Staff Nurse - RN, Sr. - Medical Management jobs in West Virginia

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)

R
Travel RN OR in WV
  • RN Staff
  • Wheeling, WV 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.

    Location: Wheeling, WV

    Position: RN OR

    Shift: Days

    Duration: 13 weeks

    Weekly Gross: $ 3,080 (based on 40 hours)

    Common Cases All procedures including same day and overnight stays Experience or 'Must have' skills IV skills a must. Surgical care knowledge Scrubbing required -

    Floating Requirements OR holding area

    Scrub Color/Dress Code provided by facility

    Unit/Department specific orientation Surgical Center/pre op

    Additional Notes this is a preop area that we call surgical center so it is not a free standing surgical center

    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:

    https://rnstaff.com/skills-checklists/

    Ann Dizon

    Account Manager

    317 328 2866

    ann@rnstaff.com

  • Just Posted

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Ultrasound Tech
  • RN Staff
  • Princeton, WV CONTRACTOR
  • Location: Princeton, WV Position: Ultrasound Tech Shift: Evenings Duration: 13 weeks Weekly Gross: $ 2,800 (based on 40 hours) Estimated NET: $ 2,380 (based on 40 hours) Misc. and I E : $ 800(non-tax ...
  • 21 Days Ago

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EP Tech paying up to $4030 per week!
  • RN Staff
  • Morgantown, WV CONTRACTOR
  • Location: Morgantown, WV Position: EP Tech Shift: Days Duration: 13 weeks Weekly Gross: $ 3,350 (based on 40 hours) Estimated NET: $ 2,870 (based on 40 hours) Misc. and I E : $ 800(non-tax weekly) Lod...
  • 22 Days Ago

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Travel Nurse RN - Telemetry in Huntington, WV
  • PeopleFirst RN
  • Huntington, WV 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

P
Travel Nurse RN - Med/Surg in Huntington, WV
  • PeopleFirst RN
  • Huntington, WV 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

F
Travel STEP RN - Step Down Registered Nurse
  • Focus Staff
  • Wheeling, WV FULL_TIME
  • Focus Staff is seeking a Step Down Registered Nurse for a travel contract in Wheeling, WV. The ideal candidate will have at least 1 year of experience in a Step Down setting. Contract Length: 13 Weeks...
  • 8 Days Ago

H
Staff Nurse
  • Harbor Health ESP
  • Boston, MA
  • OFFERING A $5000 SIGN-ON BONUS! * Harbor Health Services is an innovative, growing, mission-based organization that live...
  • 3/29/2024 12:00:00 AM

A
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
  • 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

T
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

M
Staff Nurse
  • Manhattanview Healthcare Center
  • Union City, NJ
  • Manhattanview Healthcare Center - Manhattanview Healthcare Center is looking for Staff Nurse.
  • 3/27/2024 12:00:00 AM

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Staff Nurse
  • Berkshire Health Systems
  • Pittsfield, MA
  • DEFINITION/PRIMARY FUNCTIONS Registered Nurse is the designation given to an individual who is licensed to practice prof...
  • 3/26/2024 12:00:00 AM

V
Staff Nurse, OR
  • Valley Ambulatory Surgery Center - St. Charles
  • Saint Charles, IL
  • A Registered Nurse is a professional who provides patient care based upon the nursing process; being effectively involve...
  • 3/26/2024 12:00:00 AM

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Staff Nurse
  • Great Salt Plains Health Center
  • Cherokee, OK
  • Job Description Job Description We are looking for a staff nurse for our Cherokee location! We Offer: - 100% paid premiu...
  • 3/26/2024 12:00:00 AM

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$80,950 to $101,153