• Care Manager - Behavioral…

    Molina Healthcare (Biloxi, MS)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... management. * Promotes integration of services for members including behavioral health care and long term services...managed care settings. * Field-based case management or home health experience. * Certified Case Manager (CCM)… more
    Molina Healthcare (06/04/25)
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  • RN Manager for Behavioral…

    Community Health Systems (Jackson, MS)
    …situations + Knowledgeable about services available to patients. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... and disability insurance and more **Job Summary** Assisting the Behavioral Health (BH) Director in planning, supervising...Degree required + Bachelor's Degree Graduate of an accredited registered nurse program preferred + Master's Degree… more
    Community Health Systems (05/13/25)
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  • Care Manager - Registered…

    CVS Health (Jackson, MS)
    …And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special Needs Plan (SNP) ... for members who often face multiple chronic medical and behavioral health conditions, as well as various...skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
    CVS Health (06/27/25)
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  • Care Manager RN (Delaware)

    Highmark Health (Jackson, MS)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource… more
    Highmark Health (07/08/25)
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  • Complex Case Manager RN - Oncology…

    Highmark Health (Jackson, MS)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... identifying various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical,… more
    Highmark Health (07/15/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Jackson, MS)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of ... appropriateness of health care services, application of criteria to ensure appropriate...industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… more
    Highmark Health (07/12/25)
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  • Care Manager Specialist

    CVS Health (Jackson, MS)
    …needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other ... Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health + Experience conducting health -related assessments… more
    CVS Health (07/13/25)
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  • Care Manager , Bilingual Spanish/English

    Healthfirst (MS)
    …including child welfare and/or medically fragile/developmentally disabled populations + For Behavioral Health (BH) Care Management: + NYS RN or + LCSW, LMSW, ... **Minimum Qualifications:** + For Medical Care Management: + NYS RN or + LCSW or LMSW (any state) +...state) + 3 years of work experience in a mental/ behavioral health or addictions setting + For… more
    Healthfirst (07/15/25)
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  • Disease Management Nurse - Remote

    Sharecare (Jackson, MS)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager … more
    Sharecare (07/12/25)
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  • Patient Health Advocate

    Somatus (Greenwood, MS)
    …+ Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals. + Establish positive, ... the clinical care team, specifically under the guidance of RN Care Manager and act as an...Preferred + Experience working with patients with chronic and behavioral health needs. + Demonstrated success in… more
    Somatus (07/17/25)
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