Per Diem Nurse Case Manager

5 days 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:

We are looking for a highly motivated and experienced RN Case Manager to work on a per diem basis. The successful candidate will be responsible for coordinating patient care, managing resources, and promoting timely provision of care.

Key Responsibilities:
  • Monitor individual cases to ensure compliance with 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:

We are a healthcare organization dedicated to providing high-quality patient care and promoting a supportive and innovative work environment. Our team of over 7,000 individuals is committed to helping our patients achieve their best possible outcomes.

We offer a variety of career opportunities in seven hospitals, over 60 clinics, four long-term care facilities, state-of-the-art women's and behavioral health facilities, and multiple outpatient care centers.



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