Staff Nurse - RN, Sr. - Medical Management jobs in Massachusetts

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)

R
RN- LTC
  • RN Staff
  • Medford, MA CONTRACTOR
  • RESREVED FOR JIYEON LEE
    BR- $72.00; OVRT- $82.00
  • 10 Days Ago

R
RN Community Health
  • RN Staff
  • Pittsfield, MA CONTRACTOR
  • Location: Pittsfield, MA Position: Community Health RN Shift: Days Guaranteed Hours: 40 hrs Duration: 13 weeks Weekly Gross: $ 3,040 (based on 40 hours) Estimated NET: $ 2,804 (based on 40 hours) Misc...
  • 10 Days Ago

L
Sr. Medical Office Nurse (RN)
  • Lahey Medical Center Peabody
  • Peabody, MA FULL_TIME
  • When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Under the sup...
  • 23 Days Ago

B
RN or LPN, Staff Nurse
  • Bane Care Management, LLC
  • Pittsfield, MA FULL_TIME,PART_TIME
  • Flexible Schedules! Offering Full Time, Part Time, and Per Diem Shifts SALARY RANGE: $32 - $44/hour plus differentials! Our facility at Springside is a top-rated state-of-the-art facility that recentl...
  • 19 Days Ago

B
RN/LPN, Staff Nurse
  • Bane Care Management, LLC
  • Randolph, MA FULL_TIME,PART_TIME
  • *NEW PAY RATES - SIGN ON BONUSES BEING OFFERED* RN/LPN SALARY RANGE: Up to $45/hr! BaneCare Management is currently seeking Full Time, Part Time, and Per Diem RN/LPN Staff Nurses across the South Shor...
  • 23 Days Ago

B
Staff Nurse, RN or LPN
  • Bane Care Management, LLC
  • Braintree, MA FULL_TIME,PART_TIME
  • RN SALARY RANGE: $32 - $42 per hour! LPN SALARY RANGE: $30 - $40 per hour! SHIFTS: Full-Time/Part Time ALL Shifts Available John Scott House Rehabilitation and Nursing Center is currently seeking Full...
  • 1 Day Ago

A
Staff Nurse
  • Arista Healthcare
  • Naperville, IL
  • Arista Healthcare - Staff Nurse WITH ROOM TO GROW Interest on our part is to have a nurse who performs care with a smile...
  • 3/28/2024 12:00:00 AM

D
Staff Nurse
  • Diamond Preventive Care, Inc.
  • El Monte, CA
  • Job Description Job Description We are seeking a Staff Nurse to join our team! You will be responsible for the assessmen...
  • 3/27/2024 12:00:00 AM

H
STAFF NURSE
  • Healix Infusion Therapy
  • Wexford, PA
  • Job Details Job Location A003 - Wexford, PA Description Healix Infusion Care is seeking a Registered Full Time Staff Nur...
  • 3/27/2024 12:00:00 AM

T
Staff Nurse
  • The Brooklyn Hospital Center
  • Brooklyn, NY
  • * Graduate from an accredited School of Nursing * Bachelor's Degree in Nursing from an accredited colleges or universiti...
  • 3/27/2024 12:00:00 AM

M
Staff Nurse
  • Manhattanview Healthcare Center
  • Union City, NJ
  • Manhattanview Healthcare Center - Manhattanview Healthcare Center is looking for Staff Nurse.
  • 3/27/2024 12:00:00 AM

C
STAFF NURSE
  • City of New York
  • New York, NY
  • Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medic...
  • 3/26/2024 12:00:00 AM

B
Staff Nurse
  • Berkshire Health Systems
  • Pittsfield, MA
  • DEFINITION/PRIMARY FUNCTIONS Registered Nurse is the designation given to an individual who is licensed to practice prof...
  • 3/26/2024 12:00:00 AM

V
Staff Nurse, OR
  • Valley Ambulatory Surgery Center - St. Charles
  • Saint Charles, IL
  • A Registered Nurse is a professional who provides patient care based upon the nursing process; being effectively involve...
  • 3/26/2024 12:00:00 AM

Massachusetts is the 7th-smallest state in the United States. It is located in the New England region of the northeastern United States and has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast. Boston is the largest city, at the inmost point of Massachusetts Bay, and the mouth of the Charles River. Despite its small size, Massachusetts features numerous topographically distinctive regions. The large coastal plain of the Atlantic Ocean in the eastern section of the state contains Greater Boston, along with most of the state's po...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$97,835 to $122,252