Staff Nurse - RN, Sr. - Medical Management jobs in Knoxville, TN

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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Medical Assistant
  • SR Medical Services
  • Harriman, TN FULL_TIME
  • We have a GREAT opportunity for a reliable, team player to become part of our team to assist patients in our primary care clinic. You will be rooming patients, obtaining vitals, and assisting the provider(s) with minor procedures. Additionally, you will be helping providers to order labs/x-rays, assist in management of prescription refill requests and prior authorizations, schedule and track patients, make referrals, triage patient phone calls and help with any various tasks needed for patient care. Hours will generally be 8 am-4:30 pm Monday-Friday.

    Desired skills:

    Positive Team Player

    Computer Savvy- EMR experience, spreadsheets, etc.

    Working Knowledge of Medical Terminology

    Appointment Scheduling

    Understanding of Medical Insurance (Incorporated in scheduling and to prepare billing for visits)

    Maintain Accurate and Organized Records (Patient consent forms, billing, and daily logs)

    Confident in Communication Skills

    Highly Motivated

    Three or more years of experience in a healthcare facility or private physician office is a plus (but not required)

    Dependable attendance

    Positive and professional attitude

    Excellent patient care skills and ability to multitask.

    Job Type: Full-time

    Pay: $12.00 - $14.00 per hour

    Benefits:

    • Health insurance
    • Paid time off

    Medical specialties:

    • Primary Care

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • In-person

    Work Location: In person

  • 20 Days Ago

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Staff Nurse - Complex Medical
  • University of Tennessee Medical Center
  • Knoxville, TN FULL_TIME
  • Position Summary: The RN is responsible for delegating, coordinating, and managing all aspects of nursing care and services provided to the patient and family in a safe, timely, cost-effective, and re...
  • 1 Day Ago

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Staff Nurse
  • University of Tennessee Medical Center
  • Knoxville, TN FULL_TIME
  • Position Summary: The RN is responsible for delegating, coordinating, and managing all aspects of nursing care and services provided to the patient and family in a safe, timely, cost-effective, and re...
  • 7 Days Ago

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Staff Nurse
  • UT MEDICAL CENTER
  • Knoxville, TN FULL_TIME
  • The RN is responsible for delegating, coordinating, and managing all aspects of nursing care and services provided to the patient and family in a safe, timely, cost-effective, and respectful manner. P...
  • 1 Month Ago

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Travel Nurse RN - Med/Surg - $1,813 to $1,868 per week in Jefferson City, TN
  • Focus Staff
  • Jefferson, TN FULL_TIME
  • Focus Staff is seeking a Med Surg Registered Nurse for a travel contract in Jefferson City, TN. The ideal candidate will have at least 1 year of experience in a Med Surg setting.Contract Length: 13 We...
  • 16 Days Ago

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Registered Nurse (RN) - Knoxville, Tennessee
  • Towne Nursing Staff
  • Knoxville, TN 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...
  • 1 Month Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Knoxville, TN area

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Patient Sitter - Float Pool, PRN, varied hours
  • Tennova Knoxville Physician RMC - North Knoxville Medical Center
  • Knoxville, TN
  • Works under the supervision and guidance of a staff nurse to provide observation of patients. Assists with helping a nur...
  • 4/24/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $1,927 per week
  • Hiring Now!
  • Sevierville, TN
  • TotalMed Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Sevierville, Tenn...
  • 4/24/2024 12:00:00 AM

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Patient Care Tech- Medical Surgical PRN, 7p-7A - No Experience Required
  • Community Health System
  • Knoxville, TN
  • Job Description Performs various direct patient care activities under the supervision of a Registered Nurse. Assists pat...
  • 4/24/2024 12:00:00 AM

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National Float Pool Home Therapy Registered Nurse - RN
  • Fresenius Medical Care
  • Knoxville, TN
  • POSITION FEATURES: This position is part of the Fresenius National Float Pool. Frequent overnight travel is required. Th...
  • 4/23/2024 12:00:00 AM

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Travel Nurse RN - Med Surg / Telemetry - $1,994 per week
  • Hiring Now!
  • Knoxville, TN
  • TotalMed Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Knoxville, Tennessee. Jo...
  • 4/22/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,922 per week
  • Hiring Now!
  • Knoxville, TN
  • TotalMed Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Knoxville, Tennessee. Job Descripti...
  • 4/22/2024 12:00:00 AM

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Travel Nurse RN - Med Surg / Telemetry - $1,922 per week
  • Hiring Now!
  • Knoxville, TN
  • TotalMed Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Knoxville, Tennessee. Jo...
  • 4/22/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $1,668 per week
  • Hiring Now!
  • Knoxville, TN
  • TotalMed Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Knoxville, Tennes...
  • 4/20/2024 12:00:00 AM

Knoxville is a city in the U.S. state of Tennessee, and the county seat of Knox County. The city had an estimated population of 186,239 in 2016 and a population of 178,874 as of the 2010 census, making it the state's third largest city after Nashville and Memphis. Knoxville is the principal city of the Knoxville Metropolitan Statistical Area, which, in 2016, was 868,546, up 0.9 percent, or 7,377 people, from to 2015. The KMSA is, in turn, the central component of the Knoxville-Sevierville-La Follette Combined Statistical Area, which, in 2013, had a population of 1,096,961. First settled in 178...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$82,597 to $103,204
Knoxville, Tennessee area prices
were up 1.3% from a year ago