- Healthfirst (MS)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- Baptist Memorial (Meridian, MS)
- … management , medical necessity reviews, verification of authorization, resource utilization , and denial prevention. Job Responsibilities + Completes and enters ... Required: RN with 3 years of clinical experience Preferred/Desired: RN with Case Management or Utilization Review experience in a hospital or payer setting… more
- Baptist Memorial (Jackson, MS)
- …24 hours of arrival to complete an initial review. Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. ... + 3 years Healthcare/Medical-Acute Care Required. Preferred/Desired + Healthcare/Medical-Case Manager Preferred, or Healthcare/Medical - Utilization Review… more
- Highmark Health (Jackson, MS)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective ** utilization management ** strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Cushman & Wakefield (Jackson, MS)
- **Job Title** Spatial Data Manager **Job Description Summary** The role of the Spatial Data Manager (SDM) will be responsible for day-to-day functionality of the ... client's Space Management tool including data integrity of CAD floor plans,...CAFM administration, space and occupancy data analytics and space utilization measurement. * Ensure compliance of client space data… more
- Vontier (Jackson, MS)
- …reps, buyers, product managers, and finance teams. + Collaborate with mobile Regional Manager for effective DM resource utilization and productivity. + Plan ... and WHAT YOU WILL DO (Job Responsibilities)** The Regional Business Development Manager will be responsible for driving Technical Education and Commercial sales… more
- Baptist Memorial (Southaven, MS)
- …safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer ... and/or life situation. Performs other duties as assigned. Responsibilities + Utilization Review + Discharge planning + Readmission Reduction Participation + Payer… more
- DMS International (Gulfport, MS)
- Data Management Services, Inc. (dba: DMS International) is a professional services firm headquartered in Silver Spring, Maryland, with work locations throughout the ... to our customer's mission DMS is currently seeking a Logistics and Facilities Manager . The Logistics and Facilities Manager will supervise contractor personnel… more
- Prime Therapeutics (Jackson, MS)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician… more
- SOL Engineering, LLC (Jackson, MS)
- …and program managers. Our hands-on project implementation approach integrates management , quality, and engineering principles to ensure effective delivery of ... is seeking to fill a critical position with an experienced, professional Engineering Manager who will be located at our Memphis, Tennessee, Huntsville, Alabama OR… more