Utilizes clinical diagnostics, physician documentation and non-physician clinical guidelines to facilitate status determination of inpatient, outpatient or outpatient observation.
Coordinates final status with admitting and attending physicians
Performs initial and concurrent clinical reviews as indicated by payer and patient clinical needs
Inpatient and/or outpatient notification and precertification of services to payers
Facilitates peer to peer, written reconsiderations or appeals throughout all denial cycle as appropriate
Facilitates appropriate observation utilization
Consults with patient financial services Educations:
Provides education and literature to physician services regarding IPPS and OPPS
Educates physicians and other care team member on level of care criteria and other third party payer requirements Reporting/Recordkeeping:
Updates patient’s medical records as required
Shares medical necessity documentation with payers to facilitate reimbursement Regulation :
Adheres to NMHS/NMMC Policies/Procedures/Guidelines
Complies with applicable Local/State/Federal policies/procedures/guideline/regulations/laws/statues Requirements:
Associates Degree in Nursing, required; Bachelor’s Degree preferred
Licensed as a Registered Nurse by the Mississippi Board of Nursing; required
Minimum of 5 years clinical and/or healthcare experience; required
Excellent organizational and communication (written and verbal) skills; required
Knowledge of various payer sources, federal/state laws/regulations, and cost containment; required
Certified as an Accredited Case Manager (ACM); desirable
Excellent interpersonal skills; required
Demonstrates ability to care for a patient population from pediatric to geriatric; required
Job Summary The Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. Clinical Practice JOB FUNCTIONS Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees. Communication: Maintains communication with multidisciplinary team members to provide holistic care to the patient. Attends daily huddles on each unit to ensure proper assignments and identify team members for the shift. Customer Relations: Projects caring, friendly and helpful image to patients and other customers. Utilized the patient’s communication board (white board) to identify name, date, goals, other staff and procedures or test for the day to keep the patients and families informed. Complies by the NMHS behavioral standards. Self-Development: Maintains competency by staying informed of changing trends in the nursing practice. Attends annual review and unit specifics within the department. Performs required continuing education hours online and in classroom. Regulatory Knowledge: Complies with regulatory and accrediting agency requirements. Licensed by the board of Nursing for the state. Qualifications Education Associate's Degree Registred Nurse. Required Other (Experience) Complete RN Orientation and approved unit specific checklist requirements. Required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Cardiopulmonary Resuscitation (CPR) ACLS PALS - Pediatric Advanced Life Support NIH - National Institute of Health Stroke Scale Certification Work Experience Knowledge Skills and Abilities Must maintain department requirements for continuing education and any specific unit requirements to provide appropriate age specific care Must have effective communication and teaching skills General knowledge of various regulatory and accrediting standards Prioritizes/delegates/evaluates work assignments Anticipates resources needed Assimilates data and reports appropriately Orients new employees to the unit and reports progress to charge nurse or nurse manager The incumbent has routine contact with physicians, ancillary personnel, other nursing personnel, patients, family, visitors. The incumbent must demonstrate effective interpersonal skills to all customers/co-workers, and in all aspects of patient care and job performance Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Standing . Constantly Walking . Constantly Sitting . Occassionally Lifting/Carrying . Frequently 50 lbs Pushing/Pulling . Frequently Climbing . Occassionally Balancing . Occassionally Stooping/Kneeling/Bending . Occassionally Reaching/Over Head Work . Occassionally Grasping . Frequently Speaking . Constantly Hearing . Constantly Repetitive Motions . Constantly Eye/Hand/Foot Coordinations . Frequently Benefits A****vailable Continuing Education 403B Retirement Plan with Employer Match Contributions Pet, Identity Theft and Legal Services Insurance Wellness Programs and Incentives Referral Bonuses Employee Assistance Program Medical Benefits Dental Benefits Vision Benefits License + Certification Reimbursement Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance Employee Discount Program Other: Early Access to Earned Wages Tuition Assistance Relocation Assistance Paid Time Away Special Employee Rates at NMMC Wellness Centers
Job Summary The Registered Nurse - Clinic at North Mississippi Health Services (NMMC-Tupelo) is responsible for providing high-quality patient care. They handle patient scheduling, medication administration, nursing procedures, and patient education. The role also involves acting as a liaison between physicians, patients, families, and other office staff, and triaging walk-in patients and telephone calls. The nurse must possess good communication skills, problem-solving abilities, and the capability to handle stressful situations while delivering quality care to patients of various age groups. Patient Care JOB FUNCTIONS Provide nursing care to facilitate high quality patient care; scheduling patients; calling in medication refills; administering medications; working up patients; providing skilled nursing procedures; screening lab/test results; assisting physician/nurse practitioner with patients. Case Management: Provide case management to patients seen at North MS Medical Clinics. Liaison: Act as a liaison between physician, patient, families and other office staff. Actively promote a patient-focused approach to care delivery. Triage: Triage walk-in patients and telephone calls. Documentation: Responsible for maintaining written or computer record of patient care events performed by the incumbent (e.g.: medications, treatments, procedures). Education: Initiate, perform, and develop education materials. Provide and document patient teaching. Qualifications Education Associate's Degree Nursing. Required Bachelor's Degree Nursing. Preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Work Experience 1-3 years Skills Knowledge Skills and Abilities Maintains and enhances knowledge and skills in current technology and practice to provide care to infants, pediatrics, adolescents, adults, and geriatrics This position has primary accountability for planning, organizing, implementing, and evaluating the patient care process in the clinics. It serves as a role model of professional nursing practice. The incumbent has contact with patients, family members, physicians, nurse practitioners, and various other clinic staff. It is essential that the incumbent have good communication skills in order to reflect a knowledgeable, positive, caring attitude when asking or answering questions related to patient care procedures. The incumbent also promotes teamwork by maintaining effective working relationships with staff members based on professional communication, mutual respect and support of corporate, departmental, and clinic goals. Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Standing . Constantly Walking . Constantly Sitting . Occassionally Lifting/Carrying . Frequently 50 lbs Pushing/Pulling . Frequently Climbing . Occassionally Balancing . Occassionally Stooping/Kneeling/Bending . Occassionally Reaching/Over Head Work . Occassionally Grasping . Frequently Speaking . Constantly Hearing . Constantly Repetitive Motions . Constantly Eye/Hand/Foot Coordinations . Frequently Benefits A****vailable Continuing Education 403B Retirement Plan with Employer Match Contributions Pet, Identity Theft and Legal Services Insurance Wellness Programs and Incentives Referral Bonuses Employee Assistance Program Medical Benefits Dental Benefits Vision Benefits License + Certification Reimbursement Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance Employee Discount Program Other: Early Access to Earned Wages Tuition Assistance Relocation Assistance Paid Time Away Special Employee Rates at NMMC Wellness Centers
Job Summary The Registered Nurse at North Mississippi Health Services Systems is responsible for providing safe, quality patient care using the nursing process, maintaining effective communication with the multidisciplinary team, and ensuring compliance with regulatory requirements. The role requires leadership skills in prioritizing, delegating, and evaluating work assignments, as well as effective problem-solving abilities to respond to changing patient needs. Clinical Practice JOB FUNCTIONS Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees. Communication: Maintains communication with multidisciplinary team members to provide holistic care to the patient. Attends daily huddles on each unit to ensure proper assignments and identify team members for the shift. Customer Relations: Projects caring, friendly and helpful image to patients and other customers. Utilized the patient’s communication board (white board) to identify name, date, goals, other staff and procedures or test for the day to keep the patients and families informed. Complies by the NMHS behavioral standards. Self-Development: Maintains competency by staying informed of changing trends in the nursing practice. Attends annual review and unit specifics within the department. Performs required continuing education hours online and in classroom. Regulatory Knowledge: Complies with regulatory and accrediting agency requirements. Licensed by the board of Nursing for the state. Qualifications Education Associate's Degree Registred Nurse. Required Other (Experience) Complete RN Orientation and approved unit specific checklist requirements. Required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Cardiopulmonary Resuscitation (CPR) ACLS PALS - Pediatric Advanced Life Support NIH - National Institute of Health Stroke Scale Certification Work Experience Knowledge Skills and Abilities Must maintain department requirements for continuing education and any specific unit requirements to provide appropriate age specific care Must have effective communication and teaching skills General knowledge of various regulatory and accrediting standards Prioritizes/delegates/evaluates work assignments Anticipates resources needed Assimilates data and reports appropriately Orients new employees to the unit and reports progress to charge nurse or nurse manager The incumbent has routine contact with physicians, ancillary personnel, other nursing personnel, patients, family, visitors. The incumbent must demonstrate effective interpersonal skills to all customers/co-workers, and in all aspects of patient care and job performance Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Standing . Constantly Walking . Constantly Sitting . Occassionally Lifting/Carrying . Frequently 50 lbs Pushing/Pulling . Frequently Climbing . Occassionally Balancing . Occassionally Stooping/Kneeling/Bending . Occassionally Reaching/Over Head Work . Occassionally Grasping . Frequently Speaking . Constantly Hearing . Constantly Repetitive Motions . Constantly Eye/Hand/Foot Coordinations . Frequently Benefits A****vailable Continuing Education 403B Retirement Plan with Employer Match Contributions Pet, Identity Theft and Legal Services Insurance Wellness Programs and Incentives Referral Bonuses Employee Assistance Program Medical Benefits Dental Benefits Vision Benefits License + Certification Reimbursement Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance Employee Discount Program Other: Early Access to Earned Wages Tuition Assistance Relocation Assistance Paid Time Away Special Employee Rates at NMMC Wellness Centers
Job Summary The Charge Nurse at North Mississippi Health Services is responsible for providing safe, quality patient care through the nursing process, ensuring compliance with policies and regulations, and maintaining effective communication with the multidisciplinary team. The Charge Nurse must also be able to respond to rapidly changing patient needs, handle staffing assignments, and act as a liaison between patients and physicians or case management when necessary. Clinical Practice JOB FUNCTIONS Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Attends the Preceptor class to ensure proper training of new employees. Communication: Maintains communication with multidisciplinary team members to provide holistic care to the patient. Leads daily huddles on each unit to ensure proper assignments and identify team members for the shift. Delegates tasked to be completed during the shift to ensure EOC guidelines are maintained on a daily basis for regulatory agency compliance. Customer Relations: Projects caring, friendly and helpful image to patients and other customers. Utilized the patient’s communication board (white board) to identify name, date, goals, other staff and procedures or test for the day to keep the patients and families informed. Complies by the NMHS behavioral standards. Ensures staff RN’s are utilizing the communication boards. Self-Development: Maintains competency by staying informed of changing trends in the nursing practice. Attends annual review and unit specifics within the department. Performs required continuing education hours online and in classroom. Regulatory Knowledge: Complies with regulatory and accrediting agency requirements. Licensed by the board of Nursing for the state. Qualifications Education Associate's Degree Nursing. Required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure CPR - Cardiac Pulmonary Resuscitation ACLS PALS - Pediatric Advanced Life Support Work Experience Knowledge Skills and Abilities Must complete RN orientation and approved unit specific checklist Must maintain department requirements for continuing education and any specific unit requirements to provide appropriate age specific care; annual review and unit specifics, CARES Must have leadership skill and attend leadership classes as offered by the education department. Lead and participate in the Performance Improvement project of the unit. Must have effective communication and teaching skills General knowledge of various regulatory and accrediting standards Ensures staffing ratios are appropriate throughout the shift based on unit based matrix while maintaining appropriate productivity. Prioritizes/delegates/evaluates work assignments Anticipates resources needed to provide the best quality of care for the patients Assimilates data and reports appropriately to providers when necessary. Implements protocols when necessary by using critical thinking skills. Upon completion of the preceptor class, orients new employees to the unit and reports progress to the nurse manager and/or educator. The charge nurse has routine contact with physicians, ancillary personnel, other nursing personnel, patients, family, visitors. They must demonstrate effective interpersonal skills to all customers/co-workers, and in all aspects of patient care and job performance. He/she will use our NMHS CARES values and behavioral standards in all personal contact situations. Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Standing . Constantly Walking . Constantly Sitting . Occassionally Lifting/Carrying . Frequently 50 lbs Pushing/Pulling . Frequently Climbing . Occassionally Balancing . Occassionally Stooping/Kneeling/Bending . Occassionally Reaching/Over Head Work . Occassionally Grasping . Frequently Speaking . Constantly Hearing . Constantly Repetitive Motions . Constantly Eye/Hand/Foot Coordinations . Frequently Benefits A****vailable Continuing Education 403B Retirement Plan with Employer Match Contributions Pet, Identity Theft and Legal Services Insurance Wellness Programs and Incentives Referral Bonuses Employee Assistance Program Medical Benefits Dental Benefits Vision Benefits License + Certification Reimbursement Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance Employee Discount Program Other: Early Access to Earned Wages Tuition Assistance Relocation Assistance Paid Time Away Special Employee Rates at NMMC Wellness Centers
Job Summary The Graduate Registered Nurse at North Mississippi Health Services is responsible for using the nursing process to provide safe, quality patient care, communicating effectively with the multidisciplinary team, and complying with regulatory requirements. The role requires effective leadership skills, problem-solving abilities, and the ability to respond to rapidly changing patient needs. Clinical Practice JOB FUNCTIONS Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees. Communication: Maintains communication with multidisciplinary team members to provide holistic care to the patient. Attends daily huddles on each unit to ensure proper assignments and identify team members for the shift. Customer Relations: Projects caring, friendly, and helpful image to patients and other customers. Utilizes the patient’s communication board (whiteboard) to identify name, date, goals, other staff, and procedures or tests for the day to keep the patients and families informed. Complies with NMHS behavioral standards. Self-Development: Maintains competency by staying informed of changing trends in the nursing practice. Attends annual review and unit specifics within the department. Performs required continuing education hours online and in classroom. Regulatory Knowledge: Complies with regulatory and accrediting agency requirements. Licensed by the Board of Nursing for the state. Qualifications Education Associate's Degree Nursing. Required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure CPR - Cardiac Pulmonary Resuscitation NIH - National Institute of Health Stroke Scale Certification PALS - Pediatric Advanced Life Support Work Experience Knowledge Skills and Abilities Must maintain department requirements for continuing education and any specific unit requirements to provide appropriate age specific care Must have effective communication and teaching skills General knowledge of various regulatory and accrediting standards Prioritizes/delegates/evaluates work assignments Anticipates resources needed Assimilates data and reports appropriately Orients new employees to the unit and reports progress to charge nurse or nurse manager The incumbent has routine contact with physicians, ancillary personnel, other nursing personnel, patients, family, visitors. The incumbent must demonstrate effective interpersonal skills to all customers/co-workers, and in all aspects of patient care and job performance Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Standing . Constantly Walking . Constantly Sitting . Occassionally Lifting/Carrying . Frequently 50 lbs Pushing/Pulling . Frequently Climbing . Occassionally Balancing . Occassionally Stooping/Kneeling/Bending . Occassionally Reaching/Over Head Work . Occassionally Grasping . Frequently Speaking . Constantly Hearing . Constantly Repetitive Motions . Constantly Eye/Hand/Foot Coordinations . Frequently Benefits A****vailable Continuing Education 403B Retirement Plan with Employer Match Contributions Pet, Identity Theft and Legal Services Insurance Wellness Programs and Incentives Referral Bonuses Employee Assistance Program Medical Benefits Dental Benefits Vision Benefits License + Certification Reimbursement Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance Employee Discount Program Other: Early Access to Earned Wages Tuition Assistance Relocation Assistance Paid Time Away Special Employee Rates at NMMC Wellness Centers
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