Staff Nurse - RN, Sr. - Medical Management jobs in South Carolina

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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Staff Nurse (RN or LPN)
  • The Blake by QSL Management
  • Summerville, SC FULL_TIME
  • Blake Senior Living

    COMMUNITY NAME is a resort-style senior living community off Street Name Goes here in CITY, STATE. We are part of QSL Management which is a fast-growing senior living company with ample opportunities for advancement. Our mission is to provide seniors luxurious and comfortable home with resort-style hospitality promoting wellness, security, longevity, family, joy, and self-worth. We believe in fostering an environment in which our team members can grow and thrive, and we look for leaders who exemplify our core values of Excellence, Compassion, Respect, Leadership, Integrity, Safety & Joy.

    We have an immediate need for a Staff Nurse (RN or LPN) at (name of community) in (name of city & state).


    We offer competitive wages and an excellent benefits package. Plus, we have a great work environment where you can make a difference in the lives of older adults. If this sounds like the opportunity that you've been looking for, apply for this position today!


    Primary Responsibilities:

    • Provide medical treatment and administer medication according to physician orders within the scope of their applicable board and state regulations for assistant living.
    • Provide world class care and service for our residents while remaining flexible and adapt to change.
    • Assist residents with memory and performance improvement programs.
    • Work independently (with minimal direct supervision) and with a team to make decisions, organize/prioritize tasks effectively, document clearly, and follow through on assignments.
    • Serve as charge nurse on shift for the personal assistants under the direction of the Wellness Leadership team

    Education/Experience

    • Must have a caring heart, willing to serve others
    • Current license for Licensed Practical Nurse (LPN)
    • Current CPR certification
    • Assisted Living or Long-term care experience preferred
    • Current First Aid certification preferred
    • Must be flexible and prepared to work a variety of shifts including weekends and holidays

    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

  • 9 Days Ago

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Travel IR RN - Interventional Radiology Registered Nurse
  • Focus Staff
  • Beaufort, SC FULL_TIME
  • We currently have a client in Beaufort, SC looking for a Travel IR RN - Interventional Radiology Registered Nurse! Focus Staff is seeking a traveling Interventional Radiology RN to use imagining guida...
  • 10 Days Ago

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Travel Nurse RN - Pediatrics - $1,838 per week
  • Tact Staff
  • Charleston, SC FULL_TIME
  • Tact Staff is seeking a travel nurse RN Pediatrics for a travel nursing job in Charleston, South Carolina.Job Description & RequirementsSpecialty: PediatricsDiscipline: RNStart Date: 04/01/2024Duratio...
  • 15 Days Ago

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Staff Nurse
  • The Carolinas Center for Medical Excellence
  • Columbia, SC FULL_TIME
  • Staff Nurse South Carolina Who We Are Constellation Quality Health, formerly CCME, is a non-profit health care quality organization and QIO-like Entity certified by the Centers for Medicare & Medicaid...
  • 23 Days Ago

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Travel Nurse RN
  • Skyline Med Staff Nursing
  • Orangeburg, SC FULL_TIME
  • Skyline Med Staff Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in Orangeburg, South Carolina.Job Description & RequirementsSpecialty: TelemetryDiscipline: RNStart Date: 04/1...
  • Just Posted

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Travel Nurse RN - Cath Lab - $1,856 to $1,913 per week in Florence, SC
  • Focus Staff
  • FLORENCE, SC FULL_TIME
  • Focus Staff is seeking a Cath Lab Registered Nurse for a travel contract in FLORENCE, SC. The ideal candidate will have at least 1 year of experience in a Cath Lab setting. Contract Length: 13 Weeks S...
  • 1 Month 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

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$84,873 to $106,054