Staff Nurse - RN, Sr. - Medical Management jobs in Mobile, AL

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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RN Staff Development Nurse- Sign On Bonus $10K!
  • NHS MANAGEMENT, LLC
  • Mobile, AL FULL_TIME
  • RN Staff Development Nurse

    Working with us means being part of something special: A family that is passionate about making an impact on our patients’ lives each and every day.  Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

    We are in search of a qualified RN Staff Development Nurse:

    • Implements and monitors orientation program for all new employees according to policies, procedures and Federal/State requirements
    • Review Nursing Exception Report and compare it the schedule and hall assignment.
    • Post Daily Staffing Requirement per Federal and State Regulations
    • Completes and maintains accurate working schedules in compliance with State Staffing Regulations and facility budget.
    • Participate and attend monthly QA meetings / Attend and participate in daily morning meetings

    QUALIFICATIONS:

    • Current Registered Nurse by State required
    • Experience in the long term care or working with the geriatric population preferred.
    • Must have at least two - three years nursing experience
    • Clerical ability is necessary to read reports and utilize data accurately for other purposes.
    • Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
    • Ability to plan and direct the department, coordinating with other departments.

    We offer the following benefits for you and your family:

    • Competitive Wages
    • Elite Low Cost Gold Plan Blue Cross Blue Shield Health Insurance
    • Dental Insurance, Life Insurance, Vision Insurance
    • 401K with company match
    • Paid Holidays and Paid Vacation

    EOE

    "Our Family Caring For Yours"

  • 1 Month Ago

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IV Infusion Nurse
  • RN Enterprises Infusion Services, Inc.
  • Mobile, AL FULL_TIME
  • We are a Veteran Owned and Operated Small Business. We are in need of an excellent Infusion Nurse who can start a PIV and administer specialty medications in the home, such as IVIG. The nurse will sta...
  • 12 Days Ago

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RN / Registered Nurse / Alabama / Any / ER RN Job
  • Nurse Job Board
  • Huxford, AL FULL_TIME
  • PERMANENT EMERGENCY ROOM RN NEEDED IN SOUTHERN ALABAMAfull time, permanent position extremely competitive pay excellent benefits very low cost of living area close proximity to Florida and beautiful b...
  • 27 Days Ago

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RN / Registered Nurse / Alabama / Any / Emergency Room Registered Nurse Job
  • Nurse Job Board
  • Huxford, AL FULL_TIME
  • PERMANENT EMERGENCY ROOM RN NEEDED IN SOUTHERN ALABAMAfull time, permanent position extremely competitive pay excellent benefits very low cost of living area close proximity to Florida and beautiful b...
  • 27 Days Ago

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RN / Registered Nurse / Alabama / Any / ICU Registered Nurse (Part Time) Job
  • Nurse Job Board
  • Huxford, AL PART_TIME
  • Seeking a Part Time ICU/ Critical Care Registered Nurse (RN) to join a great team in southern Alabama. This is a great location near the Alabama/ Florida border. This is a part time position, most lik...
  • 27 Days Ago

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Registered Nurse (RN) - Medical - Surgical Department
  • Thomasville Regional Medical Center
  • Thomasville, AL FULL_TIME
  • Registered NurseThomasville, ALPosition: Non-ExemptShift: Days/Nights/Various shiftsSchedule: Full-time/Part-time/PRN TRMC is hiring candidates who feel patient care is as important as we do!Thomasvil...
  • 1 Month Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Mobile, AL area

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Medical Director
  • Hunt RPO
  • Mobile, AL
  • Job Overview Seeking an Internal Medicine or Family Medicine Physician with additional Geriatric Medicine certification ...
  • 4/26/2024 12:00:00 AM

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Registered Nurse Supervisor - up to $52 Weekend Only
  • Noland Health Services
  • Mobile, AL
  • Summary of Duties Provide direct care to residents as needed in accordance with care plan applicable policies, procedure...
  • 4/26/2024 12:00:00 AM

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Dialysis Clinical Manager
  • Fresenius Medical Care
  • Mobile, AL
  • PURPOSE AND SCOPE: Supports FMCNAs mission, vision, core values and customer service philosophy. Adheres to the FMCNA Co...
  • 4/26/2024 12:00:00 AM

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Clinical Transformation Specialist
  • USA Health
  • Mobile, AL
  • Overview: USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA He...
  • 4/26/2024 12:00:00 AM

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Registered Nurse- Neonatal Intensive Care Unit- Children's and Women's Hospital
  • USA Health
  • Mobile, AL
  • Overview: VARIOUS SHIFTS AVAILABLE USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs...
  • 4/25/2024 12:00:00 AM

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Physician Assistant OR Nurse Practitioner Mobile, AL
  • HEALTHCARE RECRUITMENT COUNSELORS
  • Mobile, AL
  • Job Description Job Description Physician Assistant OR Nurse Practitioner Mobile, AL Competitive compensation with produ...
  • 4/25/2024 12:00:00 AM

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Fire Service Technician V
  • Johnson Controls International
  • Mobile, AL
  • What you will do: Receive service calls from Service Resource Center, including a brief description of equipment/system ...
  • 4/23/2024 12:00:00 AM

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Certified Nursing Assistant (CNA) - Full-Time
  • Kensington Health and Rehab
  • Mobile, AL
  • This position requires experience in a Post-Acute, Skilled, Long-Term care Facility. Please only apply if you have the q...
  • 4/22/2024 12:00:00 AM

Mobile (/moʊˈbiːl/ moh-BEEL; French pronunciation: ​[mɔ.bil]) is the county seat of Mobile County, Alabama, United States. The population within the city limits was 195,111 as of the 2010 United States Census, making it the third most populous city in Alabama, the most populous in Mobile County, and the largest municipality on the Gulf Coast between New Orleans, Louisiana, and St. Petersburg, Florida. Alabama's only saltwater port, Mobile is located on the Mobile River at the head of the Mobile Bay and the north-central Gulf Coast. The Port of Mobile has always played a key role in the economi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$82,958 to $103,655
Mobile, Alabama area prices
were up 1.3% from a year ago