Staff Nurse - RN - Medical Management coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Being a Staff Nurse - RN - 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 - Medical Management typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. To be a Staff Nurse - RN - Medical Management typically requires 3-5 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)
Gather ’round, aspiring travel clinicians! We’re hiring a RN (Registered Nurse) specialized in LTC Management for this incredible opportunity in Waynesville, NC.
Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go — personally and professionally. Wherever you may roam, travel healthcare helps you hone your skills and build an amazing resume.
Medical Solutions is a human-first travel healthcare agency, and YOU are our number one priority. It’s your journey, we’re just here to make sure it’s amazing! Our travelers enjoy top-tier service from their own dedicated recruiter, thousands of jobs to choose from, and industry-leading benefits, for example:
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0 Staff Nurse - RN - Medical Management jobs found in Asheville, NC area