LPN / RN - SCC GENERAL SURGERY

Scrmc; Mississippi; On-site; USD 55,000 - 75,000; Full time

Job summary

South Central Regional Medical Center in Laurel, MS, is seeking a Licensed Practical Nurse (LPN) / Registered Nurse (RN) to join the SCC General Surgery team. The role centers on delivering high-quality patient care and coordinating authorizations for imaging, procedures, and surgeries.

You will perform peer-to-peer reviews with insurers to appeal and reverse denials, while ensuring seamless communication among patients, providers, and external facilities.

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 as part of the general surgery team.
• Manage authorization processes for advanced imaging, procedures, and surgeries.
• Perform peer-to-peer reviews with insurance companies to appeal and reverse denials.
• Coordinate between patients, providers, and external facilities to ensure smooth workflow.
• Maintain accurate documentation of authorizations, approvals, and appeals in the EMR.

Skills

BLS certification

Clinical nursing experience

Education

Mississippi LPN or RN license

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

Job Title

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

Department

SCC General Surgery

Contract Type

Full Time/PRN

Work Location

Full Time Professionals Laurel, MS, US

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.