Nurse Case Manager II

Job Description

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Nurse Case Manager II

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Nurse Case Manager II

Salary

$55,741.31 - $86,206.45 Annually

Location

25 - HINDS COUNTY, MS

Job Type

Full-Time

Job Number

9181-0665-20260806HI

Department

0665 - MEDICAID DIVISION

Opening Date

08/07/2026

Closing Date

8/14/2026 11:59 PM Central

Agency Minimum Salary

$55,741.31

Agency Maximum Salary

$86,206.45

Preferred Qualifications

Typically requires state licensure as a Registered Nurse and 5+ years of experience.

About the Agency

The Mississippi Division of Medicaid responsibly provides access to quality health coverage for vulnerable Mississippians. Medicaid provides health coverage for eligible, low-income populations in Mississippi. These populations include children, low-income families, pregnant women, the aged and disabled.

About the Position

This is a non-state service time limited position. The Nurse Case Manager II is responsible for performing program compliance functions for assigned Medicaid program areas. This position is responsible for conducting provider audits in accordance with EPSDT and FPW requirements and ensuring accurate documentation and timely communication with providers based on the audit findings. The Nurse Case Manager II will coordinate with appropriate program areas to support program integrity activities and complete the required reporting and training. The Nurse Case Manager II will work independently, exercise professional judgment, and collaborate with team members and supervisors to meet program deadlines and compliance standards. This position is ideal for an individual seeking a case management position, while maintaining an open line of communication with healthcare providers and their support staff.

What you'll need to be Successful

The candidate for this position should have a functional working knowledge of each of the following: Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) guidelines, Family Planning Waiver (FPW), Medicaid policy, and provider reimbursement requirements. Strong analytical and organizational skills with attention to detail are desired to ensure success in interpreting audit guidelines, coverage policies, and claims data. Advanced written and verbal communication skills are required, as well as proficiency in Microsoft Office products and electronic document management systems. The candidate should be a self-starter and possess the ability to work independently, manage multiple priorities and projects simultaneously, and maintain a personal time management system that ensures deadlines are being set and achieved appropriately.

Description

Benefits

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Health/Prescription InsuranceEligible employees have the opportunity to participate in the state's health and prescription insurance program. Employees may select either single or family coverage with affordable co-payments. More detail can be found at Know Your Benefits. Wellness BenefitsEmployees are eligible for a wellness and health promotion program. This plan provides annual benefits for certain services with first-dollar coverage with no deductible. Life InsuranceAll eligible employees receive an a