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)
We currently have a client in Pine River, MN looking for a Travel SNU RN - Skilled Nursing Unit Registered Nurse!
Focus Staff is seeking a traveling Skilled Nursing Unit (SNU) RN to implement nursing care services for the LTC patients in a manner suitable to accepted standards of care.
Contract Assignment – 13 Weeks (Temporary)
Shift: 5x8 Evenings
Rewards: (SNU RN Benefits)
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0 Staff Nurse - RN - Medical Management jobs found in Saint Cloud, MN area