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)
Are you a dedicated nursing professional with a passion for providing exceptional care? Hillside Medical Lodge, located in the heart of Gatesville, Texas, invites you to join our esteemed team as a Compassionate Nurse.
About Us:
Hillside Medical Lodge is more than just a senior care facility; it's a warm and welcoming community dedicated to enriching the lives of our residents. With a focus on personalized care and holistic well-being, we strive to create an environment where every individual feels valued and respected.
The Opportunity:
As a Compassionate Nurse at Hillside Medical Lodge, you'll play a crucial role in upholding our commitment to excellence in senior care. Working alongside a compassionate team of healthcare professionals, you'll have the opportunity to make a meaningful difference in the lives of our residents every day.
What We Offer:
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Join Our Team:
If you're ready to embark on a rewarding career journey dedicated to providing compassionate care to seniors, we invite you to apply to join the Hillside Medical Lodge team today. Together, let's create a nurturing and supportive environment where every resident can thrive.
Job Type: Full-time
Pay: From $30.00 per hour
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Work Location: In person
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Killeen, TX area