Staff Nurse - RN - Medical Management jobs in Philadelphia, PA

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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Infection Preventionist/ Staff Educator (RN) Registered Nurse
  • Complete Care Management
  • Flourtown, PA FULL_TIME
  • Now Hiring Infection Preventionist/ Staff Educator (RN) Registered Nurse

    • IP certification preferred.
    • Nursing Home experience required.

    Complete Care at Harston Hall

    350 Haws Lane

    Flourtown, PA 19031

    215.836.3200

    Complete Care at Harston Hall is a pillar in the community of Flourtown, PA.  We approach every day with one goal:  To improve the lives we touch through high-quality healthcare and extraordinary compassion. Now Hiring Infection Preventionist/ Staff Educator (RN) Registered Nurse

    Why work for us? 

    • Our residents and staff are treated like family.
    • You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment.
    • We are committed to your growth and success.
    • Come join employees who have become family!
    • Work today, get paid today!  Complete Care has partnered with DailyPay, a voluntary benefit to offer employees access to their pay on their own schedule.

    Now Hiring:

    Full-Time Infection Preventionist/ Staff Educator (RN) Registered Nurse

    Responsibilities Infection Preventionist/ Staff Educator (RN) Registered Nurse:

    ·        ADON works under the DON to ensure residents care is above excellence and safe.

    ·        Provides leadership to the nursing staff to assure that the highest quality care is provided.

    Benefits Infection Preventionist/ Staff Educator (RN) Registered Nurse:

    ·        Beautiful work environment

    ·        Competitive Wages and Benefit Package

    ·        Flexible Schedule

    ·        Paid Time Off

    ·        Overtime Pay

    Qualifications Infection Preventionist/ Staff Educator (RN) Registered Nurse:

    • RN License in MD
    • RN experience in LTC/SNF preferred.
    • IP certification
    • Serious applicants

    Complete Care at Harston Hall is an equal opportunity employer.

    Now Hiring: Infection Preventionist/ Staff Educator (RN) Registered Nurse

    IND123

     

     

  • 24 Days Ago

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Quality Management Specialist - RN
  • RN - Independence Blue Cross Careers
  • Philadelphia, PA FULL_TIME
  • Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea...
  • 1 Month Ago

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Travel Nurse RN - Telemetry - $1,873 to $1,930 per week in Phoenixville, PA
  • Focus Staff
  • Phoenixville, PA FULL_TIME
  • Focus Staff is seeking a Telemetry Registered Nurse for a travel contract in Phoenixville, PA. The ideal candidate will have at least 1 year of experience in a Telemetry setting. Contract Length: 13 W...
  • 8 Days Ago

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Travel Nurse RN - Med/Surg - $1,814 to $1,869 per week in Philadelphia, PA
  • Focus Staff
  • Philadelphia, PA FULL_TIME
  • Focus Staff is seeking a Med Surg Registered Nurse for a travel contract in Philadelphia, PA. The ideal candidate will have at least 1 year of experience in a Med Surg setting.Contract Length: 13 Week...
  • 8 Days Ago

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Travel Nurse RN - Rehab - $1,143 to $1,178 per week in King of Prussia, PA
  • Focus Staff
  • King of Prussia, PA FULL_TIME
  • Focus Staff is seeking a Rehab Registered Nurse for a travel contract in King of Prussia, PA. The ideal candidate will have at least 1 year of experience in a Rehab setting. Contract Length: 57 Start ...
  • 8 Days Ago

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Travel Nurse RN - Wound/Ostomy - $2,239 to $2,307 per week in Philadelphia, PA
  • Focus Staff
  • Philadelphia, PA FULL_TIME
  • We currently have a client in Philadelphia, PA looking for a Travel Wound Care RN Registered Nurse!Focus Staff is seeking a traveling Certified Rehabilitation RN, who will provide comprehensive wound ...
  • 8 Days Ago

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0 Staff Nurse - RN - Medical Management jobs found in Philadelphia, PA area

Philadelphia, sometimes known colloquially as Philly, is the largest city in the U.S. state and Commonwealth of Pennsylvania, and the sixth-most populous U.S. city, with a 2017 census-estimated population of 1,580,863. Since 1854, the city has been coterminous with Philadelphia County, the most populous county in Pennsylvania and the urban core of the eighth-largest U.S. metropolitan statistical area, with over 6 million residents as of 2017[update]. Philadelphia is also the economic and cultural anchor of the greater Delaware Valley, located along the lower Delaware and Schuylkill Rivers, wit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$87,603 to $102,463
Philadelphia, Pennsylvania area prices
were up 1.0% from a year ago