LPN / RN - SCC GENERAL SURGERY

South-Central-Regional-Medical-Center; Laurel (MS); On-site; USD 42,000 - 64,000; Full time

Job summary

South Central Regional Medical Center in Laurel, MS, seeks a Licensed Practical Nurse (LPN) or Registered Nurse (RN) for the SCC General Surgery team. The role delivers patient care, manages authorization processes for advanced imaging, procedures and surgeries, and partners with insurance to appeal and reverse denials.

Strong coordination between patients, providers, and facilities is essential. The ideal candidate is a graduate of an accredited nursing program, holds a Mississippi LPN or RN

Qualifications

• Graduate of an accredited nursing program.
• Current unrestricted LPN or RN license in Mississippi.
• BLS certification required.
• Minimum of three years of clinical nursing experience.

Responsibilities

• Deliver patient care within the general surgery team.
• Manage authorization processes for imaging, procedures and surgeries.
• Perform peer-to-peer reviews with insurance to appeal denials.
• Coordinate between patients, providers and external facilities.
• Maintain accurate documentation in the EMR.
• Educate patients regarding conditions, procedures and recovery expectations.
• Assist providers with wound care and other office procedures.
• Adhere to HIPAA regulations and clinic policies.

Skills

Clinical nursing

Patient communication

Advocacy for patients

Education

LPN or RN license (Mississippi)

BLS certification

Accredited nursing program degree

Tools

EMR systems

Prior authorization platforms

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

LPN / RN - SCC GENERAL SURGERY

Full Time Professionals Laurel, MS, US

12 days ago Requisition ID: 2038

Job Title

Licensed Practical Nurse (LPN) / Registered Nurse (RN)

Department

SCC General Surgery

Full Time/PRN

Full Time

Job Summary

The LPN/RN is a critical member of the general surgery team, responsible for delivering patient care, managing authorization processes for advanced imaging, procedures, and surgeries, and performing peer-to-peer reviews with insurance companies to appeal and reverse denials. This role ensures seamless coordination between patients, providers, and external facilities while upholding high standards of nursing care.

Minimum Qualifications

• Graduate of an accredited nursing program.
• Current unrestricted LPN or RN license in Mississippi.
• BLS certification required .
• Minimum of three years of clinical nursing experience.

Preferred Qualifications

• Previousexperience with prior authorizations, appeals, and peer-to-peer reviews strongly preferred.
• Obtain andsubmitprior authorizations for surgeries and advanced imaging studies including MRIs and CT scans.
• Perform peer-to-peer reviews with insurance companies to appeal and reverse denials.
• Maintainaccuratedocumentation of authorization requests, approvals, and appeals in the EMR.
• Perform patient assessments including vital signs and pain evaluations.
• Educate patientsregardingconditions, procedures, and recovery expectations.
• Assistproviders with wound care, suture removal, and other office procedures.
• Serve as a liaison between patients, providers, insurance companies, and external facilities.
• Maintain organized records of authorizations, appeals, and approvals for compliance and reporting purposes.
• Adhere to clinic policies, infection control standards, and HIPAA regulations.
• Maintain current certifications andparticipatein ongoing education.

Professional Responsibilities

• Demonstrate strong organizational and time management skills.
• Communicate effectively with patients, providers, and insurance representatives.
• Advocate for patients during authorization andappealsprocesses.
• Utilize EMR systems and prior authorization platforms effectively.
• Maintain compliance with organizational policies and regulatory requirements.

Physical Requirements

• Occasional lifting of medical equipment or supplies up to 25 pounds.
• Ability to multitask in a fast-paced clinical environment.
• Frequent standing, walking, patient interaction, and computer use.

All candidates must be able to perform the essential functions of this position. The Americans with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position.

South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.