2144 Rn Case Manager 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 12 hours ago
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RN Patient Care Manager
UnitedHealth Group
Laurel, MS 39441
$80,712-$121,068/yr
OnsiteRetirement Benefit
- Current unrestricted RN licensure in state of practice
- Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
- RN licensure must have no restrictions
New, Posted 13 hours ago
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Director, Health Plan Provider Relations
Molina Healthcare
Jackson, MS 39298
$87,569-$189,732.18/yr
Remote
- At least 8 years of provider services experience, including experience supporting individual/group providers, hospitals, integrated delivery systems, and ancillary providers with Medicaid, Medicare, and or Marketplace products, or equivalent combination of relevant education and experience.
- At least 3 years of management/leadership experience.
- Strong understanding of the health care delivery system, including government-sponsored health plans.
- Experience with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
- Previous experience with community agencies and providers.
- Strong organizational skills and attention to detail.
- Ability to manage multiple tasks and deadlines effectively.
- Experience with preparing and presenting formal presentations.
- Strong interpersonal skills, including ability to interface with providers and medical office staff.
- Ability to work in a cross-functional highly matrixed organization.
- Excellent verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
New, Posted 6 hours ago
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Registered Nurse / Patient Care Manager, Home Health
Accentcare
Madison, MS 39110
$80,000/yr
OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit
- Registered nurse with current licensure to practice nursing in the practicing state.
- Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements
New, Posted 12 hours ago
Jobcase
Support Care Professional III
North Mississippi State Hospital
Tupelo, MS 38804
$29,326/yr
Clinical Resource Specialist
Essity
all cities, MS
Clinical Documentation Specialist RN
Johns Hopkins Hospital
all cities, MS
Registered Nurse Clinical Reviewer / AIMS
Greenlife Healthcare Staffing
all cities, MS
RN Nurse Navigator - Care Coordination & Transitions
Baptist Memorial Healthcare Corporation
Jackson, MS 39212
Clinical Research Associate
ICON Clinical Research
all cities, MS
What companies are hiring Rn Case Manager jobs in Mississippi?
- Surgery Partners
- UnitedHealth Group
- Molina Healthcare
- Accentcare
- North Mississippi State Hospital
- Essity
- Johns Hopkins Hospital
- Greenlife Healthcare Staffing
- Baptist Memorial Healthcare Corporation
- ICON Clinical Research
- Surgery Partners
- UnitedHealth Group
- Molina Healthcare
- Accentcare
- North Mississippi State Hospital
- Essity
- Johns Hopkins Hospital
- Greenlife Healthcare Staffing
- Baptist Memorial Healthcare Corporation
- ICON Clinical Research
What is the yearly salary range for Rn Case Manager jobs in Mississippi?
The yearly salary range is $29326 - $189732.
The yearly salary range is $29326 - $189732.
