- Bachelor's degree in Nursing and RN licensure that is unrestricted in the state of Mississippi required. Master degree in Nursing preferred.
- Minimum two years of clinical experience required.
- Background in Utilization Review in the health care field is preferred.
- Excellent clinical thinking skills required.
- Excellent oral/written communication skills are required.
- Must have excellent organizational skills in order to successfully prioritize tasks and to ensure deadlines and benchmarks are consistently met.
- Must be able to work a flexible schedule when required.
- Must have above average PC skills and intermediate knowledge of Microsoft Office.
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Segue Health-- Faith Based Medical Practice · Segue Health, a faith based medical practice, is seeking a compassionate Care Coordinator to join our team serving patients in the DeSoto county and surrounding areas coordinating post discharge transitional care management. This posi ...
Sothaven, Mississippi, , United States10 hours ago
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Description · Job Summary · Coordinates interdepartmental activities for Quality Management and Point of Care laboratory testing by monitoring staff training, competencies, and compliance with applicable regulatory agencies. Staff is also responsible for recommending and evaluati ...
Southaven, MS, United States10 hours ago
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*Overview · Job Summary* · Coordinates interdepartmental activities for Quality Management and Point of Care laboratory testing by monitoring staff training, competencies, and compliance with applicable regulatory agencies. Staff is also responsible for recommending and evaluatin ...
Southaven, MS $51,000 - $72,000 (USD) per year2 weeks ago
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Job ID: 30315 · Job Category: Laboratory & Pathology · Work Type: Full Time · Work Schedule: Days · Department: Pathology · Facility: BMH Desoto Hospital · Location: Southaven, MS · Overview · Job Summary · Coordinates interdepartmental activities for Quality Management and Point ...
Southaven1 week ago
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We are seeking a compassionate Care Coordinator to join our team serving patients in the DeSoto county and surrounding areas coordinating post discharge transitional care management. · ...
Southaven, MS3 weeks ago
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Care Coordinator to join our team serving patients in the DeSoto county and surrounding areas coordinating post discharge transitional care management. · Working with referring facility to generate list of patients eligible for TCM services · Visiting referrals while in the facil ...
Southaven $45,000 - $55,000 (USD) Full time1 month ago
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+Job summary++Assessing clients on intake as needed, conducting community client visitation, transporting clients, completing on-call duties · , Providing Clarvida approved therapeutic services to clients and families including but not limited to: coping skills · , Serving as a l ...
Memphis, TN2 months ago
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Job Overview · We are seeking a detail-oriented and organized person to join our medical office team as we are currently expanding our clerical staff. The Patient Care Coordinator serves as the first point of contact for patients and will play a crucial role in managing imaging a ...
Southaven, MS15 hours ago
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IMMEDIATE SUPERVISOR: This position will report to the Addiction Services Program Coordinator. · GENERAL FUNCTION: The Alliance Healthcare Services Enhanced Outpatient Program (EOP) provides comprehensive team-based services for clients with substance use and/or co-occurring diso ...
Memphis $48,000 - $85,000 (USD) per year Full time1 week ago
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This position provides care coordination services to improve health outcomes for vulnerable populations under the supervision of the CHANT program leadership team. · Provides care coordination services in accordance with CHANT/CSS guidelines, grant requirements, and mandates for ...
Memphis Full time1 month ago
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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. · ...
AR, United States $17.84 - $28.02 (USD) Full time1 month ago
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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...
AR, United States $17.84 - $28.02 (USD) Full time1 week ago
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IMMEDIATE SUPERVISOR: This position will report to the Addiction Services Program Coordinator. · GENERAL FUNCTION: The Alliance Healthcare Services Enhanced Outpatient Program (EOP) provides comprehensive team-based services for clients with substance use and/or co-occurring diso ...
Memphis, TN, US $48,000 - $85,000 (USD) per year10 hours ago
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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...
AR, United States $17.84 - $28.02 (USD) Full time1 week ago
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· GENERAL FUNCTION: · Care Coordinator(s) who, as part of a care team, act as the primary point of contact for member and family relationships. All care coordinators shall have, at minimum, a bachelor's degree, or an RN and be licensed to practice in Tennessee;The person occupy ...
Broad, Memphis, TN, US $48,000 - $85,000 (USD) per year10 hours ago
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+Care coordinators work as part of a care team and are the primary point of contact for member and family relationships. They provide direct and indirect services to clients enrolled in Health Link, participate in outreach education activities, and assume other responsibilities d ...
Memphis Full time1 month ago
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This position is funded by a grant to provide care coordination services to vulnerable populations including pregnant women and children under 21 who are eligible for or enrolled in TennCare. The Care Coordinator works under the supervision of the CHANT program leadership team an ...
Memphis, TN1 month ago
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The Customer Service Coordinator serves as the first point of contact for patients and visitors. This role involves administrative and customer service tasks to ensure a smooth clinic experience. · Verifies insurance and communicates with carriers for reimbursement purposes.Maint ...
Southaven3 weeks ago
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The Alliance Acute Outpatient Program (AOP) provides mental health services for clients with acute presenting concerns, substance use disorders and have frequent crisis involvement. · The Assertive Community Treatment (ACT) team provides non-traditional community based mental hea ...
Memphis Full time1 month ago
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If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One · We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a cen ...
Methodist University Hospital $42,000 - $78,000 (USD) per year10 hours ago
Care Coordinator, RN - Southaven - Blue Cross & Blue Shield of Mississippi
Description
The Care Management Coordinator is responsible for working with the provider and member for the management of members with care coordination of health care needs. The Care Management Coordinator is accountable for providing clinical support to members by facilitating an appropriate Plan of Care for optimal health outcomes and facilitating the provider and member relationship for quality and cost-effective care. The Care Management Coordinator is responsible for working with the Provider and supporting the member with discharge planning, education, coordination of care needs and ensuring desired outcomes are achieved. The Care Management Coordinator is responsible for using established criteria to determine if inpatient admissions, outpatient services or home services are medically necessary. The Care Management Coordinator follows member cases through the review process determining medical necessity of continuation of services and the appropriateness of the treatment setting. The Care Management Coordinator is responsible for identification of high-risk members and those that meet criteria for referral to Quality Management.
Qualifications
Blue Cross & Blue Shield of Mississippi is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
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Care Coordinator-- Baptist DeSoto
Only for registered members Sothaven, Mississippi, , United States
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Coordinator-Quality Point Of Care
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Coordinator-Quality Point Of Care
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Coordinator-Quality Point Of Care
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Care Coordinator-- Baptist DeSoto
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Care Coordinator-- Baptist DeSoto
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Care Coordinator II
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Care Coordinator II
Full time Only for registered members AR, United States
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Care Coordinator
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Care Coordinator II
Full time Only for registered members AR, United States
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Care Coordinator
Only for registered members Broad, Memphis, TN, US
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Care Coordinator
Full time Only for registered members Memphis
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Care Coordinator
Only for registered members Memphis, TN
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Customer Service Coordinator II- Desoto Primary Care
Only for registered members Southaven
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ACT Care Coordinator
Full time Only for registered members Memphis
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Patient Care Coordinator
Only for registered members Methodist University Hospital
