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)
*NEW PAY RATES - SIGN ON BONUSES BEING OFFERED*
RN/LPN SALARY RANGE: Up to $45/hr!
BaneCare Management is currently seeking Full Time, Part Time, and Per Diem RN/LPN Staff Nurses across the South Shore/Metro-Boston area! Our compassionate and experienced staff will help you reach your maximum potential in this role. We have one mission: to provide top of the line care to our patients and residents! Our facilities are filled with friendly faces and new opportunities. COME JOIN OUR TEAM!
Benefits for RN/LPN Staff Nurse:
Requirements for RN/LPN Staff Nurse:
Job Duties of RN/LPN Staff Nurse:
BaneCare truly appreciates our RN/LPN Staff Nurses and welcomes you to be a part of our extended family!
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Brockton, MA area