Staff Nurse - RN, Sr. - Medical Management jobs in Hopkinsville, KY

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)

F
Travel RN ICU - Intensive Care Unit Registered Nurse
  • Focus Staff
  • Paducah, KY FULL_TIME
  • We currently have a client in Paducah, KY looking for a Travel RN ICU - Intensive Care Unit Registered Nurse!

    Focus Staff is seeking a traveling Certified Intensive Care RN, who will perform initial, concurrent, or post service review activities; discharge care coordination; and assisting with efficiency and quality assurance of medical necessity reviews in alignment with Federal, State, Plan, and Accreditation standards. The UM reviewer serves as a liaison between providers/ facilities and Care Management Division.

    Contract Assignment - 13 Weeks (Temporary)
    Shift: 3x12 Days

    Rewards: (Intensive Care Unit RN)
    • Pay depends on location and experience.
    • We are offering a very competitive package to the right licensed Certified Intensive Care Unit RN.
    • Most traveling healthcare providers enjoy the flexibility and the capability to travel and work in various settings and work environments.
    • 401K Matching
    • New License Reimbursement
    • Jobs staffing in all 50 states
    Candidates need to possess phenomenal efficiency and attention to detail with a strong knowledge of procedures and patient safety. Being Compassionate and sensitive is a prerequisite for the profession. The ideal Candidates goes a step further by being a critical thinker and fast to act with emergencies.

    Requirements:
    • Excellent communication and listening skills
    • Exhibits major team player qualities
    • Willingness to assist others when needed
    • Maintain a positive attitude toward work and others
    • Perform routine duties independent of supervision but consults with others as required.
    Work Experience: At least 2 years of experience as an Intensive Care Unit RN (Certified ICU RN)

    If you are seeking a position as a Travel RN ICU - Intensive Care Unit Registered Nurse in Paducah, KY and would like 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 are seeking Travel assignments, PRN work or Permanent Placed positions.

    Responsibilities:
    • Supports the Collaborative Care Management Model as a working partner with physicians, social workers, pharmacists and other professional staff.
    • Demonstrates proficiency in the application of National clinical case review criteria and appropriate levels of care across the care continuum for managing complex cases and related episodic care events.
    • Demonstrates proficiency with caseload assignment and ability to manage complex cases effectively.
    • Demonstrates an understanding of funding resources, services and clinical standards and outcomes.
    • Demonstrates knowledge of case management standards of practice and processes including identification and assessment, planning, interventions and evaluation.
    • Demonstrates a solid understanding of managed care trends, Medicare, and Medicaid regulations, reimbursement and the effect on utilization and outcomes of the different methods of reimbursement
    • Demonstrates the ability to develop departmental interfaces with internal and external customers to provide exemplary service and achieve goals.
    • Demonstrates participation in multi-disciplinary team rounds if designated to cover a facility designed to address utilization/resource and progression of care issues. Assists in developing and implement an improvement plan to address issues.

    Job Type: Contract/Temporary/Travel
    Location: Paducah, KY
    If You have a Passion for being an Intensive Care Unit RN, Apply Today and a Recruiter will guide you through the Process.
    Join our VIP team of Traveling Professionals!

    Traveling ICU RN, Intensive Care Registered Nurse, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier2, Travel RN ICU - Intensive Care Unit Registered Nurse
  • 29 Days Ago

C
Staff - Registered Nurse (RN) - Med Surg - $65K-85K per
  • Core Medical-Perm
  • Mayfield, KY FULL_TIME
  • Core Medical-Perm is seeking a Registered Nurse (RN) Med Surg for a nursing job in Mayfield, Kentucky.Job Description & RequirementsSpecialty: Med SurgDiscipline: RNStart Date: ASAPDuration: Ongoing36...
  • 16 Days Ago

F
Travel Nurse RN - Med/Surg - $1,500 to $1,545 per week in Madisonville, KY
  • Focus Staff
  • Madisonville, KY FULL_TIME
  • Focus Staff is seeking a Med Surg Registered Nurse for a travel contract in Madisonville, KY. The ideal candidate will have at least 1 year of experience in a Med Surg setting.Contract Length: 13 Week...
  • 2 Months Ago

F
Travel REHAB RN - Rehabilitation Registered Nurse
  • Focus Staff Services
  • Madisonville, KY OTHER
  • OverviewFocus Staff is seeking a Rehab Registered Nurse for a travel contract in Madisonville, KY. The ideal candidate will have at least 1 year of experience in a Rehab setting. Contract Length: 43 S...
  • 12 Days Ago

O
Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • PADUCAH, KY FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 4 Days Ago

O
Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • MARTIN, TN FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Staff Nurse - RN, Sr. - Medical Management jobs found in Hopkinsville, KY area

F
Outpatient Registered Nurse - RN
  • Fresenius Medical Care
  • Hopkinsville, KY
  • About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-kni...
  • 4/15/2024 12:00:00 AM

F
Registered Nurse (RN)
  • Fresenius Medical Care
  • Hopkinsville, KY
  • About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-kni...
  • 4/15/2024 12:00:00 AM

F
Registered Nurse
  • Fresenius Medical Care
  • Hopkinsville, KY
  • About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-kni...
  • 4/15/2024 12:00:00 AM

T
Patient Sitter - (FT, Days )
  • Tennova Healthcare - Clarksville
  • Clarksville, TN
  • A non-licensed Patient Sitter works under the supervision and guidance of a professional staff nurse to provide observat...
  • 4/14/2024 12:00:00 AM

A
Licensed Practical Nurse - LPN
  • American Health Communities
  • Hopkinsville, KY
  • Join our Community as a Licensed Practical Nurse (LPN)!!! $8,000 Sign On Bonus! Extra $1 An Hour Attendance Bonus! As a ...
  • 4/14/2024 12:00:00 AM

H
Registered Nurse - RN Days
  • Hiring Now!
  • Hopkinsville, KY
  • Full-Time - Days We are looking for a compassionate Registered Nurse - RN who leads by example, knows how to motivate ot...
  • 4/14/2024 12:00:00 AM

H
Manager, Risk RN
  • Hiring Now!
  • Hopkinsville, KY
  • Join our Community as a RN Risk Manager! As a RN Risk Managerat American Health Communities you will ensure patient safe...
  • 4/14/2024 12:00:00 AM

C
Advanced Practice Registered Nurse (Nurse Anesthetist)
  • Civilian Corps
  • Fort Campbell, KY
  • Overview Advanced Practice Registerd Nurse (Nurse Anesthetist), Ft Campbell, KY Occupying a generous portion of the bord...
  • 4/12/2024 12:00:00 AM

Hopkinsville is a home rule-class city in and the county seat of Christian County, Kentucky, United States. The population at the 2010 census was 31,577. Hopkinsville is located south of the center of Christian County at 36°51′17″N 87°29′20″W / 36.85472°N 87.48889°W / 36.85472; -87.48889 (36.854712, -87.488872). Madisonville is 35 miles (56 km) to the north, Russellville is 35 miles (56 km) to the east, Oak Grove is 15 miles to the south, and Clarksville, Tennessee, is 26 miles (42 km) to the south. According to the United States Census Bureau, Hopkinsville has a total area of 30.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$81,066 to $101,291
Hopkinsville, Kentucky area prices
were up 1.2% from a year ago