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)
This award-winning Denver Area health system is actively interviewing RN Staff Nurses to join its Inpatient Medical Surgical department. You’ll work with a fantastic group of nurses and tenured leaders in a trusted member of the community.
This hospital, well-known for its dedication and long service to the communities of the Denver Area, has established multiple Centers of Excellence and has been recognized for high-quality patient care. The Medical Surgical RN will join an outstanding nursing program, and a non-profit hospital that’s become a staple in the community over its 50 years. Centered around its most acute services is a full host of community health services including Primary Care, a great Family Birthing Center, Oncology Care, and a highly-rated Orthopedics program.
Reporting to the Manager of MedSurg and Inpatient Services, the Medical Surgical Staff RN will work alongside an experienced and tenured team of nurses, providers, and technicians that specialize in providing care for patients in all stages of recovery. You’ll work with CMSRN Bedside Nurses, amazing unit-based Nurse Educators, and Clinical Coordinators to ensure every patient receives the compassionate care they need.
This multi-specialty Medical Surgical Unit has had an astounding track record of delivering the highest quality. The Staff RN will take direct clinical patient care role in this award winning 16-bed Med/Surg unit, and you’ll get to work with an outstanding staff. Clinical support will be provided by Hospitalists and Providers who are staffed around the clock to offer Medical, Telemetry, Orthopedics, Neurology, and Post-Surgical Care.
The RN Medical Surgical Staff Nurse will play an important part in the day-to-day clinical and patient operations of this unit. This person will take responsibility for patient assessment and history review, working with the physician and family to develop a clear path of care. Working under unit leadership, and in close collaboration with attending physicians, the Nurse will help formulate a care plan and execute on that plan. This person will get the opportunity to grow their skills through developing efficiency upgrades and operational improvements, and they’ll get to lead projects to execute on those visions.
Not far from millions of acres of National Forests, designated wilderness areas, and snow-capped mountain peaks, the background for this medical center couldn’t be more beautiful. When you’re not working, the Medical Surgical Staff Nurse can spend free time fishing, boating, and playing in many Alpine lakes and valley reservoirs. Hundreds of miles of breathtaking hiking trails and adrenaline rushing biking trails wait around every bend in the road. All of these activities, along with one of the country’s best cost of living ratios, amazing public schools, and an authentic community make this a great place for family.
The Medical Surgical Staff RN will play a direct role in supporting the organization’s growth a development plans by supporting outpatient operations. You’ll get to work with internal partners from across the organization on a wide range of improvement projects and programs. For your hard work, you’ll receive a competitive compensation, a generous benefits package, and a hefty sign-on bonus!
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0 Staff Nurse - RN - Medical Management jobs found in Jefferson, CO area