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)
An established critical access hospital located in northern New Hampshire is currently searching for an experienced Medical Surgical Registered Nurse RN to join their award-winning healthcare team.
This regional leading critical access hospital is known for providing high quality patient centered care while keeping costs low and accessible to every patient. This location is equipped to offer state-of-the-art inpatient care including emergency and trauma, critical care, orthopedics and surgical services, cardiovascular care, rehabilitative services, diagnostic imaging, laboratory and pathology services, and much more.
Under direction of the Nursing Supervisor, the Medical Surgical RN will provide high-quality patient care on a team of experienced nursing staff. The Medical Surgical unit cares for patients who are ill, injured, or recovering from a procedure. The Nursing staff assess patient conditions, administers medications, changes dressings, monitors vital signs, maintain accurate records, and provide patients with overall support and education.
Requirements Include:
This critical access hospital is located in a beautiful small town in northern New Hampshire. The area itself offers quick access to various outdoor activities, an affordable cost of living, as well as a fun night life scene.
This respectable healthcare facility is prepared to offer a competitive salary including an industry leading benefit package for those who qualify. Relocation assistance may be provided.
Clear All
0 Staff Nurse - RN, Sr. - Medical Management jobs found in Rutland, VT area