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Professional Response Agency,LLC
Hattiesburg, MS, United States
Job Title: Licensed Practical Nurse (LPN) - Exciting Opportunities in Columbia, MS! Location: Columbia, MS Hours: Flexible Scheduling Starting Pay: $32/hr About Us: Professional Response Agency is expanding its team of dedicated healthcare professionals, and we're looking for passionate Licensed Practical Nurses (LPNs) to join us in providing excep
Job Source: Professional Response Agency,LLCThe Claiborne at Hattiesburg
Hattiesburg, MS, United States
Claiborne Senior Living has an immediate opening for a Licensed Practical Nurse 12 hour shifts and is offering competitive pay with great benefits. Claiborne Senior Living offers double time on holidays, advancement opportunities and employee rewards and referral programs where you can earn up to $1,000 per employee referral and $2,000 per resident
Job Source: The Claiborne at HattiesburgSoutheast Mississippi Rural Health Initiative
New Augusta, MS, United States
SEMRHI is a network of Community Health Centers serving the medical needs of Rural Southeast Mississippi for almost 45 years. We are looking for an LPN for our New Augusta location. Job Summary : The LPN is responsible for assisting the Provider in direct patient care. Demonstrates knowledge and skills to appropriately communicate and interact
Job Source: Southeast Mississippi Rural Health InitiativeAlden Pointe
Hattiesburg, MS, United States
We're not a business, we're a family. Schonberg Care takes great pride in the local, personalized, all-hands-on-deck environment we cultivated in the 14 retirement communities we own and operate throughout Louisiana, Mississippi, and South Carolina. We're proud of the culture we've cultivated, and are always seeking qualified, compassionate indivi
Job Source: Alden PointeFC Compassus LLC
Hattiesburg, MS, United States
Company: Compassus At Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling , a supportive family-focused culture and first-class compensation and benefits. Your posit
Job Source: FC Compassus LLCABOUT YOU SITTING SERVICE
Hattiesburg, MS, United States
Daily Pay Available through ZayZoon! Are you a compassionate and dedicated Licensed Practical Nurse (LPN) seeking an opportunity to make a significant impact in the lives of others? About You In Home Care is currently seeking an LPN to provide high-quality nursing services in a supportive and collaborative environment. Role Overview: As an LPN
Job Source: ABOUT YOU SITTING SERVICECommunity Health Systems
Hattiesburg
**Description** Administers nursing care in an outpatient facility or clinic under the supervision of a registered nurse. Participates in the delivery and evaluation of patient care. Ensures the health, comfort and safety of patients. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works under general su
Job Source: Community Health SystemsPrime Time Healthcare
Hattiesburg
Prime Time Healthcare is a nationwide leader in staffing Allied Health Professionals, RN Travel Nurses, Travel CNAs, and Travel LPNs. With access to thousands of Hospitals and community facilities across the country, our mission is to deliver travel staffing solutions in line with our core values of Transparency, Positivity, Integrity, Service, Res
Job Source: Prime Time HealthcareHattiesburg, MS, United States
The LPN under general direction performs concurrent and retrospective reviews on all specified patients relative to the prospective payment system, Medicaid system, private review, and other hospital case mix applications. Assesses for medical necessity by screening available information against established levels of care screening criteria. Performs concurrent and retrospective review utilizing screen criteria such as McKesson Level of care criteria and MCG Guidelines Consults with attending physician and UM physician advisor regarding cases that are not meeting medical necessity for admission and continued stay and those meeting discharge criteria. Monitors observation cases daily according to the outlined procedure. Ensures timely reviews and notification to insurance payers. Compiles the clinical information needed to process prior authorization and continued stay requests and then documents in the electronic medical record. Reviews and documents relative information received via fax or telephone from payers in the electronic medical record such as DRG, reference number, LOS, next review dataset. Consistently follow-up on all pending authorization. Demonstrate the ability to obtain working diagnoses and procedure codes and a working DRG as needed. Develops and collects data, and trends related to utilization of health care resources. Follows all thirty party payer's guidelines related to cultivation review. Monitors assigned cases for correct insurance, coordination of benefits, change in status, etc. Reviews outpatient procedures for compliance with the APC "Inpatient Only" listing. Collaborates with Case Manager(s) on an ongoing basis. Knowledgeable of payer's specific utilization program.
Functions as the central liaison between patient finance services, registration department, physician office's staff, review agencies, and other healthcare professionals affected by concurrent review, DRG assignment, and the certification process. Records, reports and assists with all denials and appeals on assigned group of patients. Consistently document cases denied, and then follow-up with physician adagio and denial coordinator. Assists with scheduling peer to peer review. Demonstrates a working knowledge of IC-10 coding. Demonstrates knowledge and skills to appropriately communicate and interact with the patients, families, and visitors of all age groups while being sensitive to their cultural and religious beliefs.
Performance Expectations:
Accomplishes work in ways that maximize productivity.
Responds positively to and have to aptitude to deal with multiple task.
Demonstrate the ability to manage daily workload.
Adheres to various regulatory guidelines.
Demonstrate the ability to learn and follow various regulatory guidelines.
Qualifications:
Education/Skills
Graduate of an accredited licensed practical nursing program. Must have successfully completed at least 770 clinical practice hours for LPN program. These hours are exclusive of laboratory hours.
Certification/Licensure-DUE UPON HIRE Licensed LPN able to practice within the State of MS
Mental Demands:
Exceptional oral and written skills are required to relate effectively to hospital staff, physicians, physician's office staff, and review agencies. The individual must have the ability to type and be familiar with the rules of spelling, grammar and punctuation. The individual must have the ability to use a copier, telephone, and personal computer. Workable knowledge of DNV standards and other regulatory systems are essential. Workable knowledge of correct coding procedures, InterQual Level of Care criteria, Milliman Care Guidelines (MCG), Perspective Payment System and medical terminology is necessary. The individual must have a high energy level and be capable of handling pressure situations both mentally and physically.
Email Alert for U M NURSE-LPN jobs in Hattiesburg, MS, United States
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