Staff Nurse - RN - Medical Management jobs in Monroe, LA

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)

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MDS NURSE RN
  • PRIORITY MANAGEMENT
  • RUSTON, LA OTHER
  • Job Details

    Job Location:    Alpine Skilled Nursing and Rehabilitation - RUSTON, LA
    Salary Range:    Undisclosed
    Job Shift:    Any

    MDS NURSE RN

    MDS Nurse RN

    Come join an amazing team!

    Our care teams are true caregivers. They serve patients with dedication and compassion and are the heart of our patients’ care and recovery. Whether providing direct care or operational support, Priority Management seeks people who share our commitment to providing excellent care to our patients and residents. Our patients are our passion and we invite you to join our team!

    Responsibilities:

    Responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department.

     Benefits Include:

    • Medical
    • Dental
    • Vision
    • Basic Company Paid Life insurance
    • Long Term Disability
    • Voluntary Life Insurance for the Employee, Employee Spouse and Employee Children
    • Short Term Disability, Cancer, Critical Illness, Accidental and Universal Life
    • Employee Referral Bonus Potential Program
    • Daily Pay
    • Tuition Reimbursement
    • Paid Time Off

    JOB QUALIFICATIONS


    Qualifications

    • Must possess a current, unencumbered, active license to practice as an RN in this state.
    • Three (3) years’ MDS experience in a nursing care facility preferred.
    • Must have training in rehabilitative and restorative nursing practices.
    • Must have a working knowledge of managed care rules, regulations, and guidelines.
    • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.

     

    Priority Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

  • 1 Month Ago

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13 Week Travel Contract Registered Nurse, Staff, Home Health
  • Core Medical Group
  • Monroe, LA OTHER,CONTRACTOR
  • RN needed for hospice in Monroe , LA CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Plus, we're t...
  • 9 Days Ago

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13 Week Travel Contract Registered Nurse, Staff, Home Health
  • Core Medical Group
  • West Monroe, LA OTHER,CONTRACTOR
  • Client in LA seeking CWHH-RN Home Health (RN) to work Hours Per Shift: 8 Louisiana has arguably the most colorful history and fascinating culture of any state in the nation. In what other state could ...
  • 12 Days Ago

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Home Health RN - Travel Nurse
  • Fusion Medical Staffing
  • West Monroe, LA FULL_TIME,CONTRACTOR
  • Job DescriptionInterested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we’re always looking for p...
  • 12 Days Ago

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Travel Nurse - ER / ED RN
  • Glenwood Regional Medical Center
  • West Monroe, LA FULL_TIME
  • Offering Premium Pay, Customizable Contracts, Travel Reimbursement, Housing Allowance, Guaranteed Hours, and more! Work within our network of 33 community hospitals as a full-time employee of Steward ...
  • 25 Days Ago

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RN Extern (Nurse Tech) PRN
  • Glenwood Regional Medical Center
  • West Monroe, LA OTHER
  • POSITION SUMMARY The Nurse Tech is responsible for assisting in the delivery of both direct and indirect nursing care under the direction and supervision of a registered nurse. When applying for the p...
  • 26 Days Ago

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0 Staff Nurse - RN - Medical Management jobs found in Monroe, LA area

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Travel Nurse RN - ED - Emergency Department - $1,751 per week
  • Hiring Now!
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Monroe, Louisiana. ...
  • 4/16/2024 12:00:00 AM

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Travel Radiology Technologist - $1,420 per week
  • Hiring Now!
  • Monroe, LA
  • Advantis Medical is seeking a travel Radiology Technologist for a travel job in Monroe, Louisiana. Job Description & Req...
  • 4/16/2024 12:00:00 AM

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Registered Nurse - C1 Flex Choice Internal Agency - Monroe
  • Franciscan Missionaries of Our Lady Health System
  • Monroe, LA
  • Job Description Clinical Practice and Care Management Performs psycholosocial/physiologic assessments that integrates ch...
  • 4/15/2024 12:00:00 AM

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Licensed Practical Nurse LPN Home Health PRN
  • Elara Caring
  • Monroe, LA
  • At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, e...
  • 4/15/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,744 per week
  • Hiring Now!
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Monroe, Louisiana. Job Description ...
  • 4/14/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,728 per week
  • Hiring Now!
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Monroe, Louisiana. Job Description ...
  • 4/12/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,717 per week
  • Hiring Now!
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Monroe, Louisiana. Job Description &...
  • 4/12/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,092 per week
  • TotalMed Staffing
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Monroe, Louisiana. Job Descriptio...
  • 4/12/2024 12:00:00 AM

Monroe (historically French: Poste-du-Ouachita) is the eighth-largest city in the U.S. state of Louisiana. It is the parish seat of Ouachita Parish. In the official 2010 census, Monroe had a population of 48,815. The municipal population declined by 8.1 percent over the past decade; it was 53,107 in the 2000 census. After a recheck in 2012, the Census Bureau changed the 2010 population from 48,815 to 49,147. Mayor Jamie Mayo, however, maintains that the Monroe population is more than 50,000 and indicated that he will pursue a continued challenge to the count. Monroe is the principal city of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$74,745 to $87,423
Monroe, Louisiana area prices
were up 1.2% from a year ago