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)
We currently have a client in GRAND FORKS, ND looking for a Travel CVOR RN - Cardiovascular Operating Room RN Registered Nurse!
Focus Staff is seeking a Cardiovascular Operating Room Registered Nurse who is highly motivated and energetic.
Contract Assignment ? 13 Weeks (Temporary)
Shift: Evenings
Rewards: (Cardiovascular Operating Room Registered Nurse Benefits)
Requirements:
Responsibilities:
If You have a Passion for the Cardiovascular Operating Room., Apply Today and a Recruiter will guide you through the Process!
Join our VIP team of traveling professionals!
Cardiovascular Operating Room Registered Nurse ? CVOR RN ?Traveling Cardiovascular Operating Room Nurse, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier2, Travel CVOR RN - Cardiovascular Operating Room RN Registered Nurse