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)
Summit Medical Staffing Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Lander, Wisconsin.
Interested? Call/text Meemee Tuff with Summit Medical at About Summit Medical Staffing Nursing Our mission at Summit Medical Staffing is, quite simply, to provide all employees with an experience that matches their own personal and professional goals.
Through 25 years of staffing experience, the founders of the organization have come to realize that your personal experience must be tailored to each individual and to avoid the cookie cutter framework that most organizations have put into place.
Summit Medical Staffing is truly about you.Clear All
0 Staff Nurse - RN - Medical Management jobs found in Carson City, NV area