Staff Nurse - RN, Sr. - Medical Management jobs in Monroe, LA

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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MDS NURSE RN
  • PRIORITY MANAGEMENT
  • RUSTON, LA OTHER
  • Job Details

    Job Location:    Alpine Skilled Nursing and Rehabilitation - RUSTON, LA
    Salary Range:    Undisclosed
    Job Shift:    Any

    MDS NURSE RN

    MDS Nurse RN

    Come join an amazing team!

    Our care teams are true caregivers. They serve patients with dedication and compassion and are the heart of our patients’ care and recovery. Whether providing direct care or operational support, Priority Management seeks people who share our commitment to providing excellent care to our patients and residents. Our patients are our passion and we invite you to join our team!

    Responsibilities:

    Responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department.

     Benefits Include:

    • Medical
    • Dental
    • Vision
    • Basic Company Paid Life insurance
    • Long Term Disability
    • Voluntary Life Insurance for the Employee, Employee Spouse and Employee Children
    • Short Term Disability, Cancer, Critical Illness, Accidental and Universal Life
    • Employee Referral Bonus Potential Program
    • Daily Pay
    • Tuition Reimbursement
    • Paid Time Off

    JOB QUALIFICATIONS


    Qualifications

    • Must possess a current, unencumbered, active license to practice as an RN in this state.
    • Three (3) years’ MDS experience in a nursing care facility preferred.
    • Must have training in rehabilitative and restorative nursing practices.
    • Must have a working knowledge of managed care rules, regulations, and guidelines.
    • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.

     

    Priority Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

  • 1 Month Ago

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13 Week Travel Contract Registered Nurse, Staff, Home Health
  • Core Medical Group
  • Monroe, LA OTHER,CONTRACTOR
  • RN needed for hospice in Monroe , LA CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Plus, we're t...
  • 12 Days Ago

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13 Week Travel Contract Registered Nurse, Staff, Home Health
  • Core Medical Group
  • West Monroe, LA OTHER,CONTRACTOR
  • Client in LA seeking CWHH-RN Home Health (RN) to work Hours Per Shift: 8 Louisiana has arguably the most colorful history and fascinating culture of any state in the nation. In what other state could ...
  • 15 Days Ago

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Home Health RN - Travel Nurse
  • Fusion Medical Staffing
  • West Monroe, LA 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

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Travel Nurse - ER / ED RN
  • Glenwood Regional Medical Center
  • West Monroe, LA FULL_TIME
  • Offering Premium Pay, Customizable Contracts, Travel Reimbursement, Housing Allowance, Guaranteed Hours, and more! Work within our network of 33 community hospitals as a full-time employee of Steward ...
  • 28 Days Ago

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RN Extern (Nurse Tech) PRN
  • Glenwood Regional Medical Center
  • West Monroe, LA OTHER
  • POSITION SUMMARY The Nurse Tech is responsible for assisting in the delivery of both direct and indirect nursing care under the direction and supervision of a registered nurse. When applying for the p...
  • 29 Days Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Monroe, LA area

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Lab Director (Tallulah, LA)
  • Madison Parish Hospital
  • Monroe, LA
  • Job Description Job Description Under the direction of the Administrator and the Ancillary Department Head, the Laborato...
  • 4/18/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,005 per week
  • TRS Healthcare
  • West Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Home Health for a travel nursing job in West Monroe, Louisiana. Job Descr...
  • 4/18/2024 12:00:00 AM

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Clinical Dietitian II
  • Sodexo
  • MONROE, LA
  • Unit Description: Use your passion for service to create a positive impact and make a difference in the communities we s...
  • 4/18/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,728 per week
  • Hiring Now!
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Monroe, Louisiana. Job Description ...
  • 4/17/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,717 per week
  • Hiring Now!
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Monroe, Louisiana. Job Description &...
  • 4/17/2024 12:00:00 AM

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Associate/Assistant Professor - Clinical Hospitalist
  • Louisiana State University Health Sciences Center Shreveport
  • Monroe, LA
  • Position Details Expiration Date Open Until Filled Department MC EA Conway Position Type Faculty Location Monroe Descrip...
  • 4/17/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,843 per week
  • Hiring Now!
  • Monroe, LA
  • Advantis Medical is seeking a travel nurse RN Med Surg for a travel nursing job in Monroe, Louisiana. Job Description & ...
  • 4/17/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,744 per week
  • Hiring Now!
  • Monroe, LA
  • TotalMed Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Monroe, Louisiana. Job Description ...
  • 4/14/2024 12:00:00 AM

Monroe (historically French: Poste-du-Ouachita) is the eighth-largest city in the U.S. state of Louisiana. It is the parish seat of Ouachita Parish. In the official 2010 census, Monroe had a population of 48,815. The municipal population declined by 8.1 percent over the past decade; it was 53,107 in the 2000 census. After a recheck in 2012, the Census Bureau changed the 2010 population from 48,815 to 49,147. Mayor Jamie Mayo, however, maintains that the Monroe population is more than 50,000 and indicated that he will pursue a continued challenge to the count. Monroe is the principal city of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$81,156 to $101,404
Monroe, Louisiana area prices
were up 1.2% from a year ago