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)
NOW HIRING (RN) STAFF DEVELOPMENT/WOUND NURSE
Share your #RN talent! Complete Care at Harrington Court is looking to hire an (RN) Staff Development/Wound Nurse to join their wonderful team!
Complete Care at Harrington Court is a pillar in the community of Colchester, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Now hiring: (RN) Staff Development/Wound Nurse.
Complete Care at Harrington Court
59 Harrington Court
Colchester, CT 06415
860-537-2339
Why work for us?
· You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily.
· You will develop deep personal relationships with patients and their families.
· We are committed to your growth and success- that is why we offer excellent orientation, training, and development programs.
· Receive a competitive salary and benefits package.
Now Hiring: (RN) Staff Development/Wound Nurse
Job Type: Full-time with On-call rotation
Shift Type: First
Responsibilities of an (RN) Staff Development/Wound Nurse:
Qualifications of an (RN) Staff Development/Wound Nurse:
Benefits:
License:
NOW HIRING: (RN) Staff Development/Wound Nurse
Complete Care at Harrington Court is an equal opportunity employer.
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