IDG meetings and patient/family conferences. If serving in an On-Call capacity, responds to triage calls, performs visits and assessments, coordinates care with the Administrator On Call, and may attend IDG meetings and family conferences; also participates in training, committees, and other duties as assigned within licensure scope.
Orthopedic Program Coordinator - RN FMOL HealthOrthopedic Program Coordinator - RNJackson, MSMonitors departmental performance by evaluating the quality of provided services, communicating with patients and family members regarding their health concerns, and recommending program revisions which address the needs of the patient and increase the quality of health care services. Identifies, resolves, and facilitates the resolution of departmental problems, and encourages employees to voice ideas for better hospital operation, improved communication between staff members, and higher quality health care services.
Supervisor Case Management - RN FMOL HealthSupervisor Case Management - RNJackson, MSExperience, Education, Training, Special Skills, and Licensure: • 5 years clinical experience, plus 2 years in case management • Strong interpersonal, oral and written communication skills; computer skills; problem solving and critical thinking skills; time management and prioritization skills; leadership qualities including the ability to train, motivate, manage and supervise staff • Current Mississippi RN license • BLS. Clinical Expertise: Provides up to date clinical expertise to case management staff including new interventions and therapies, changes in clinical protocols and updates in clinical case management services in order to meet the needs of all assigned patient populations.
RN Inpatient- Children''''s of Mississippi- NICU- Full Time University of Mississippi Medical CenterRN Inpatient- Children''''s of Mississippi- NICU- Full TimeJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Inpatient- Bone Marrow Transplant Unit- Full Time/PRN University of Mississippi Medical CenterRN Inpatient- Bone Marrow Transplant Unit- Full Time/PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN I - Adult Acute Care - Medical Surgical - 6 South (Weekender Dayshift) University of Mississippi Medical CenterRN I - Adult Acute Care - Medical Surgical - 6 South (Weekender Dayshift)Jackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN I - Adult Acute Care - Neurology/Neurosurgery - 4 South (Weekender) University of Mississippi Medical CenterRN I - Adult Acute Care - Neurology/Neurosurgery - 4 South (Weekender)Jackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patients condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Job Requisition ID: R00048338 Job Category: Nursing Organization: 4 South Location/s: Main Campus Jackson Job Title: RN I - Adult Acute Care - Neurology/Neurosurgery - 4 South (Weekender).
RN Patient Flow Coordinator-Discharge Lounge University of Mississippi Medical CenterRN Patient Flow Coordinator-Discharge LoungeJackson, MSJob Summary: Maintain direct control of hospital beds by actively managing patient discharges, following up promptly, and ensuring discharged patients are consistently and quickly removed from the EHR for timely bed reassignment. Encourage and facilitate discharges prior to noon to optimize patient flow and ensure timely bed availability.
RN - Category Manager - Clinical Category Management/ Procurement University of Mississippi Medical CenterRN - Category Manager - Clinical Category Management/ ProcurementClinton, MSRequires occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, frequent sitting, frequent standing, and frequent walking. Job Summary: Responsible for actively leading and supporting the UMMC department stakeholders, business managers, and value analysis teams in identifying and executing clinical strategic sourcing decisions designed to reduce operational expense, increase revenue, and improve patient outcomes.
RN Inpatient- Adult Emergency Department- Full Time University of Mississippi Medical CenterRN Inpatient- Adult Emergency Department- Full TimeJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Case Manager - PRN University of Mississippi Medical CenterRN Case Manager - PRNJackson, MSTime Type: Part time FLSA Designation/Job Exempt: Yes Pay Class: Salary FTE %: 100 Work Shift: Benefits Eligibility: Grant Funded Job Posting Date: 03/05/2026 Job Closing Date (open until filled if no date specified): Performs and documents a comprehensive assessment for a specified group of patients whose diagnosis; procedures; and social, psychological, or financial needs indicate they would benefit from case management.
RN Inpatient- Neurosurgery Intensive Care Unit- Full Time University of Mississippi Medical CenterRN Inpatient- Neurosurgery Intensive Care Unit- Full TimeJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Inpatient- Children''''s of Mississippi- Cardiac Step-Down/ Post-op Unit- 5C- Full Time/ PRN University of Mississippi Medical CenterRN Inpatient- Children''''s of Mississippi- Cardiac Step-Down/ Post-op Unit- 5C- Full Time/ PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Vascular Access Team- Children''''s of Mississippi- Full Time Weekender University of Mississippi Medical CenterRN Vascular Access Team- Children''''s of Mississippi- Full Time WeekenderJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN I-Ambulatory-Direct Care - Otolaryngology - FT University of Mississippi Medical CenterRN I-Ambulatory-Direct Care - Otolaryngology - FTRidgeland, MSProvides patient care by performing problem-focused assessments, planning, implementing and evaluating treatments and interventions for patients in the physicians practice. Ensures patients have access to care that is appropriate, safe, effective, timely, efficient, and equitable, resulting in optimal health states for patients and cost-effective outcomes for the practice and organization.
RN Inpatient- Mississippi Burn Center- Full Time/ PRN University of Mississippi Medical CenterRN Inpatient- Mississippi Burn Center- Full Time/ PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Inpatient- Children''''s of Mississippi- NICU- PRN University of Mississippi Medical CenterRN Inpatient- Children''''s of Mississippi- NICU- PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Case Manager I - Inpatient- PT University of Mississippi Medical CenterRN Case Manager I - Inpatient- PTJackson, MSProvides excellent customer service by collaborating with patients, families, providers, payers, and community resources, serving as a liaison to ensure seamless care transitions and maintaining current knowledge of available services and access criteria at the federal, state, and local levels. Knowledge, Skills, and Abilities: Demonstrates strong critical-thinking and prioritization skills to address patient clinical needs and support safe, timely transitions to post-acute care.
RN Inpatient- Neurosurgery Intensive Care Unit- PRN University of Mississippi Medical CenterRN Inpatient- Neurosurgery Intensive Care Unit- PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Inpatient- Children''''s of Mississippi- Hematology/Oncology Unit- 3C- Full Time/ PRN University of Mississippi Medical CenterRN Inpatient- Children''''s of Mississippi- Hematology/Oncology Unit- 3C- Full Time/ PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Inpatient- Surgical Intensive Care Unit- Full Time/ PRN University of Mississippi Medical CenterRN Inpatient- Surgical Intensive Care Unit- Full Time/ PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN I-Ambulatory-PRN University of Mississippi Medical CenterRN I-Ambulatory-PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN I-PRN-Health System Tiered - Surgical Suite-WH University of Mississippi Medical CenterRN I-PRN-Health System Tiered - Surgical Suite-WHJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
NewRN Care Coordinator - Orthopedics University of Mississippi Medical CenterRN Care Coordinator - OrthopedicsRidgeland, MSParticipates in the control of cost effective services that reflect appropriate levels of staff, proper use of equipment, appropriate use of supplies, and effective management patient care. Demonstrates effective interviewing and assessment skills and integrates new or current techniques to obtain information from the resident/family to plan, implement, and evaluate patient care.
NewRN I-Inpatient University of Mississippi Medical CenterRN I-InpatientJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN I - Ambulatory - Transplant Clinic University of Mississippi Medical CenterRN I - Ambulatory - Transplant ClinicJackson, MSActively engages in practice and organizational initiatives that create and maintain an internal environment that is safe, hazard-free, ergonomically correct, confidential, and comfortable for patients, visitors, and staff. Ensures patients have access to care that is appropriate, safe, effective, timely, efficient, and equitable, resulting in optimal health states for patients and cost-effective outcomes for the practice and organization.
NewRN Inpatient- Children''''s OR- PRN University of Mississippi Medical CenterRN Inpatient- Children''''s OR- PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
NewRN I-PRN-Health System Tiered University of Mississippi Medical CenterRN I-PRN-Health System TieredJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
RN Inpatient- Cardiac Intensive Care Unit- Full Time/ PRN University of Mississippi Medical CenterRN Inpatient- Cardiac Intensive Care Unit- Full Time/ PRNJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
NewRN Inpatient- Adult OR- Full Time University of Mississippi Medical CenterRN Inpatient- Adult OR- Full TimeJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
NewRN - Complex Care Coordinator - Department of Pediatircs University of Mississippi Medical CenterRN - Complex Care Coordinator - Department of PediatircsJackson, MSParticipates in the control of cost effective services that reflect appropriate levels of staff, proper use of equipment, appropriate use of supplies, and effective management patient care. Demonstrates effective interviewing and assessment skills and integrates new or current techniques to obtain information from the resident/family to plan, implement, and evaluate patient care.
NewChildren''''s Pre/Post Operative RN I University of Mississippi Medical CenterChildren''''s Pre/Post Operative RN IJackson, MSEducates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules. Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.