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)
Lompoc Valley Medical Center - Registered Nurse (RN) - Skilled Nursing Facility/Long Term Care (SNF/LTC) in our Comprehensive Care Center (CCC)
About our Comprehensive Care Center:
Our CCC is 110 bed capacity and we provide a higher level of supervision and care when people need more help with their day-to-day activities. We are also committed to making transitions as easy as possible for skilled nursing and post-acute rehabilitation residents. Our rehabilitative treatments are tailored specifically to meet each resident’s goal of increased independence.
Position Overview:
We are seeking a dedicated and compassionate Registered Nurse (RN) to join our Long-Term Care team. The ideal candidate will provide comprehensive nursing care to residents in our facility, promoting their health and well-being.
Responsibilities:
Qualifications:
Benefits:
arodgers@prolinstaff.com
#RPO
Job Type: Full-time
Pay: $45.48 - $62.70 per hour
Benefits:
Standard shift:
Supplemental pay types:
Ability to Relocate:
Work Location: In person
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0 Staff Nurse - RN - Medical Management jobs found in Lompoc, CA area