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)
FULL TIME AND PART TIME NURSES (prorated) on our 3P-11P shifts!
Sub-Acute Rehab Unit AVAILABILITY!
RN/LPN SALARY: Earn up to $44/hour!
Ledgewood Rehabilitation and Healthcare Center is now hiring RNs and LPNs to join our skilled nursing team on our Sub Acute Unit and/or Long-Term Care Units! We are seeking passionate and caring nursing professionals to join our skilled nursing facility in Beverly, MA known as Ledgewood Rehabilitation and Healthcare Center. Join our team! NEW GRADS ARE WELCOMED AND ENCOURAGED TO APPLY - We have a great training program!
Benefits for RN/LPN:
Requirements for RN/LPN:
Job Duties for RN/LPN:
Ledgewood Place truly appreciates our dedicated RNs and LPNs who will welcome you to our extended family!
INDHP
0 Staff Nurse - RN - Medical Management jobs found in Salem, NH area