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Per Diem Nurse Case Manager

2 months ago

Tupelo, Mississippi, United States North Mississippi Health Services Full time
Job Title: Per Diem Nurse Case Manager

North Mississippi Health Services is seeking a skilled Per Diem Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the best possible outcomes for our patients.

Job Summary:

The Per Diem Nurse Case Manager will be responsible for coordinating patient care, monitoring individual cases, and ensuring that patients meet established criteria for continued stay. This role requires strong clinical expertise, effective communication skills, and the ability to work collaboratively with healthcare professionals.

Key Responsibilities:
  • Monitor individual cases in relation to established criteria, LOS, and patient care guidelines
  • Assure patient is meeting level of care criteria and issue denial of care letters as necessary
  • Intervene as indicated to promote timely provision of care and utilization of resources
  • Serve as a resource for physicians and nurses in understanding criteria for continued stay and medical necessity
  • Monitor patient outcomes to evaluate clinical and financial effectiveness
  • Reconcile services rendered with patient benefits and communicate with physicians and 3rd party payers to ensure appropriate reimbursement
Requirements:
  • Currently licensed in Alabama as a Registered Nurse and in good standing with the State Board of Nursing
  • Minimum of 5 years of experience with a broad base of clinical expertise
  • Ability to read and interpret medical record documentation
  • Ability to operate a PC
  • Good organizational skills and high level of self-initiative
  • Effective verbal and written communication skills
  • Maintains current ACLS and BLS certifications
About North Mississippi Health Services:

We are a leading healthcare provider in North Mississippi, dedicated to delivering high-quality patient care and exceptional service. Our team of over 7,000 healthcare professionals is committed to making a positive impact in our community.

We offer a variety of career opportunities in a supportive and innovative work environment. If you are a motivated and compassionate healthcare professional looking for a new challenge, we encourage you to apply for this exciting opportunity.