Nurse Case Manager II

State of Mississippi; Jackson (MS); On-site; USD 56,000 - 86,000; Full time

Job summary

State of Mississippi's Medicaid Division seeks a Nurse Case Manager II to conduct provider audits in Hinds County, MS. This full-time role supports program integrity with independent judgment and collaboration.

Responsibilities include reviewing documentation, coordinating with program areas, and producing required reports and training materials. Applicants should have RN licensure and strong analytical, communication, and Microsoft Office skills.

Qualifications

• State licensure as a Registered Nurse is typically required.
• 5+ years of experience preferred, especially in reviewing medical records.
• Strong analytical and organizational skills with attention to detail.

Responsibilities

• Conduct provider audits per Administrative Code guidelines.
• Coordinate with program areas to support integrity activities and reporting.
• Work independently and meet deadlines with compliance standards.

Skills

Analytical skills

Organizational skills

Written and verbal communication

Time management

Microsoft Office proficiency

Education

Registered Nurse licensure

Tools

Electronic document management systems

Job description

Nurse Case Manager II in 25 - HINDS COUNTY, MS

State of Mississippi

$55,741.31 - $86,206.45 Annually

Location

25 - HINDS COUNTY, MS

Full-Time

Job Number

9181-0665-20260916HDS

0665 - MEDICAID DIVISION

Opening Date

09/17/2026

9/24/2026 at 11:59 PM Central Time (US & Canada)

Agency Minimum Salary

$55,741.31

$86,206.45

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.

This Time-Limited (14) position is responsible for conducting provider audits in accordance with guidelines outlined in the Administrative Code to ensure accurate documentation. 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 utilization review position while maintaining an open line of communication with healthcare providers and their support staff.

What you'll need to be Successful

This position requires strong analytical and organizational skills, with attention to detail are desired to ensure success in interpreting State, Federal, and Administrative Code 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.

Preferred Qualifications

Typically requires state licensure as a Registered Nurse and 5+ years of experience. - Hiring Agency Prefers: Experience in reviewing medical records is preferred but not required.

Address 210 East Capitol Street
Suite 800
Jackson, Mississippi, 39201