Staff Nurse - RN, Sr. - Medical Management jobs in Nashua, NH

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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Manager Medical Staff Services
  • Clinical Management Consultants
  • Nashua, NH FULL_TIME
  • An award-winning critical access hospital located in southern New Hampshire is currently searching for an experienced Manager Medical Staff Services to join their dynamic healthcare team.

    This regional leading healthcare organization offers a wide range of clinical services including medical, surgical, intensive care, obstetrics, pediatrics, emergency care, mental health, and primary care services. This facility opened its doors just over 100 years ago and has since proved a timeless commitment to improving the health and well-being of the surrounding communities.

    Reporting to the Chief Medical Officer, the Manager Medical Staff Services is responsible for ensuring that physicians and advanced practice providers possess the necessary credentials and qualifications to deliver quality patient care in compliance with regulatory requirements and accreditation standards. You will lead a team, supervise staff, and collaborate with various stakeholders to streamline and enhance the medical staff credentialing and privileging processes. Your strong knowledge of medical staff bylaws, policies, and procedures, along with your exceptional attention to detail and organizational skills, will contribute to the efficient functioning of the medical staff services, promoting patient safety and quality outcomes.

    What Makes You Awesome:

    • Bachelor's level degree in a related field
    • Prior experience working with medical staff and credentialing
    • Progressive leadership experience

    Located in southern New Hampshire, this picturesque region offers a blend of natural surroundings, cultural heritage, and community spirit. This location offers high quality of life, with a range of recreational, cultural, and educational opportunities that make it an appealing place to live or visit.

    This organization is prepared to offer a competitive salary including an industry leading benefit package for those who qualify.

  • 30 Days Ago

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Sr. Staff Engineer, IC Design (Power Management)
  • Peregrine Semiconductor Corporation
  • Nashua, NH FULL_TIME
  • Sr. Staff Engineer, IC Design (Power Management) Location: Nashua, NH, US pSemi Corporation is a Murata company driving semiconductor integration. pSemi builds on Peregrine Semiconductor's 30-year leg...
  • 1 Day Ago

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Travel ER RN - Emergency Room RN Registered Nurse
  • Focus Staff Services
  • Nashua, NH OTHER
  • OverviewFocus Staff is seeking a ER Registered Nurse for a travel contract in Nashua, NH. The ideal candidate will have at least 1 year of experience in a ER setting. Contract Length: 13 Weeks Start D...
  • 3 Days Ago

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Travel Cath Lab RN Registered Nurse
  • Focus Staff Services
  • Nashua, NH OTHER
  • OverviewFocus Staff is seeking a Cath Lab Registered Nurse for a travel contract in Nashua, NH. The ideal candidate will have at least 1 year of experience in a Cath Lab setting. Contract Length: 13 W...
  • 3 Days Ago

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Travel STEP RN - Step Down Registered Nurse
  • Focus Staff Services
  • Nashua, NH OTHER
  • OverviewFocus Staff is seeking a Step Down Registered Nurse for a travel contract in Nashua, NH. The ideal candidate will have at least 1 year of experience in a Step Down setting. Contract Length: 13...
  • 1 Month Ago

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Travel M/S RN - Med/Surg Registered Nurse
  • Focus Staff Services
  • Milford, NH OTHER
  • OverviewFocus Staff is seeking a Med Surg Registered Nurse for a travel contract in Milford, NH. The ideal candidate will have at least 1 year of experience in a Med Surg setting. Contract Length: 10 ...
  • 1 Month Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Nashua, NH area

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RN, Staff Nurse
  • Massachusetts General Hospital
  • Boston, MA
  • White 9 is a 25-bed acute care medical unit with telemetry beds. Our diverse RN team provides complex, holistic and comp...
  • 4/17/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,986 per week
  • Skyline Med Staff Nursing
  • Concord, NH
  • Skyline Med Staff Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Concord, New Hampshire. Job ...
  • 4/16/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,922 per week
  • Hiring Now!
  • Nashua, NH
  • Skyline Med Staff Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in Nashua, New Hampshire. Job ...
  • 4/16/2024 12:00:00 AM

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STAFF NURSE- Part time w/ benefits, 6:45am-3:15pm
  • Sisters of Notre Dame
  • Ipswich, MA
  • Job Description Job Description St. Julie Billiart Residential Care Center, Ipswich, MA, is currently hiring: Staff Nurs...
  • 4/15/2024 12:00:00 AM

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RN, Staff Nurse
  • Partners Healthcare System
  • Boston, MA
  • White 9 is a 25-bed acute care medical unit with telemetry beds. Our diverse RN team provides complex, holistic and comp...
  • 4/14/2024 12:00:00 AM

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Peritoneal Dialysis (PD) Staff Nurse (RN)
  • Dialysis Clinic, Inc.
  • Boston, MA
  • Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize ind...
  • 4/13/2024 12:00:00 AM

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Center for Infertility and Reproductive Surgery - Staff Nurse
  • Brigham and Women's Hospital
  • Boston, MA
  • Excellent Care to Patients and Families The Best Staff In the Safest Environment Per Diem Nurse/ Variable Days/ Center f...
  • 4/13/2024 12:00:00 AM

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STAFF NURSE- Part time w/ benefits, 6:45am-3:15pm
  • Sisters of Notre Dame
  • Ipswich, MA
  • Job Description St. Julie Billiart Residential Care Center, Ipswich, MA, is currently hiring: Staff Nurse: 24 hours per ...
  • 4/13/2024 12:00:00 AM

Nashua is a city in Hillsborough County, New Hampshire, United States. As of the 2010 census, Nashua had a population of 86,494, making it the second-largest city in the state after Manchester. As of 2017 the population had risen to an estimated 88,341. Built around the now-departed textile industry, in recent decades it has been swept up in southern New Hampshire's economic expansion as part of the Boston region. Nashua was twice named "Best Place to Live in America" in annual surveys by Money magazine. It is the only city to get the No. 1 ranking on two occasions—in 1987 and 1998. Nashua is ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$97,640 to $122,000
Nashua, New Hampshire area prices
were up 1.4% from a year ago