Nurse Case Manager II

ms.gov - Mississippi's Official State Website; Jackson (MS); On-site; USD 56,000 - 86,000; Full time

Job summary

The Nurse Case Manager II position within the Mississippi Division of Medicaid is a full-time, time-limited role (14 positions) responsible for conducting provider audits and supporting program integrity activities.

Based in Jackson, MS, the role requires strong analytical and organizational skills, with advanced written and verbal communication abilities, and proficiency in Microsoft Office and electronic document management systems.

Qualifications

• Strong analytical and organizational skills with attention to detail.
• Advanced written and verbal communication skills are required.
• Proficiency in Microsoft Office and electronic document management systems.

Responsibilities

• Conduct provider audits in accordance with Administrative Code guidelines to ensure accurate documentation.
• Coordinate with program areas to support integrity activities and complete reporting and training.
• Work independently, exercise professional judgment, and meet deadlines with compliance standards.

Skills

Analytical thinking

Organizational skills

Verbal & written communication

Education

RN licensure

Tools

Microsoft Office

Electronic document management systems

Job description

Nurse Case Manager II

Full-Time

Job Number

9181-0665-20260916HDS

0665 - MEDICAID DIVISION

Opening Date

09/17/2026

9/24/2026 11:59 PM Central

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

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