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)
Preferred Care At Absecon is currently looking for experienced Nurses to join our team of healthcare professionals.
**SIGN UP BONUS!! $5,000**
Salary $62,000 - $75,000
Preferred Care At Absecon is Located In Absecon, NJ
We have Full Time, Part Time and Per Diem Nurse positions available
7am-3PM 3pm-11pm & 11pm-7am shifts
Professional Development for Staff Nurse
We understand that you want to succeed not only as a person but also as a professional.
At Preferred Care At Absecon, we believe in providing our associates with growth opportunities through career advancement to help you reach your maximum potential.
Benefits for Qualified Associates Our competitive benefits package for Staff Nurse
Health Insurance
Dental Insurance
Continuous professional and clinical training
Competitive Pay and a nice benefit package
Experience required
Job Type: Full-time