Staff Nurse - RN, Sr. - Medical Management jobs in Michigan
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
- Sr Staff - Sleep Medicine - Henry Ford Health - Careers Careers
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Detroit, MI
FULL_TIME
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GENERAL SUMMARY:
The psychologist diagnoses and treats mental, substance use, developmental and behavioral disorders and disabilities; assesses and establishes a level of care for patients; requests admission as needed; provides consultation; determines disability and decisional capacity; evaluates dangerousness and suicidality; provides supervision; and may contribute to clinical research protocols.
SPECIFIC CLINICAL RESPONSIBILITIES FOR PHD PSYCHOLOGIST IN SLEEP DISORDERS
· Treat patients with insomnia utilizing Cognitive Behavioral Therapy for Insomnia (CBT-I).
· Treat patients who are non-adherent with PAP treatment utilizing desensitization therapy due to anxiety or other disorders that can affect PAP compliance.
· Manage patients with circadian rhythm disorders.
· Train Sleep Medicine Fellows in behavioral treatments for sleep disorders in the clinic setting.
· Provide lectures to Sleep Medicine Fellows on various sleep disorder topics.
· o be able to get involved in clinical research activities as needed by the sleep medicine division.
EDUCATION/EXPERIENCE REQUIRED:
1. PhD or PsyD in Psychology from an APA accredited program or from a graduate program approved by the American Psychological Association.
2. Licensed in the State of Michigan.
3. Skill and experience in providing clinical psychological services to patients with acute or chronic medical, mental health, substance use, and/or developmental problems.
4. Possesses comprehensive knowledge of the scientific methods used in psychology; the social, behavioral, developmental, and biological sources of normal and pathological behavior, psychopathology, behavior change, and psychotherapy.
5. Knowledge of state and federal laws and legal requirements.
6. Skilled in developing and presenting psychoeducational materials and in making group presentations preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
- Must have completed a pre-doctoral or post-doctoral internship approved by the American Psychological Association.
Additional Information - 8 Days Ago
- Focus Staff
-
Saint Marie, MI
FULL_TIME
- Focus Staff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Sault Saint Marie, Michigan.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline:...
- 20 Days Ago
- Tact Staff
-
Muskegon, MI
FULL_TIME
- Tact Staff is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Muskegon, Michigan.Job Description & RequirementsSpecialty: OR - Operating RoomDiscipline: RNStart Date: ASAPDur...
- 21 Days Ago
- PeopleFirst RN Staffing
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Mount Clemens, MI
FULL_TIME
- PeopleFirst RN Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Mount Clemens, Michigan.Job Description & RequirementsSpecialty: TelemetryDiscipline: RNStart Date: 02/19/202...
- 9 Days Ago
- Detroit Medical Center
-
Detroit, MI
FULL_TIME
- Detroit Medical Center is seeking a Registered Nurse (RN) Clinical Nurse Coordinator for a nursing job in Detroit, Michigan.Job Description & RequirementsSpecialty: Clinical Nurse CoordinatorDisciplin...
- 1 Month Ago
- Detroit Medical Center
-
Detroit, MI
FULL_TIME
- Detroit Medical Center is seeking a Registered Nurse (RN) MICU - Medical Intensive Care Unit for a nursing job in Detroit, Michigan.Job Description & RequirementsSpecialty: MICU - Medical Intensive Ca...
- 1 Month Ago
Staff Nurse - RN, Sr. - Medical Management jobs at Popular Companies
- University Health System
-
San Antonio, TX
- PRN 200 N. Comal Nursing Rotating Shifts POSITION SUMMARY/RESPONSIBILITIES Provides basic leadership skills for assigned...
- 4/19/2024 12:00:00 AM
- Berkshire Health Systems
-
Pittsfield, MA
- **This is North Adams Regional Hospital (NARH) position. The position will start as a BMC position in Pittsfield, then t...
- 4/19/2024 12:00:00 AM
- East Carolina University
-
Greenville, SC
- Job Title Staff Nurse Position Number 400290 Vacancy Open to All Candidates Time-Limited No Department Homepage https://...
- 4/19/2024 12:00:00 AM
- Skagit Regional Health
-
Mount Vernon, WA
- Department: Progressive Critical Care SVH Exempt: No Schedule: NIGHTS Position Type: Full Time Base Wage $35.82 to $66.2...
- 4/19/2024 12:00:00 AM
- Healix, LLC.
-
Wexford, PA
- Job Description Job Description Healix Infusion Care is Urgently Hiring a Registered Full Time Infusion Nurse to coordin...
- 4/19/2024 12:00:00 AM
- Regenirex LLC
-
Kearney, NE
- Job Description Job Description We are seeking a Staff Nurse to join our team! You will be responsible for collecting pa...
- 4/18/2024 12:00:00 AM
- Valley Ambulatory Surgery Center - St. Charles
-
St Charles, IL
- A Registered Nurse is a professional who provides patient care based upon the nursing process; being effectively involve...
- 4/16/2024 12:00:00 AM
- Satellite Healthcare / Wellbound
-
Modesto, CA
- What You Will Do As a Staff Nurse you will actively participate in professional role development activities, including c...
- 4/16/2024 12:00:00 AM