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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Location: Nome, AK
Position: RN ER
Shift: Days
Duration: 13 weeks
Weekly Gross: $ 3,180 (based on 36 hours)
Estimated NET: $ 2,586 (based on 36 hours)
Misc. and I E : $ 500(non-tax weekly)
Lodging : $ 700 per week
OT Rate: $ 105/hour (after 40 hours)
Weekly gross $ 4,240 (Based on 48 hours)
Est. Weekly Net $ 3,328 (Based on 48 hours)
Referral Bonus from $250 up to $2000!!
Submission Requirements Reminders(Disregard if completed)
https://rnstaff.com/skills-checklists/
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Ann Dizon
Account Manager
317 328 2866
ann@rnstaff.com
7345 Woodland Dr, Indianapolis, IN 46278
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Fairbanks, AK area