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)
Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together.
__________________________________________RNStaff is looking for USRNs looking for a permanent contract in the State of Maryland. International RNs looking for sponsorship program are very welcome.
See Job Description:
Responsibilities:
Certifications -
AHA ACLS - Advanced Cardiac Life Support Certificate
AHA PALS - Pediatric Advanced Life Support Certificate
Education - Required
Experience - Required
Licenses - Required
Referral Bonus from $250 up to $2000!!
Submission Requirements Reminders(Disregard if completed)
https://rnstaff.com/skills-checklists/
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Ann Dizon
Account Manager
317 328 2866
ann@rnstaff.com
7345 Woodland Dr, Indianapolis, IN 46278
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0 Staff Nurse - RN - Medical Management jobs found in Virginia Beach, VA area