Staff Nurse - RN, Sr. - Medical Management jobs in Daytona Beach, FL

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)

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Staff Nurse (RN or LPN)
  • The Blake by QSL Management
  • Daytona Beach, FL FULL_TIME
  • Blake Senior Living

    The Blake at LPGA is a resort-style senior living community off N. Williamson Blvd. in Daytona Beach, Florida. We are part of QSL Management which is a fast-growing senior living company with ample opportunities for advancement. Our mission is to provide seniors luxurious and comfortable home with resort-style hospitality promoting wellness, security, longevity, family, joy, and self-worth. We believe in fostering an environment in which our team members can grow and thrive, and we look for leaders who exemplify our core values of Excellence, Compassion, Respect, Leadership, Integrity, Safety & Joy.

    We have an immediate need for a Staff Nurse (RN or LPN) at The Blake at LPGA in Daytona Beach, Florida.


    We offer competitive wages and an excellent benefits package. Plus, we have a great work environment where you can make a difference in the lives of older adults. If this sounds like the opportunity that you've been looking for, apply for this position today!


    Primary Responsibilities:

    • Provide medical treatment and administer medication according to physician orders within the scope of their applicable board and state regulations for assistant living.
    • Provide world class care and service for our residents while remaining flexible and adapt to change.
    • Assist residents with memory and performance improvement programs.
    • Work independently (with minimal direct supervision) and with a team to make decisions, organize/prioritize tasks effectively, document clearly, and follow through on assignments.
    • Serve as charge nurse on shift for the personal assistants under the direction of the Wellness Leadership team

    Education/Experience

    • Must have a caring heart, willing to serve others
    • Current license for Licensed Practical Nurse (LPN)
    • Current CPR certification
    • Assisted Living or Long-term care experience preferred
    • Current First Aid certification preferred
    • Must be flexible and prepared to work a variety of shifts including weekends and holidays

    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

  • 5 Days Ago

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Registered Nurse (RN) - Deland, Florida
  • Towne Nursing Staff
  • De Land, FL FULL_TIME
  • ESHYFT is a mobile app that connects nurses to flexible shifts at long-term care facilities. In 25 states, vetted CNAs, LPNs, and RNs, use ESHYFT’s top-rated nurse app to pick up shifts where they wan...
  • 2 Days Ago

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Registered Nurse (RN) - Daytona, Florida
  • Towne Nursing Staff
  • Daytona Beach, FL FULL_TIME
  • Eshyft is an app that connects nurses to nursing home. Like an Uber for Nurses! By picking up shifts from the app the CNA, LPN or RN can easily see their schedule and clock in and out from their phone...
  • 9 Days Ago

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Travel HH RN - Home Health Registered Nurse
  • Focus Staff Services
  • Daytona Beach, FL OTHER
  • OverviewWe currently have a client in Daytona Beach, FL looking for a Travel HH RN - Home Health Registered Nurse!Focus Staff is seeking a traveling Certified Home Health RN, who will ensure quality a...
  • 1 Month Ago

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RN Registered Nurse, New Management
  • CommuniCare Advantage
  • Edgewater, FL FULL_TIME
  • RN Registered Nurse, New ManagementA DEEPER COMPASSION, FOR A HIGHER PURPOSE.Nurses are at the heart of our world-class, patient-centered standard of care. Day in and day out, they go the extra mile t...
  • 21 Days Ago

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MDS Coordinator, Registered Nurse (RN)
  • Blue Palms Management
  • Deltona, FL FULL_TIME
  • Our nursing home in the Deltona area is now hiring a full-time MDS Coordinator, Registered Nurse (RN) who is committed to providing the best life and care for our residents. Under the direction of the...
  • 24 Days Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Daytona Beach, FL area

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Registered Nurse
  • Ormond Rehabilitation and Nursing Center
  • Daytona Beach, FL
  • Ormond Rehabilitation and Nursing Center - 7pm-7am Night Shift $4,000 SIGN-ON BONUS Registered Nurse (RN) Join our team ...
  • 4/19/2024 12:00:00 AM

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ED Assistant Nurse Manager
  • AdventHealth
  • Deland, FL
  • **All the benefits and perks you need for you and your family:** - Benefits from Day One - Paid Days Off from Day One - ...
  • 4/19/2024 12:00:00 AM

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OPS REGISTERED NURSE - Weekend Warrior Program
  • State of Florida
  • Daytona Beach, FL
  • Requisition No: 824666 Agency: Veterans Affairs Working Title: OPS REGISTERED NURSE - Weekend Warrior Program Pay Plan: ...
  • 4/19/2024 12:00:00 AM

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Certified Nursing Assistant (CNA) $3,000 Sign-On Bonus - NEW HIGHER WAGES
  • The Gardens Health and Rehabilitation
  • Daytona Beach, FL
  • The Gardens Health and Rehabilitation - Certified Nursing Assistant (CNA) The Gardens Health & Rehabilitation Center is ...
  • 4/19/2024 12:00:00 AM

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Housemen / Floor Tech
  • Solaris HealthCare
  • Daytona Beach, FL
  • Come join our 5-star quality measure, Joint Commission accredited, best-in-area rated facility! Our team mission is to f...
  • 4/18/2024 12:00:00 AM

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Desk Nurse - LPN - Day 1 Comprehensive Benefits Package
  • BioLife
  • Daytona Beach, FL
  • By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that t...
  • 4/18/2024 12:00:00 AM

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RN ICU Nurse Manager
  • AdventHealth
  • Daytona Beach, FL
  • **All the benefits and perks you need for you and your family:** Student Loan Repayment Program Nursing Clinical Ladder ...
  • 4/18/2024 12:00:00 AM

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Speech Language Pathologist Home Health Per Diem
  • CenterWell Home Health
  • Daytona Beach, FL
  • Become a part of our caring community and help us put health first As a Home Health Speech Language Pathologist, you wil...
  • 4/18/2024 12:00:00 AM

Daytona Beach is a city in Volusia County, Florida, United States. It lies about 51 miles (82.1 km) northeast of Orlando, 86 miles (138.4 km) southeast of Jacksonville, and 242 miles (389.5 km) northwest of Miami. In the 2010 U.S. Census, it had a population of 61,005. It is a principal city of the Deltona–Daytona Beach–Ormond Beach metropolitan area, which was home to 600,756 people as of 2013. Daytona Beach is also a principal city of the Fun Coast region of Florida. The city is historically known for its beach where the hard-packed sand allows motorized vehicles to drive on the beach in res...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$81,787 to $102,191
Daytona Beach, Florida area prices
were up 1.5% from a year ago