- Act as liaison between healthcare providers, nurse facilities, hospitals, patients and insurance companies to ensure consistent and cost-effective care
- Evaluate patient's plan of care and make recommendations about care alternatives that will aid in the quality of care for patients while keeping costs low
- Educate patients and caregivers about preventative healthcare, such as regular doctor's visits and vaccinations, as well as disease management
- Thoroughly and accurately ensure compliance with ACO and insurances requirements/specifications for annual wellness visits
- Identify members with chronic conditions and / or gaps in care that can be positively impacted, as it relates to quality and care costs
- Collaborate with the appropriate individuals to offer ideas and solutions to refine and improve existing practices that will enhance patient outcomes
- Distribute educational information to patients and educate patients on preventive measures
- Ensure that proactive measures for wellness visits are achieved
- Ensure follow up so that patients attend needed appointments to address gaps in care
- Ensure that all needed measures are ordered and appropriately addressed by providers at each visit
- Identify gap opportunities for all visits not just wellness visits
- Closely assess a patient's emotional, physical, and psychological state in order to ensure they receive timely interventions and quality care
- Encourage regular doctor visits and staying up to date on vaccinations to help patients maintain their health and to reduce medical costs
- Assess the care plans of patients and make recommendations to ensure efficacy and cost-effectiveness
- Graduate of an accredited school of nursing
- Current Mississippi Board of Nursing License
- Current CPR Basic Life Support (BLS) through American Heart Association
- Demonstrate knowledge and skills in the administration of their duties in addition to performing phlebotomy
- Basic knowledge of clinical operations
- Demonstrates skills in written and oral communication
- Ability to comprehend and perform duties with minimal supervision
- Ability to prioritize work and accept constructive criticism
- Ability to prepare reports and follow-up as necessary
- Must continuously listen, visualize and have dexterity and eye-hand coordination
- Must have full range of body motion
- Must frequently sit, reach, use both right and left forearm rotation, walk, stand, kneel and twist
- Continuously listen, visualize, and have dexterity and eye-hand coordination
- Frequently sit, squat, reach, use both right and left forearm rotation, walk and stand
- Occasionally kneel, twist, have ability to grasp firmly, lift and carry, push and pull in excess of 10 lbs.
-
Nurse Care Manager
2 hours ago
Privia Health Forest, United StatesJob Description · Job DescriptionCompany Description · Privia HealthTM is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward do ...
-
LPN - Managed Care
3 weeks ago
Southeast Mississippi Rural Health Initiative Hattiesburg, United StatesJob Summary: · Under the direction of the Value Based Coordinator, the LPN - Managed Care, role is to provide clinical expertise for specific complex and/or rising risk patient populations with a design to meet specific contractual and program related requirements. Ensures excell ...
-
Stellar Enterprises Forest, United StatesOn behalf of our client, a hospital specializing in comprehensive care, we are currently seeking a · Chief Physician for Pediatrics and Adolescent Medicine (m/f/d) · in the greater Göttingen area. · The offer: · Attractive leadership position as Chief Physician (m/f/d) in a Lev ...
-
Chronic Care Manager
3 weeks ago
South Central Health System Laurel, United StatesPrimary Responsibilities: · Chronic Care Management · Working with patients through telephone communication to achieve health goals set by their providers. · Reviewing care plans with patients via telephone communication. · Chart reviews and reconciliation. · Assist patients ...
-
Sapphire Innovations Arnold Line, United StatesAt the Facharztklinik Hamburg, more than 80 independent specialist doctors from various fields are dedicated to the well-being of patients and treat around 7,000 patients annually. From the initial consultation in the practice to the surgery in the clinic and follow-up care in th ...
-
Dental Anesthesiologist
2 weeks ago
Sunnybrook Dentistry & Braces - a Benevis company Hattiesburg, United States contract*Please note: this position is located in Hattiesburg, MS. · Overview: · Join Benevis: A Leader in Compassionate Dental Care · We are Benevis, a health service organization with a heart, focused on delivering quality, affordable dental care in underserved communities. Our team ...
-
Assistant Manager
1 week ago
Loves Travel Stops & Country Store Hattiesburg, United States Full timeReq ID: 433432 · Do you want to "Fuel Your Career"? Do you have experience in Quick Service, Fast Food, or Full Service Restaurant management? Do you have a proven track record of successful restaurant operations, delivering quality product in a safe working environment, providin ...
-
Remote Medical Doctor
3 weeks ago
IMADS Health Services LLC Forest, United States Full timeJob description · Job Overview: · We are seeking a skilled and compassionate Physician to join our medical team. As a Physician, you will be responsible for providing comprehensive medical care to patients, diagnosing and treating illnesses, and promoting overall health and welln ...
-
LPN Peds Private Duty
2 weeks ago
LHC Group Forrest City, United StatesWe are hiring for a Pediatric Private Duty LPN (licensed practical nurse) in the Forrest City area to work private home care. · Case Specific Enhanced Pay Rates are available with 8-12 shifts · Sunday-Wednesday 6p-6a night shifts available. · We offer FT/PT hours, flexible sch ...
-
The Cigna Group Hattiesburg, United States Full timePrimary Function: · Coordinate and manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ensure all customers in participating provider practices meet all quality metrics ...
-
Home Infusion Nurse
1 week ago
Texas Nursing Services Hattiesburg, United States Part time to Full time Home Infusion Nurse - Part-Time - Hattiesburg, MS · Location: Hattiesburg, MS 39401 · Salary: $40-50/hr · Elevate Healthcare in Hattiesburg: Join our team in Hattiesburg, MS, as a Home Infusion Nurse, where you'll provide exceptional in-home infusion care, enhancing patient e ...
-
Travel Nurse
2 days ago
Epic Travel Staffing Forrest City, United StatesEpic Travel Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Forrest City, AR. Shift: 3x12 hr days Start Date: 06/17/2024 Duration: 13 weeks Pay: $ / Week Job Opportunities · This is a travel Nurse - ICU assignment in ...
-
Travel Nurse
3 days ago
Triage Forrest City, United StatesTriage is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Forrest City, AR. Shift: Inquire Start Date: 07/01/2024 Duration: 13 weeks Pay: $ / Week Travel ICU RN | Forrest City, AR · Travel Nursing: Intensive Care Unit Forrest Cit ...
-
Respiratory Therapist FT- Day Shift
2 weeks ago
Merit Health Wesley Hattiesburg, United States Full timeJob Details · Description · As a Respiratory Therapist, at Merit Health Wesley, you'll play a vital role in doing what you do best-providing quality care to our patients · About the Job: · The Respiratory Therapist is responsible for the administration of pharmacological, dia ...
-
RN - MED SURG/ORTHO Days
4 weeks ago
Merit Health Wesley Hattiesburg, United States Full timeJob Details · Description · As a Registered Nurse at Merit Health Wesley, you'll play a vital role in doing what you do best - providing quality care to our patients. Our nurses enjoy a robust benefits package including health insurance, flexible scheduling, 100% licensure/cert ...
-
RN Peds Private Duty PRN
2 weeks ago
LHC Group Forrest City, United StatesWe are hiring for a Pediatric Private Duty Registered Nurse in the Forrest City area and surrounding to provide home care. · PRN day and night shifts available. · Case Specific Enhanced Pay Rates are available with 8-12 shifts. · We offer FT/PT hours, flexible schedules, and we ...
-
General Manager
4 weeks ago
Chicken Salad Chick Hattiesburg, United States Full timeMain Responsibilities of a General Manager: · ● Responsible for every aspect of everyday supervision of store outlets · ● Responsible for resources management · ● Takes care of stock, staff, and sales management · General Manager Job Description: · We are looking for an experienc ...
-
Front Desk Coordinator
5 days ago
The Joint Corp. Hattiesburg, United States FTFront Desk Coordinator - Hattiesburg, MS · Hattiesburg, MS Full Time Are you looking for a company you can grow your career with and advance in? · Are you goal oriented, self-motivated & proactive by nature? · Do you have a passion for health and wellness and love sales? · If y ...
-
Registered Nurse Hospice
2 days ago
LHC Group Hattiesburg, United States Full timeWe are hiring for an RN Case Manager in Hospice · At Heart of Hospice, 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 serv ...
-
Clinic Office Assistant
3 weeks ago
Merit Health Wesley Hattiesburg, United States Full timeJob Details · Description · Interacts with the patient to ensure that the check-in and check-out is carried out efficiently. Answers questions about the facility's policies and services. Makes advance appointments and handles special requests. Issues invoices and collects fees. ...
LPN - Managed Care - Hattiesburg, United States - Southeast Mississippi Rural Health Initiative Inc
Description
Job Description
Job DescriptionJob Summary:
Under the direction of the Value Based Coordinator, the LPN - Managed Care, role is to provide clinical expertise for specific complex and/or rising risk patient populations with a design to meet specific contractual and program related requirements. Ensures excellence with transitions of care to achieve optimal clinical outcomes through a seamless model of access and care. Focuses on improving the health status and care for individuals with chronic conditions with complex medical, mental health and psychosocial issues. The LPN - Managed Care demonstrates knowledge and skills to appropriately communicate and interact with staff, patients, families and visitors of all age groups while being sensitive to their cultural and religious beliefs.
Job Responsibilities:
Job Requirements:
Physical and Other Requirements: