Staff Nurse - RN, Sr. - Medical Management jobs in Iowa
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)
Recently Added Staff Nurse - RN, Sr. - Medical Management jobs
- Staff Nurse - Medical Surgical Float RN (CRU 4) Nights - Jobs@UIOWA Careers
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Iowa, IA
FULL_TIME
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Qualified candidates with a minimum of two years of experience are eligible for a sign-on bonus up to $12,500
The University of Iowa Hospitals and Clinics Department of Nursing is seeking a Clinical Resource Float Staff Nurse (RN) to work weekend nights for the Medical Surgical Services (MSS) division. CRU Team 4 areas include the following units: Adult Acute Care, Transplant and General Surgery, Neurology, Orthopedics, General Medicine, Hematology/Oncology & Urology, Adult Bone Morrow Transplant, Medical Observation, Short Stay Recovery, and Medical Psychiatry.
Percent of Time: 60% (24 hours/week)
Schedule: Saturday/Sunday Nights, 2300 - 0730Location: CRU Team 4 (Medical Surgical Services Division) UIHC Main Campus
Rotations: Rotating holidays
Benefits Highlights:
- Regular salaried position located in Iowa City, Iowa
- Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans. For more details click here
- Hear what our staff nurses are saying about our division here
- For more information about Why Iowa?, click here
Education Required
- An Associate’s Degree in Nursing, a Diploma in Nursing, a Baccalaureate Degree in Nursing, Professional Masters of Nursing and Healthcare Practice (MNHP), MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA) is required
Experience Required
- Excellent written and verbal communication skills are required
- Demonstrates excellent interpersonal skills with patients/families, nursing staff, and interdisciplinary team members as demonstrated through written and verbal interactions
- General computer skills are required, including proficiency in managing multiple databases including Microsoft Excel
- Current license to practice nursing in Iowa is required by date of hire
Desirable Qualifications:
- Baccalaureate Degree in Nursing is highly desired
- If Baccalaureate degree in Nursing is not yet obtained, active enrollment in a BSN program is desirable
- A minimum of 2 years of inpatient nursing experience, preferably within the last 5 years, is highly desired.
A resume is required as part of the application process. This posting is for multiple openings and will be posted for 14calendar days. At the end of the 14-day posting period, candidates may reapply to be considered for additional openings. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. For questions or additional information, please contact Kyle Fountain at kyle-fountain@uiowa.edu
This position is not eligible for University sponsorship for employment authorization.
Additional InformationCompensationContact Information - 1 Month Ago
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