Staff Nurse - RN - Medical Management jobs in California

Staff Nurse - RN - Medical Management coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Being a Staff Nurse - RN - Medical Management assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Additionally, Staff Nurse - RN - Medical Management typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. To be a Staff Nurse - RN - Medical Management typically requires 3-5 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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Critical Care Transport Nurse (CCT-RN)
  • RN
  • Santa Ana, CA PART_TIME,FULL_TIME,PER_DIEM


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  • 22 Days Ago

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Travel Nurse RN - Case Management - $1,838 per week
  • Health Carousel - Travel RN
  • San Pedro, CA FULL_TIME
  • Health Carousel - Travel RN is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart D...
  • 1 Month Ago

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RN ICU at CA pay up to $3446/wk
  • RN Staff
  • Keswick, CA FULL_TIME
  • Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. General Details an...
  • 21 Days Ago

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RN ICU in CA pay up to $3780/wk
  • RN Staff
  • Keswick, CA FULL_TIME
  • Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. General Details an...
  • 22 Days Ago

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RN MS/ER in CA pay up to $3552/wk
  • RN Staff
  • Alturas, CA FULL_TIME
  • Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. General Details an...
  • 1 Day Ago

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RN Tele at Cali pay up to $2840/wk
  • RN Staff
  • San Dimas, CA FULL_TIME
  • Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. General Details an...
  • 3 Days Ago

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Staff Nurse
  • Arista Healthcare
  • Naperville, IL
  • Arista Healthcare - Staff Nurse WITH ROOM TO GROW Interest on our part is to have a nurse who performs care with a smile...
  • 3/28/2024 12:00:00 AM

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Staff Nurse
  • Long term care
  • Waukegan, IL
  • Long term care - Are you looking for a rewarding career in Nursing? We are currently searching for RNs and LPNs to join ...
  • 3/28/2024 12:00:00 AM

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Staff Nurse
  • Healix
  • Atlanta, GA
  • As an Infusion Nurse, you will have the opportunity to provide clinical services in an infectious disease, gastroenterol...
  • 3/28/2024 12:00:00 AM

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Staff Nurse
  • University Health System- San Antonio
  • San Antonio, TX
  • Join an elite team of nurses whose expertise and compassionate care have earned Magnet status by the American Nurses Cre...
  • 3/28/2024 12:00:00 AM

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Staff Nurse
  • Diamond Preventive Care, Inc.
  • El Monte, CA
  • Job Description Job Description We are seeking a Staff Nurse to join our team! You will be responsible for the assessmen...
  • 3/27/2024 12:00:00 AM

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STAFF NURSE
  • Healix Infusion Therapy
  • Wexford, PA
  • Job Details Job Location A003 - Wexford, PA Description Healix Infusion Care is seeking a Registered Full Time Staff Nur...
  • 3/27/2024 12:00:00 AM

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Staff Nurse
  • The Brooklyn Hospital Center
  • Brooklyn, NY
  • * Graduate from an accredited School of Nursing * Bachelor's Degree in Nursing from an accredited colleges or universiti...
  • 3/27/2024 12:00:00 AM

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STAFF NURSE
  • City of New York
  • New York, NY
  • Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medic...
  • 3/26/2024 12:00:00 AM

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$91,255 to $106,746