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)
Courtland Rehabilitation And Healthcare Center, located in Courtland, VA, is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who are valued and appreciated.
Benefits:
NOW HIRING:
(RNs) Registered Nurses: FT
Day Shift 7am to 3 pm
Evening Shift 3pm to 11pm
Night Shift 11pm to 7am
Summary/Objective:
In keeping with our organization’s goal of improving the lives of the Resident’s we serve, the RN provides supervision of staff and safeguards the health, safety, and welfare of all Residents under their care by following applicable laws, regulations, and established nursing policies and procedures.
Qualifications:
Please feel free to learn more about us at:
https://yadhealth.com/
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0 Staff Nurse - RN - Medical Management jobs found in Newport News, VA area