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)
PeopleFirst RN Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Saranac Lake, New York.
PeopleFirst RN Staffing Job ID # Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
At PeopleFirst RN, we make it personal to provide nurses to facilities as though those nurses are taking care of our own loved ones
If you want a company that "sees you", "hears you", and "understands you", PeopleFirst RN is your company for your next travel career choice. We understand the importance of your role in the field of healthcare and are specialized in our dedication to you, our nurse travelers.
PeopleFirst RN is dedicated to connecting and supporting the people and organizations who take care of our health every day. We work hard to match you with the right opportunity to fit your lifestyle and career goals. Your needs are our top priority. We know career choices are some of the most important decisions you will make in your life.
Our team is dedicated to providing you with the best experience possible. You will have direct access to a personal recruiter that will give you that individualized attention you deserve and will help you get to where you want to be.
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Burlington, VT area