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)
We are a Team of professional Infusion Nurses working directly with Specialty Pharmacies to Teach & Train patients and caregivers in the home setting. Must have strong clinical nursing skills assessing patients, working with PICC lines and other IV access devices, and drawing labs per protocol. IV therapies include Antibiotics, Steroids, TPN, Biologics, IVIG, and other various specialty medications.
This is a fast-paced environment with referrals 7 days a week. We are very easy to work with and have a great Administrative Office Staff always available to help. No On Call!
The Registered Nurse is primarily responsible for administering medication and managing the general care of patients with serious acute/chronic illnesses in their home. The ideal candidate has the right attitude and personality for working closely with patients and families in their home.
Responsibilities:
Be able to openly communicate with the patient and caregivers and with our staff, pharmacy partners, and physicians.
Document patient responses to IV therapy treatments in a timely manner.
Case Manage the patient during their therapy. Coordinating next visit, supplies, communication, etc.
Join the fastest-growing, most-experienced Team of Infusion Nurses in the country!
Job Types: Contract, PRN
Pay: $45.00 per hour
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Work Location: In person
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Melbourne, FL area