Medical Necessity Reviewer
1 week ago
We are seeking a highly skilled Licensed Practical Nurse (LPN) to join our team as a Medical Necessity Reviewer. In this role, you will be responsible for performing concurrent and retrospective reviews of patient cases to ensure medical necessity for admission and continued stay.
Key Responsibilities:- Conduct thorough reviews of patient records to assess medical necessity for admission and continued stay
- Collaborate with attending physicians and UM physician advisors to discuss cases that do not meet medical necessity criteria
- Monitor observation cases daily and ensure timely reviews and notification to insurance payers
- Compile clinical information needed to process prior authorization and continued stay requests
- Document all relative information in the electronic medical record
- Graduate of an accredited licensed practical nursing program
- Licensed LPN able to practice within the State of MS
- Exceptional oral and written communication skills
- Ability to type and use a personal computer
- Workable knowledge of DNV standards, correct coding procedures, InterQual Level of Care criteria, Milliman Care Guidelines (MCG), Perspective Payment System, and medical terminology
$65,000 - $85,000 per year, depending on experience
About Us:We are proud to be part of Forrest General Hospital, a leading healthcare provider in Mississippi. Our team is dedicated to delivering exceptional patient care and service.
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Hospital Denial Management Specialist
7 days ago
Hattiesburg, Mississippi, United States Forrest General Hospital Full timeJob Summary:The Denial Management Coordinator plays a pivotal role in ensuring timely reimbursement at Forrest General Hospital. As a liaison between case management, medical records, billing, and medical staff, this role is critical in revenue recovery. Key responsibilities include performing retrospective medical record chart reviews, providing clinical...
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Pediatric Home Care Nurse
5 days ago
Hattiesburg, Mississippi, United States Arkansas Community Based Services Full timeWe are seeking a dedicated Registered Nurse to join our team at Arkansas Community Based Services. As a Pediatric Home Care Nurse, you will provide high-quality clinical services to patients in their homes, working collaboratively with other healthcare professionals to achieve and maintain continuity of patient care.About the RoleThis is a PRN position...
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Medical Radiation Therapist
7 days ago
Hattiesburg, Mississippi, United States Forrest County General Hospital - 6051 US Hwy 49 Full timeWe are seeking a skilled Medical Radiation Therapist to join our team at Forrest County General Hospital. Located in Hattiesburg, MS, our hospital offers a supportive and collaborative work environment where you can grow your career and make a meaningful impact on the lives of our patients.Estimated Salary: $65,000 - $85,000 per yearAbout the RoleThis is an...
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Pediatric Nurse Specialist
1 week ago
Hattiesburg, Mississippi, United States Arkansas Community Based Services Full timeAbout the RoleWe are seeking a highly skilled Pediatric Registered Nurse to join our team in providing home care services to patients in the Forrest City area and surrounding communities.Job SummaryThe Pediatric Registered Nurse will provide and direct provisions of nursing and personal care to patients in their homes as prescribed by the physician or as...
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Nursing Professional
7 days ago
Hattiesburg, Mississippi, United States Arkansas Community-Based Services Full timeJob Summary">The Registered Nurse in Home and Community Based Services provides and directs provisions of nursing and personal care to patients in their homes as prescribed by the physician or as authorized by the state/program and in compliance with applicable laws, regulations, and agency policies. The Registered Nurse coordinates the plan of care with...
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Hattiesburg, Mississippi, United States Arkansas Community Based Services Full timeWe are seeking a dedicated and compassionate Pediatric Private Duty Registered Nurse to join our team at Arkansas Community Based Services in the Forrest City area.As a valued member of our team, you will have the opportunity to provide high-quality home care services to pediatric patients and their families. We offer flexible scheduling, competitive pay...
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Hattiesburg, Mississippi, United States Hattiesburg Clinic Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse to join our team at the Ambulatory Surgery Center in Hattiesburg, MS. The ideal candidate will possess strong clinical skills, excellent communication abilities, and a passion for delivering high-quality patient care.About the RoleThe successful candidate will be responsible for assessing,...
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Onsite Operations Manager
4 weeks ago
Hattiesburg, Mississippi, United States CAPITOL BRIDGE, LLC Full timeAbout the RoleCapitol Bridge LLC is seeking a seasoned Onsite Supervisor to lead our training staff in ensuring adherence to quality standards, deadlines, and procedures. This role involves overseeing the scheduling, assignments, and daily workflow of subordinate staff, as well as assisting with performance evaluations and interviewing potential new...
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Collision Repair Estimator
1 week ago
Hattiesburg, Mississippi, United States Caliber Collision Centers Full timeJob SummaryCaliber Collision Centers is seeking a skilled Collision Repair Estimator to join our team. As a key member of our team, you will be responsible for performing all-purpose duties, including writing estimates, conducting process reviews, and checking in customer vehicles. You will also be responsible for completing final customer paperwork prior to...
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Clinical Care Coordinator
1 week ago
Hattiesburg, Mississippi, United States Hattiesburg Clinic Full timeJob SummaryWe are seeking a skilled Registered Nurse to provide planned, coordinated care for patients in the preoperative, postoperative, and intraoperative periods. The ideal candidate will have experience in postoperative or critical care areas and be ACLS certified and IV certified.ResponsibilitiesProvide assessment, patient surveillance, and timely...
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Ambulatory Care Specialist
7 days ago
Hattiesburg, Mississippi, United States Optum Full timeWe are seeking a skilled Ambulatory Care Specialist to join our team in Mississippi. As a key member of our HouseCalls product, you will provide annual clinical assessments to patients in the comfort of their homes.This role requires travel across the entire state of Mississippi, approximately 85% of the time. All travel expenses are covered, and there is a...
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Hattiesburg, Mississippi, United States FCS - Psychiatric Recruitment Full timeWe are seeking a highly skilled Adult Psychiatrist to join our team at a reputable Not-for-profit Hospital in Southeast Mississippi.This is a full-time 100% Inpatient position with a call schedule of 1 in 5. The ideal candidate will have previous Inpatient experience and be licensed to practice in the state of Mississippi.The compensation package includes...
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Hattiesburg, Mississippi, United States DOCS Health Full timeCompany OverviewDOCS Health is a trusted industry leader with over three decades of experience in healthcare. Our team of clinicians and logistics professionals are dedicated to delivering exceptional care to our partners and their members.SalaryWe offer an estimated salary of $120,000 per year based on your experience and qualifications as a Registered...
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HVAC Sales Professional
3 days ago
Hattiesburg, Mississippi, United States Metro Mechanical, LLC Full timeMetro Mechanical, LLC is seeking an HVAC Sales Representative in the Hattiesburg, MS area who shares our passion for delivering top-notch results and leaving a lasting impression on our customers.Company OverviewWe are proud to be recently named 'Company of the Year,' for our commitment to excellence and exceptional service in the HVAC & Mechanical...
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Hattiesburg, Mississippi, United States Optum Full time$25,000 Sign-on Bonus For Individuals Who Have Not Previously Participated In This Program As part of the UnitedHealth Group family of businesses, Optum is revolutionizing healthcare by uniting industry-leading solutions to create an integrated care model. This holistic approach addresses patients' physical, mental, and social needs, ensuring they can...
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Registered Nurse
4 weeks ago
Hattiesburg, United States LHC Group Full timeThis Position is for a Registered Nurse- RN (Home Health) (Part-time) with a work location in Hattiesburg, MS. Job Description / Summary As a Registered Nurse, you can expect: Flexibility for true work-life balance Opportunities for career growth The ability to build trusted nurse-patient relationships Employee-focused wellness and support...
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Nurse (Medical Staff)
3 weeks ago
Hattiesburg, United States GI Alliance Full timeGI Alliance is seeking an experienced RN ASC. Duties of this position include, but are not limited to, the following: Position purpose Responsible for providing professional nursing care for patients including assessment, treatment, care planning, and medical care evaluation by following established standards and practices. Assists physicians and staff in...
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Part-Time Registered Nurse
2 weeks ago
Hattiesburg, United States LHC Group Full timeSummary We are hiring for a Part-Time Registered Nurse (RN). At MS HomeCare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. You can find a home for your career...
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Part-Time Registered Nurse
4 weeks ago
Hattiesburg, United States LHC Group Full timeSummary We are hiring for a Part-Time Registered Nurse (RN). At MS HomeCare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. You can find a home for your career...
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Love At First Sight cleaner Petal location
1 week ago
Hattiesburg, United States Animal Medical Center Full timeBenefits: 401(k) Dental insurance Employee discounts Health insurance Paid time off Vision insurance "At Petal Animal Clinic, we strive for excellence in pet healthcare, while exceeding our client's expectations in a Christ-Centered environment" Petal Animal Clinic is seeking an outgoing, highly motivated Love at First Sight team member with exceptional...
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Neonatal-Perinatal Medicine Physician
23 hours ago
Hattiesburg, United States Doc Cafe Full timeDocCafe has an immediate opening for the following position: Physician - Neonatal-Perinatal Medicine in Hattiesburg, Mississippi. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ---------------- Register now to apply for this job and for access to 120,000+ other openings. DocCafe Offers: * Free...
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Sleep Medicine Physician
20 hours ago
Hattiesburg, United States Doc Cafe Full timeDocCafe has an immediate opening for the following position: Physician - Sleep Medicine in Hattiesburg, Mississippi. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ---------------- Register now to apply for this job and for access to 120,000+ other openings. DocCafe Offers: * Free Physician and...
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Outpatient Coder
1 week ago
Hattiesburg, United States Hattiesburg Clinic Full timePOSITION SUMMARY: The Outpatient Coder works under general supervision to complete charge documents for inpatient/outpatient services. The Certified Professional Coder, LPN, or RN is responsible for reviewing a patient's medical records after a visit and translating the information into codes that payors use to process claims from patients. The Outpatient...
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Registered Nurse
3 weeks ago
Hattiesburg, United States Hattiesburg Clinic Full timeJOB SUMMARY: Provides planned, skilled nursing care for patients in the preoperative, postoperative, and intraoperative periods. Provides assessment, patient surveillance, and timely administration of physician's orders to prepare patients for procedures. Provides continuous patient surveillance for early recognition and immediate emergency treatment of...
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Registered Nurse
4 weeks ago
Hattiesburg, United States Hattiesburg Clinic Full timeJOB SUMMARY: Provides planned, skilled nursing care for patients in the preoperative, postoperative, and intraoperative periods. Provides assessment, patient surveillance, and timely administration of physician's orders to prepare patients for procedures. Provides continuous patient surveillance for early recognition and immediate emergency treatment of...
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Registered Nurse
3 weeks ago
Hattiesburg, United States Hattiesburg Clinic Full timeJOB SUMMARY: Provides planned, skilled nursing care for patients in the preoperative, postoperative, and intraoperative periods. Provides assessment, patient surveillance, and timely administration of physician's orders to prepare patients for procedures. Provides continuous patient surveillance for early recognition and immediate emergency treatment of...
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Behavioral Specialist
3 days ago
Hattiesburg, United States Sevita Careers Full timeREM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join...
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Behavioral Specialist
4 days ago
Hattiesburg, United States Sevita Careers Full timeREM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join...
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Urology Physician
6 months ago
Hattiesburg, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Urology in Hattiesburg, Mississippi.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician and Advanced...
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Cardiology-Interventional Physician
6 months ago
Hattiesburg, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Cardiology-Interventional in Hattiesburg, Mississippi.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician...
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Hospitalist Physician
1 month ago
Hattiesburg, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Hospitalist in Hattiesburg, Mississippi.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician and Advanced...
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Registered Nurse, Pre-Op/PACU
2 months ago
Hattiesburg, United States Hattiesburg Clinic Full timePOSITION SUMMARY: Responsible for assessing, planning, implementing, and evaluating nursing care of patients undergoing surgical intervention, pain injections, and diagnostic procedures. The R.N. is directly responsible to the PACU Assistant Director of Nursing. The R.N. provides assessment, patient surveillance and timely administration of physicians orders...
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Anesthesiology Physician
3 weeks ago
Hattiesburg, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Anesthesiology in Hattiesburg, Mississippi.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician and Advanced...
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Cardiology-Interventional Physician
1 week ago
Hattiesburg, United States Doc Cafe Full timeDocCafe has an immediate opening for the following position: Physician - Cardiology-Interventional in Hattiesburg, Mississippi.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician...
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Registered Nurse
4 weeks ago
Hattiesburg, United States Hattiesburg Clinic Full timePOSITION SUMMARY: The Ambulatory Surgery Center-Endoscopy Staff RN is responsible for assessing, planning, implementing and evaluating nursing care of patients undergoing surgical intervention. The Registered Nurse provides planned, skilled nursing care for patients in the critical preoperative and postoperative periods. The RN provides assessment, patient...