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)
FULL TIME AND PART TIME NURSES (prorated) on our 3P-11P shifts!
Sub-Acute Rehab Unit AVAILABILITY!
RN SALARY RANGE: $34 - $44/hour!
LPN SALARY RANGE: $32 - $42/hour!
Ledgewood Rehabilitation and Healthcare Center is now hiring RNs and LPNs to join our skilled nursing team on our Sub Acute Unit and/or Long-Term Care Units! We are seeking passionate and caring nursing professionals to join our skilled nursing facility in Beverly, MA known as Ledgewood Rehabilitation and Healthcare Center. Join our team! NEW GRADS ARE WELCOMED AND ENCOURAGED TO APPLY - We have a great training program!
Benefits for RN/LPN:
Requirements for RN/LPN:
Job Duties for RN/LPN:
Ledgewood Place truly appreciates our dedicated RNs and LPNs who will welcome you to our extended family!
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Lawrence, MA area