Staff Nurse - RN, Sr. - Medical Management jobs in Lima, OH

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)

P
Travel Nurse RN - Med/Surg in Lima, OH
  • PeopleFirst RN
  • Lima, OH FULL_TIME
  • Owned and led by clinicians and business professionals with decades of healthcare experience, our team focuses on providing exceptional, effective, and efficient staffing services.   

    We are dedicated to providing customer-defined quality and service to nurses and facilities nationwide by matching top-tier healthcare professionals with the right client facilities. We believe the success of our company depends on the strength of our relationships with our nurses and client facilities. Our goal is to make healthcare better, improve lives and transform patient care through these relationships.  

    If you want a company that “sees you”, “hears you”, and “understands you”, PeopleFirst RN is your company for your next travel career choice. We understand the importance of your role in the field of healthcare and are specialized in our dedication to you, our nurse travelers.

    PeopleFirst RN is dedicated to connecting and supporting the people and organizations who take care of our health every day. We work hard to match you with the right opportunity to fit your lifestyle and career goals. Your needs are our top priority. We know career choices are some of the most important decisions you will make in your life.

    Our team is dedicated to providing you with the best experience possible. You will have direct access to a personal recruiter that will give you that individualized attention you deserve and will help you get to where you want to be.

    It’s time to make your next career move.


    About the Company:
    PeopleFirst RN



  • 24 Days Ago

T
Register Nurse (RN) - Kenton, Ohio
  • Towne Nursing Staff
  • Kenton, OH 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...
  • 4 Days Ago

O
Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • LIMA, OH 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...
  • 2 Months Ago

F
Med/Surg RN - Medical Surgical - Travel Nurse
  • Fusion Medical Staffing
  • Lima, OH FULL_TIME,CONTRACTOR
  • Job DescriptionInterested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we’re always looking for p...
  • 15 Days Ago

O
Travel Registered Nurse RN Telemetry
  • OneStaff Medical
  • Lima, OH OTHER
  • 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...
  • 2 Months Ago

F
Telemetry RN - Travel Nurse
  • Fusion Medical Staffing
  • Lima, OH FULL_TIME,CONTRACTOR
  • Job DescriptionInterested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we’re always looking for p...
  • 9 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Staff Nurse - RN, Sr. - Medical Management jobs found in Lima, OH area

B
Radiation Therapist | $10,000 Sign-On Bonus!
  • Bon Secours Mercy Health
  • Lima, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 5/9/2024 12:00:00 AM

S
Hospitality Aide - (CNA/STNA-in-Training) - Part-Time 3rd Shift
  • Shawnee Manor
  • Lima, OH
  • Shawnee Manor has proudly served the Greater Lima region since 1977. Shawnee Manor is a place where our tradition of car...
  • 5/9/2024 12:00:00 AM

V
Assisted Living LPN
  • Vancrest of Delphos
  • Delphos, OH
  • Position Details Employment Status: Part-Time Hours: 6:00am-2:00pm Shift: Day Assisted Living Nurse Staff Nurse - RN or ...
  • 5/8/2024 12:00:00 AM

B
Licensed Practical Nurse (LPN) or Medical Assistant (MA) Bluffton Family Medicine
  • Bon Secours Mercy Health
  • Lima, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 5/8/2024 12:00:00 AM

S
STNA Certification Classes - HCF - Part-Time 2nd Shift
  • Shawnee Manor
  • Lima, OH
  • Shawnee Manor has proudly served the Greater Lima region since 1977. Shawnee Manor is a place where our tradition of car...
  • 5/8/2024 12:00:00 AM

S
Licensed Practical Nurse (LPN) - Part-Time 12 Hour Shifts
  • Shawnee Manor
  • Lima, OH
  • Shawnee Manor has proudly served the Greater Lima region since 1977. Shawnee Manor is a place where our tradition of car...
  • 5/8/2024 12:00:00 AM

S
STNA/CNA - Full-Time 2nd Shift
  • Shawnee Manor
  • Lima, OH
  • Shawnee Manor has proudly served the Greater Lima region since 1977. Shawnee Manor is a place where our tradition of car...
  • 5/8/2024 12:00:00 AM

H
Charge Nurse-LPN (OH)
  • Homestead at Towne Center
  • Van Wert, OH
  • Position Purpose The Charge Nurse is responsible for directing patient care for designated shifts. The purpose of this p...
  • 5/7/2024 12:00:00 AM

Lima (/ˈlaɪmə/ LY-mə) is a city in and the county seat of Allen County, Ohio, United States. The municipality is located in northwestern Ohio along Interstate 75 approximately 72 miles (116 km) north of Dayton and 78 miles (126 km) south-southwest of Toledo. As of the 2010 census, the city had a population of 38,771. It is the principal city of and is included in the Lima, Ohio metropolitan statistical area, which is included in the Lima–Van Wert–Wapakoneta, OH, combined statistical area. Lima was founded in 1831. The Lima Army Tank Plant, built in 1941, is the sole producer of the M1 Abrams....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$84,966 to $106,161
Lima, Ohio area prices
were up 1.3% from a year ago