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)
Now Hiring Infection Preventionist/ Staff Educator (RN) Registered Nurse
Complete Care at Harston Hall
350 Haws Lane
Flourtown, PA 19031
215.836.3200
Complete Care at Harston Hall is a pillar in the community of Flourtown, PA. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Now Hiring Infection Preventionist/ Staff Educator (RN) Registered Nurse
Why work for us?
Now Hiring:
Full-Time Infection Preventionist/ Staff Educator (RN) Registered Nurse
Responsibilities Infection Preventionist/ Staff Educator (RN) Registered Nurse:
· ADON works under the DON to ensure residents care is above excellence and safe.
· Provides leadership to the nursing staff to assure that the highest quality care is provided.
Benefits Infection Preventionist/ Staff Educator (RN) Registered Nurse:
· Beautiful work environment
· Competitive Wages and Benefit Package
· Flexible Schedule
· Paid Time Off
· Overtime Pay
Qualifications Infection Preventionist/ Staff Educator (RN) Registered Nurse:
Complete Care at Harston Hall is an equal opportunity employer.
Now Hiring: Infection Preventionist/ Staff Educator (RN) Registered Nurse
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