Staff Nurse - RN, Sr. - Medical Management leads the coordination between care providers and plan members with the goal of maximizing member benefits while managing costs. Oversees the assessment of medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and ensures compliance with established guidelines. Being a Staff Nurse - RN, Sr. - 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, Sr. - Medical Management applies the medical and reimbursement policies within the claim adjudication process. Typically requires a bachelor's degree in Nursing. Typically reports to a manager. Requires RN license. To be a Staff Nurse - RN, Sr. - Medical Management typically requires more than 5 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
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Category: TRAVEL
Location: Phoenix, AZ
Position: RN PCU
Shift: Days/Nights Available
Duration: 13 weeks
Weekly Gross: $ 2616 (based on 36 hours)
Weekly gross $ 3,680 (Based on 48 hours)
Referral Bonus from $500 up to $2000!!
Submission Requirements Reminders(Disregard if completed)
https://rnstaff.com/skills-checklists/
Ann Dizon
Account Manager
317 328 2866
ann@rnstaff.com