Care Coordinator, RN
Company: Blue Cross & Blue Shield of Mississippi
Location: Flowood
Posted on: March 17, 2026
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Job Description:
Job Description The Care Management Coordinator is responsible
for working with the provider and member for the management of
members with care coordination of health care needs. The Care
Management Coordinator is accountable for providing clinical
support to members by facilitating an appropriate Plan of Care for
optimal health outcomes and facilitating the provider and member
relationship for quality and cost-effective care. The Care
Management Coordinator is responsible for working with the Provider
and supporting the member with discharge planning, education,
coordination of care needs and ensuring desired outcomes are
achieved. The Care Management Coordinator is responsible for using
established criteria to determine if inpatient admissions,
outpatient services or home services are medically necessary. The
Care Management Coordinator follows member cases through the review
process determining medical necessity of continuation of services
and the appropriateness of the treatment setting. The Care
Management Coordinator is responsible for identification of
high-risk members and those that meet criteria for referral to
Quality Management. Qualifications Bachelor’s degree in Nursing and
RN licensure that is unrestricted in the state of Mississippi
required. Master degree in Nursing preferred. Minimum two years of
clinical experience required. Background in Utilization Review in
the health care field is preferred. Excellent clinical thinking
skills required. Excellent oral/written communication skills are
required. Must have excellent organizational skills in order to
successfully prioritize tasks and to ensure deadlines and
benchmarks are consistently met. Must be able to work a flexible
schedule when required. Must have above average PC skills and
intermediate knowledge of Microsoft Office. Blue Cross & Blue
Shield of Mississippi is an Equal Opportunity Employer. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability or protected veteran
status. We offer a comprehensive benefits package that is worth
approximately one-third of the salary compensation. Our benefits
program is among the best in the health care field. We are looking
for employees who can bring their experience, expertise and
dedication to work for our customers.
Keywords: Blue Cross & Blue Shield of Mississippi, Hattiesburg , Care Coordinator, RN, Healthcare , Flowood, Mississippi
