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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 physicians, nurses, and other healthcare professionals.

Responsibilities:
  • Monitor individual cases in relation to established criteria, LOS, and patient care guidelines
  • Assure patients meet 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:

At North Mississippi Health Services, we believe in connecting you to a career that challenges you, engages your mind, and inspires you to be the best version of yourself. We celebrate your unique talents, perspectives, and passions and connect you with others to create a supportive and innovative team that aspires and achieves together.

We're committed to helping our team of over 7,000 unique individuals discover what connects you to our mission, vision, and ultimate 'why' – our patients.