Staff Nurse - RN, Sr. - Medical Management jobs in Fort Lauderdale, 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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Oncology Nurse Advocate
  • RN Cancer Guides
  • Fort Lauderdale, FL FULL_TIME
  • Company DescriptionRN Cancer Guides' mission is to provide compassionate professional oncology nursing guidance to patients and their families through their cancer journey.  Based out of Tampa, FL, we are a small, fast-growing team of Oncology Nurses who assist cancer patients and their caregivers while they attempt to navigate the complex healthcare system.Job DescriptionWork directly with Ft. Lauderdale/Miami clients to help them coordinate their cancer care and navigate the healthcare system. Committed and passionate about changing the way cancer patients and their caregivers experience cancer care by empowering them to make informed decisions and give them peace of mind knowing that a qualified oncology nurse is on their side helping to guide them through their journey with cancer.Essential Responsibilities Interview patients and their loved ones to identify issues relating to their medical careAssist clients or their caregivers with developing scope of services with clearly stated goals and objectivesAssist clients with general healthcare coordination across multiple providers and facilitiesAct as a liaison between clients and their healthcare team, and serve as their advocate to ensure clients are well-informed and active participants in their own healthcareHelp clients understand their medical conditions and treatment optionsDevelop and implement action plans to help clients reach their goalsProvide clients with well-researched healthcare options (doctors, facilities, treatment, clinical trials, and other community services and resources available)Coordinate appointments, care, including compiling medical records for upcoming medical appointmentsMaintain HIPAA standards regarding confidentiality of highly sensitive patient information and perform all activities with discretionQualificationsEducation: Graduate from accredited nursing school  Experience: At least 5 years of clinical experience as a Registered Nurse in Oncology. Experience in case management, discharge planning, eligibility or membership, utilization management.Certifications: Oncology Certified Nurse (OCN)Licensure: Current Florida RN or NPPreferred: BSN or MSN, Case Management Certification, utilization review experience Knowledge/Skills/AbilitiesStrong computer skills, including Microsoft OfficeMust be possess strong customer service skillsMust have excellent interpersonal, verbal and written communication skills, and compassionFamiliarity with online research toolsAdditional InformationAll your information will be kept confidential according to EEO guidelines.
  • 1 Month Ago

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Staff Nurse (RN)
  • Vered Healthcare Group
  • Dania, FL FULL_TIME
  • Join us as we are under new Ownership. We are currently seeking a passionate and dedicated Staff Nurse (RN) to make a difference in caring for patients in our community. Take pride in doing what you l...
  • 7 Days Ago

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MEDICAL TECHNOLOGIST
  • Staff Icons
  • Miramar, FL FULL_TIME
  • MEDICAL TECHNOLOGIST $10k Sign-On Bonus Molecular - 11am-10:30pm - Sat-Tues Auto Chemistry - Tuesday-Saturday 8-4:30pm Microbiology - Wednesday - Sunday 7pm-3:30am Microbiology - Mon/Fri/Sat 8:00am-5:...
  • 4 Days Ago

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Director of Risk Management, RN with ASHRM certification
  • Southern Medical Recruiters
  • Pompano Beach, FL FULL_TIME
  • Company DescriptionClients are general acute care hospitals nationwide. Southern Medical Recruiters is a healthcare/hospital recruitment organization with hospitals clients nationwide. seeking the bes...
  • 1 Month Ago

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Director of Clinical Services, RN (Home Health)
  • Medi Nurse Home Care
  • Springs, FL FULL_TIME
  • Are you a Registered Nurse looking for a meaningful and rewarding career opportunity in South Florida? Look no further! Our home health agency is currently seeking a full-time Director of Clinical Ser...
  • 13 Days Ago

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Director of Clinical Services, RN (Home Health)
  • Medi Nurse Home Care
  • Fort Lauderdale, FL FULL_TIME
  • Are you a Registered Nurse looking for a meaningful and rewarding career opportunity in South Florida? Look no further! Our home health agency is currently seeking a full-time Director of Clinical Ser...
  • 4 Days Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Fort Lauderdale, FL area

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Staff Nurse-LPN
  • Broward Community & Family Health Centers, Inc.
  • Pompano Beach, FL
  • Job Description Job Description We are seeking a Staff Nurse to join our team at our Pompano, Lauderhill and West Park l...
  • 4/18/2024 12:00:00 AM

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Registered Nurse Observation Full Time Nights
  • Tenet Healthcare Corporation
  • West Palm Beach, FL
  • Up to $15,000 Sign-On bonus for experienced Registered Nurse / RN Summary The Professional Staff Nurse plans, delivers a...
  • 4/18/2024 12:00:00 AM

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Monitor Tech
  • IASIS Healthcare
  • Miami, FL
  • Monitor TechClick Here to Apply OnlineJob DescriptionLocation: Coral Gables HospitalPosted Date: 11/16/2023SIGN ON BONUS...
  • 4/18/2024 12:00:00 AM

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Registered Nurse, Operating Room
  • Methodist Hospital for Surgery
  • Deerfield Beach, FL
  • To act as patient advocate, providing continuity of care designed to meet individual patient needs through collaboration...
  • 4/16/2024 12:00:00 AM

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Registered Nurse or Licensed pratical Nurse (Per Diem)
  • UpHealth
  • Delray Beach, FL
  • Summary Description Summary of Responsibilities: The staff nurse is a registered professional nurse who coordinates, and...
  • 4/15/2024 12:00:00 AM

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Registered Nurse Oncology Full Time Nights
  • Tenet Healthcare Corporation
  • West Palm Beach, FL
  • Up to $15,000 Sign On Bonus available based on experience Summary The Professional Staff Nurse plans, delivers and evalu...
  • 4/15/2024 12:00:00 AM

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Registered Nurse, Operating Room
  • ValueHealth
  • Pompano Beach, FL
  • To act as patient advocate, providing continuity of care designed to meet individual patient needs through collaboration...
  • 4/14/2024 12:00:00 AM

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Registered Nurse PACU
  • ValueHealth
  • Pompano Beach, FL
  • To act as patient advocate, providing continuity of care designed to meet individual patient needs through collaboration...
  • 4/14/2024 12:00:00 AM

Fort Lauderdale (/ˈlɔːdərdeɪl/) is a city in the U.S. state of Florida, 28 miles (45 km) north of Miami. It is the county seat of Broward County. As of the 2017[update] census, the city has an estimated population of 180,072. Fort Lauderdale is a principal city of the Miami metropolitan area, which was home to an estimated 6,158,824 people in 2017. The city is a popular tourist destination, with an average year-round temperature of 75.5 °F (24.2 °C) and 3,000 hours of sunshine per year. Greater Fort Lauderdale, encompassing all of Broward County, hosted 12 million visitors in 2012, including...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$87,011 to $108,719
Fort Lauderdale, Florida area prices
were up 2.9% from a year ago