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)
Focus Staff is seeking a Step Down Registered Nurse for a travel contract in Willoughby, OH. The ideal candidate will have at least 1 year of experience in a Step Down setting.
Contract Length: 13 Weeks
Start Date: 12/17/2023
Shift: 3x12 Days
Benefits for Travel Step Down RNs:
Requirements:
About Focus Staff:
Focus Staff is a traveler-first nurse and healthcare staffing agency! We prioritize the needs of our travelers, giving you complete control over your journey. Our mission is to help you create the life you love, explore the country and do what you do best, help others.
Interested in becoming a traveler with Focus Staff? Discover why travelers choose us, apply today!
All-Star Status:
If you’re seeking a Travel Step Down Nurse position in Willoughby, OH and are looking to work with an agency that will listen to your needs and career goals, then Focus Staff is the right place to be. We are proud of our ability to build relationships with all our healthcare professionals, whether you’re seeking travel assignments, PR or permanent positions.
We Offer:
Other Information:
Job Title: Travel Step Down Nurse
Employment Time: Contract/Travel
Date Posted: 11/24/2023 10:25:54 AM
Valid Through: 03/16/2024
Job City: Willoughby
Job State: OH
Job Country: USA
Shift: 3x12 Days
Job ID:
Hiring Organization: Focus Staff
Focus Staff is an EEO/AA (Equal Employment Opportunity and Affirmative Action) Employer.
Estimated pay package based on bill rate at time job was posted. Bill rates can change frequently and without notice. Exact pay package may vary based on several factors, including, but not limited to, guaranteed hours, travel distance, demand, experience, etc.
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Cleveland, OH area