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Weekend Case Management Processor Jobs in Mississippi

... process of care delivery for selected case managed patients or populations. * The Case Manager ... Commission for Case Management Certification or American Nurse Credentialing Center. * The ...

... process of care delivery for selected case managed patients or populations. * The Case Manager ... Commission for Case Management Certification or American Nurse Credentialing Center. * The ...

RN Case Manager

Jackson, MS · On-site

$2.2K - $2.3K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Jackson ... process, offering meaningful opportunities, clear guidance, and long-term partnership. From our ...

Showing results 41-60

Weekend Case Management Processor information

What is the difference between Weekend Case Management Processor vs Weekend Medical Coder?

AspectWeekend Case Management ProcessorWeekend Medical Coder
CredentialsTypically requires case management or healthcare certificationsRequires coding certifications like CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, or case management agenciesHospitals, clinics, or medical billing companies
Employer & IndustryHealthcare and insurance industriesMedical billing and coding industry
Search & Comparison IntentUnderstanding roles in healthcare case managementComparing healthcare coding roles

The Weekend Case Management Processor focuses on coordinating patient care and managing cases, often requiring case management certifications. In contrast, a Weekend Medical Coder specializes in translating medical records into billing codes, requiring coding certifications. Both roles operate in healthcare settings but serve different functions within the industry.

What cities in Mississippi are hiring for Weekend Case Management Processor jobs?

Cities in Mississippi with the most Weekend Case Management Processor job openings:

RN-Case Manage-Behavioral Health

Baptist Memorial Health Care Corporation

Jackson, MS • On-site

Full-time

Re-posted 19 days ago


Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 114 frontline employees who took The Breakroom Quiz

306th of 891 rated healthcare providers


Job description


Job Summary
Case Managers will apply systems, science, incentives, and information to improve healthcare practice and assist patients and their support systems to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively. The case manager's objective is to achieve an optimal level of wellness for patients and improve coordination of care while providing cost effective, non-duplicative services. Performs all other duties as assigned.
Responsibilities
  • Assess and document the clinical, psychosocial and financial needs of patients including availability of care support, risk for readmission and safe environment upon discharge/transition and payor benefits. Findings are collected by interviewing patients, caregivers and members of the interdisciplinary team. Aspects of this assessment obtained from the patient record or previous case manager assessment are validated, updated and influence the plan of care. Assess and document the patient's care management and potential discharge needs. 20 %
  • Apply InterQual to determine/validate Level of Service and Intensity of Care. Utilize InterQual criteria within the first 24 hours of arrival to complete an initial review. Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. Coordinate with bed control to attain proper placement. Perform concurrent reviews of medical records to ensure continued appropriateness and make recommendations based on the needs of the patient. Escalate and facilitate resolution of unjustifiable aspects of care that vary from InterQual guidelines. 20 %
  • With the physician, identify the plan of care, estimated length of stay and transition/discharge plan. Meet with patients and families to engage them in the plan and obtain agreement. Incorporate all processes and procedures into the plan to ensure safe discharge/transition. Coordinate with physician and nurse to make plan adjustments as patient condition indicates. Use best practices and available pathways to anticipate the course of care through discharge/transition. Incorporate ancillary services as needed. Work in collaboration with social work for complex postacute placement and community service resources. 20 %
  • In coordination with nursing, ancillary departments, social work, and the physician, monitor and ensure the treatment plan and steps to prepare for transition or discharge are completed as planned, gaps in care are avoided as well as duplicative or unnecessary services. 10 %
  • Ensure that patients are discharged/transitioned timely and appropriately and that variances from the plan or target discharge/transition date are documented. 10 %
  • Escalate concerns and barriers to appropriate treatment or transition as outlined by the department. 10 %
  • Maintain a working knowledge of facilities and resources available to patients and caregivers. 10 %

Specifications
Experience
Minimum Required
  • 3 years Healthcare/Medical-Acute Care Required.

Preferred/Desired
  • Healthcare/Medical-Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred.

Education
Minimum Required
  • Graduate of School of Nursing-Accredited Required.

Preferred/Desired
  • Bachelor's Degree Nursing Preferred, or Bachelor's Degree Allied Health Preferred.

Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
  • Must be able to work with acutely & chronically ill patients of all ages and their caregivers. Must have excellent interpersonal communication, multi-tasking, prioritizing & organizational skills. Demonstrated ability to work effectively with teams in a collaborative manner and escalate issues appropriately. Ability to work weekends and flexible hours per the department staffing plan.

Preferred/Desired
Licensure
Minimum Required
  • License/Certification/Registries (valid for the State of MS): Registered Nurse (RN) by the State Board of Nursing Required.

Preferred/Desired
  • Certification by the Case Management Society of America Preferred, or Equivalent Certification Preferred.

What Baptist Memorial Health Care employees say

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About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US