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)
We are seeking a compassionate and skilled MedSurg Registered Nurse to work the night shift at a well-respected acute care hospital near Colorado Springs, CO. This hospital is seeking a dedicated and dynamic nurse to join the Medical Surgical team. The MedSurg Registered Nurse will be part of an organization that is committed to care excellence and provides clinical staff with the resources, leadership, and opportunities for professional growth.
Job Description:
The MedSurg Registered Nurse at this medium size hospital will play a pivotal role in facilitating, communicating, and collaborating with the healthcare team and patients/families. The Staff Registered Nurse will be responsible for identifying and meeting the physical, emotional, and spiritual needs of patients. Using the nursing process and in accordance with patient care standards, guidelines, and the State Nurse Practice Act, you'll promote optimal health, well-being, and safety for your patients. This role requires you to demonstrate personal accountability for relationship-based care, the organizational mission, and core values.
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Colorado Springs, CO area