Case Manager RN - Case Management (Full Time, Days)
FMOLHSJackson, Mississippi, United States
Posted October 16, 2025
Full Time
About the Company
FMOLHS innovates healthcare access and quality as a nonprofit Catholic system through hospitals, clinics and community partnerships across Louisiana and Mississippi.
Job Description
The Case Manager RN directs the utilization review of patient charts and treatment plans, focusing on quality of care and treatment criteria. They evaluate information regarding benefits, discharges, and financial resources to identify opportunities for optimization and prevent denials. The role involves working collaboratively with physicians, third parties, and other team members to ensure appropriate patient care and financial outcomes.
Requirements
- Evaluation and Analysis
- Understanding of Outside Referral Sources
- Collaboration and Partnership
- Quality & Discharge Planning
- Performance and Professional Development