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)
Health Carousel - Travel RN is seeking a travel nurse RN Long Term Care for a travel nursing job in Irene, South Dakota.
Job Description & RequirementsHealth Carousel - Travel RN Job ID #JO Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About Health Carousel - Travel RNHealth Carousel is a healthcare staffing brand dedicated to providing excellent travel assignments for healthcare professionals. We work closely with medical and care facilities across the United States to fill vacant positions with highly talented medical staff in places that make a difference.
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