872 Case Manager Sr jobs in Mississippi
Manager of Managed Care Operations - Hybrid / Remote
Surgery Partners
Tupelo, MS 38802
RemoteHealth InsurancePaid Time OffRetirement Benefit
- Bachelors degree required in business, technology or healthcare related field
- Minimum of 3 years of experience in managed care environment
- 2+ years of negotiation or provider relations experience between providers and major commercial payors in markets in the U.S. and or experience in contract analysis for ASC services.
- Experience with ASC reimbursement methodologies.
- Experience working with payors and billing office staff to resolve payment discrepancies.
- Reasonable understanding of healthcare CPT coding and billing.
- Excellent quantitative and analytical skills, with attention to detail to ensure that modeling for negotiations is accurate.
- Moderate knowledge of Excel and/or ability to expand knowledge quickly.
- Solid understanding of payer contract reimbursement methodologies and application of payor policies on reimbursement expected under existing and future agreements.
- Strong writing skills and ability to communicate effectively in order to negotiate key terms of payor agreements.
- Understanding of healthcare industry trends in payor negotiations including contract language, product development trends, pay for performance programs, bundled payment programs, etc.
- Understanding of provider reimbursement methodologies from Medicare, and knowledge of how Medicare reimbursement is updated from time to time.
- Must be self-motivated and able to work independently. Inquisitive nature and interest in sharing knowledge among team members.
- Must be able to provide timely written and verbal communication of complex negotiations to internal leadership.
- Experience managing multiple projects and negotiations with varying teams and deadlines.
- Strong communication skills necessary.
- Team orientation toward success.
- Physical Requirements Occasionally 0 – 33% Frequently 34 – 66% Constant 67 – 100%
- Talk / Hear X
- See X
- Stand X
- Sit X
- Normal Office Surroundings X
New, Posted 23 hours ago
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Community Support Specialist
Health Connect America
Byhalia, MS 38611
OnsiteChildcare AssistanceHealth InsurancePaid Time OffRetirement Benefit
- Bachelor's degree in human services discipline, including, but not limited to: Social Work, Psychology, Sociology, Counseling, Criminal Justice, etc.) and experience working with children and families in case management type/ community resource position.
- Must be provisionally credentialed as a PCSS in Mississippi with eligibility to be fully credentialed as a CSS in Mississippi.
- Employment at Health Connect America and it's companies is contingent upon meeting the requirements of a comprehensive background investigation prior to joining our team.
New, Posted 3 hours ago
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Transition of Care Coach - Behavioral Health - Remote (Must reside in Mississippi)
Molina Healthcare
Jackson, MS 39201
$23.76-$51.49/hr
RemoteHealth Insurance
- At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
- Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD).
- License must be active and unrestricted in state of practice.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
- Background in discharge planning and/or home health.
- Demonstrated knowledge of community resources.
- Proactive and detail-oriented.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving, and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/other applicable software program(s) proficiency.
New, Posted 1 day ago
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Substance Abuse Counselor - Master's Degree
New Season
Walls, MS 38680
Remote Online Tasks – Earn Up to $1,500/month Playing Games
Free Cash
Gulfport, MS 39505
$1,500/mo
Remote
New, Posted 4 hours ago
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Hospice RN Case Manager
UnitedHealth Group
Philadelphia, MS 39350
$71,640-$107,460/yr
OnsiteRetirement Benefit
- Current and unrestricted RN licensure in the state of practice
- Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
Associate - Center Clinical Director
ChenMed
Horn Lake, MS 38637
Onsite
- MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required
- A minimum of 2 years' clinical experience required;
- Current, active license to practice medicine in State of employment.
- Board eligibility is required.
- Spoken and written fluency in English
- This job requires use and exercise of independent judgment
- Familiar with, if not proficient in Microsoft Office Suite products, including Excel, Word, PowerPoint and Outlook.
- Computer skills: Comfortable with the electronic medical record (EMR) and facile with keyboarding.
- Ability to travel locally, regionally and nationally up to 30% of the time.
- Must have completed all internal physician training and have attained partnership.
New, Posted 3 hours ago
Clinical Social Worker - Fee For Service
Thriveworks
Jackson, MS 39201
HybridFlexible ScheduleEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit
- Independently licensed
- Living in Mississippi
- LCSW (Licensed Clinical Social Worker)
- Consistently available to clients for a minimum of 25 sessions
- 30 hours of availability weekly
- A behavioral health generalist who is open to treating a variety of clients, including couples and children
- Confident working with modern clinical technology, including telehealth and EHR tools
Earn Real Cash – Complete Simple Missions Online
Kashkick
Swan Lake, MS 38958
Remote
Direct Support Professional - Flexible Side Job with Purpose
Help at Home
Clinton, MS 39056
No ExperienceFlexible Schedule
What companies are hiring Case Manager Sr jobs in Mississippi?
- Surgery Partners
- Health Connect America
- Molina Healthcare
- New Season
- Free Cash
- UnitedHealth Group
- ChenMed
- Thriveworks
- Kashkick
- Help at Home
- Surgery Partners
- Health Connect America
- Molina Healthcare
- New Season
- Free Cash
- UnitedHealth Group
- ChenMed
- Thriveworks
- Kashkick
- Help at Home
What is the hourly salary range for Case Manager Sr jobs in Mississippi?
The hourly salary range is $23.76 - $51.49.
The hourly salary range is $23.76 - $51.49.
