Staff Nurse - RN, Sr. - Medical Management leads the coordination between care providers and plan members with the goal of maximizing member benefits while managing costs. Oversees the assessment of medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and ensures compliance with established guidelines. Being a Staff Nurse - RN, Sr. - 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, Sr. - Medical Management applies the medical and reimbursement policies within the claim adjudication process. Typically requires a bachelor's degree in Nursing. Typically reports to a manager. Requires RN license. To be a Staff Nurse - RN, Sr. - Medical Management typically requires more than 5 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
An accomplished Hospital is seeking a dedicated and experienced RN Shift Supervisor to join the team. If you are passionate about providing exceptional patient care and thrive in a collaborative environment, we encourage you to apply for this exciting opportunity.
As the RN Shift Supervisor for the Med Surg department, you will report to the Nurse Manager and collaborate closely with nursing staff, physicians, and other healthcare professionals to ensure the delivery of high-quality patient care.
The Med Surg Unit provides comprehensive care to patients with a wide range of medical conditions. Our dedicated team of nurses, physicians, and support staff work together to promote healing and recovery in a compassionate and nurturing environment.
Job Responsibilities:
Located in Southern Texas, this state offers a vibrant and diverse community with a rich cultural heritage. From its historic landmarks to its lively arts scene and delicious cuisine, it has something to offer everyone. With its warm climate, affordable cost of living, and strong economy, it is an ideal place to live and work.
Joining our team comes with competitive salary and benefits, including:
If you are ready to take the next step in your nursing career and make a meaningful impact in the lives of patients, apply today and become part of our commitment to excellence in patient care and medical innovation.
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Beaumont, TX area