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

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)

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INT/PERM RN PICU in New York
  • RN Staff
  • Glenworth, PA FULL_TIME
  • RNStaff is looking for USRNs looking for a permanent contract in the State of PA. International RNs looking for sponsorship program are very welcome.

    * Full Benefits (Medical, Dental and Vision) from the first day of work month

    * Full Sponsorship except for NCLEX which is reimbursable

    * Relocation Assistance/Allowance.

    * NO SALARY DEDUCTIONS

    * Competitive salary ranges

    * Educational and Licensing allowance covered

    * 401K (Retirement Savings)

    * PTO and Sick Days

    * Guaranteed Yearly Increase!



    See Job Description:

    Location: New York

    Position: RN MS Tele

    Telemetry Nurse Responsibilities:

    Studying patients' medical history, test results, and treatment plans.

    Tracking routine heart rate, blood pressure, and pulse oximetry measurements.

    Monitoring, interpreting, and recording data from specialized medical technologies and equipment.

    Administering medication and performing treatment interventions in consultation with healthcare specialists.

    Maintaining and updating ward charts, patient files, and medical records.

    Instructing Telemetry Unit staff on patient care and treatment plans.

    Collaborating with healthcare specialists and reporting changes and deteriorating conditions.

    Explaining tests results and procedures to patients and their families, as well as answering questions.

    Advising patients on post-hospital care, including prescribed medicine, home care protocols, disease prevention, and lifestyle changes.

    Extensive knowledge in interpreting data from specialized electronics and medical equipment.

    Proficiency in recordkeeping and patient management systems.

    Advanced proficiency in administering medication and performing treatment interventions.

    Ability to consult with healthcare specialists and instruct telemetry unit staff.

    In-depth knowledge of best practices in healthcare and medical recordkeeping.

    Exceptional interpersonal skills to advise and support patients and their families.

    Certifications - Required

    · AHA BLS - Basic Life Support Certificate

    AHA ACLS - Advanced Cardiac Life Support Certificate

    AHA PALS - Pediatric Advanced Life Support Certificate

    Education - Required

    · Graduate of Accredited Nursing program

    Experience - Required

    · 1 - 2 year Acute Care Experience and/or experience congruent with role in service line

    Licenses - Required

    · Registered Nurse State of New York

    Referral Bonus from $250 up to $2000!!

    Submission Requirements Reminders(Disregard if completed)

    Updated Resume

    SS card front and back ( for background checking)

    Driver's license or State ID or Passport ( photo ID)

    2-3 professional References ( includes name, designation, hospital affiliation and contact info) from current/latest employer preferably from charge nurse, supervisor or higher.

    Certifications like BLS, ACLS, PALS, NIHSS, etc

    Covid Vax Record

    Skills checklist, Get link here:

    Log in your online portal and Apply Now!

    Ann Dizon

    Account Manager

    (phone number removed)

    (url removed)

    7345 Woodland Dr, Indianapolis, IN 46278

  • 8 Days Ago

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RN Medsurg at IA pay up to $3640/wk
  • RN Staff
  • Oliphant Furnace, PA FULL_TIME
  • Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. General Details an...
  • 16 Days Ago

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Med Surg Tele Float RN Perm Position - Allentown,PA
  • RN Staff
  • Allentown, PA FULL_TIME
  • RNStaff is looking for USRNs looking for a permanent contract in the State of Pennsylvania. Internationall RNs looking for sponsorship program is very welcome. Full Benefits (Medical, Dental and Visio...
  • 8 Days Ago

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Travel Nurse RN - ER/Trauma in East Norriton, PA
  • PeopleFirst RN
  • East Norriton, PA FULL_TIME
  • Owned and led by clinicians and business professionals with decades of healthcare experience, our team focuses on providing exceptional, effective, and efficient staffing services. We are dedicated to...
  • 1 Month Ago

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RN Staff Nurse - Medical ICU
  • UPMC
  • Altoona, PA FULL_TIME
  • UPMC Altoona is hiring a future graduate or Registered Nurse to help support our Medical ICU! This is a full-time, rotating 7a-7p/7p-7a position. UPMC is committed to investing in nurses like you –fin...
  • 1 Day Ago

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Infection Preventionist/ Staff Educator (RN) Registered Nurse
  • Complete Care Management
  • Flourtown, PA FULL_TIME
  • Now Hiring Infection Preventionist/ Staff Educator (RN) Registered Nurse IP certification preferred. Nursing Home experience required. Complete Care at Harston Hall 350 Haws Lane Flourtown, PA 19031 2...
  • 4 Days Ago

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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

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Staff Nurse
  • Long term care
  • Waukegan, IL
  • Long term care - Are you looking for a rewarding career in Nursing? We are currently searching for RNs and LPNs to join ...
  • 3/28/2024 12:00:00 AM

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Staff Nurse
  • Healix
  • Atlanta, GA
  • As an Infusion Nurse, you will have the opportunity to provide clinical services in an infectious disease, gastroenterol...
  • 3/28/2024 12:00:00 AM

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Staff Nurse
  • University Health System- San Antonio
  • San Antonio, TX
  • Join an elite team of nurses whose expertise and compassionate care have earned Magnet status by the American Nurses Cre...
  • 3/28/2024 12:00:00 AM

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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

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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

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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

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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

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$89,717 to $112,108