Staff Nurse - RN, Sr. - Medical Management jobs in Philadelphia, PA

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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Infection Preventionist/ Staff Educator (RN) Registered Nurse
  • Complete Care Management
  • Flourtown, PA FULL_TIME
  • Now Hiring Infection Preventionist/ Staff Educator (RN) Registered Nurse

    • IP certification preferred.
    • Nursing Home experience required.

    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? 

    • Our residents and staff are treated like family.
    • You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment.
    • We are committed to your growth and success.
    • Come join employees who have become family!
    • Work today, get paid today!  Complete Care has partnered with DailyPay, a voluntary benefit to offer employees access to their pay on their own schedule.

    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:

    • RN License in MD
    • RN experience in LTC/SNF preferred.
    • IP certification
    • Serious applicants

    Complete Care at Harston Hall is an equal opportunity employer.

    Now Hiring: Infection Preventionist/ Staff Educator (RN) Registered Nurse

    IND123

     

     

  • 26 Days Ago

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Quality Management Specialist - RN
  • RN - Independence Blue Cross Careers
  • Philadelphia, PA FULL_TIME
  • Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea...
  • 1 Month Ago

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Travel Nurse RN - Telemetry - $1,873 to $1,930 per week in Phoenixville, PA
  • Focus Staff
  • Phoenixville, PA FULL_TIME
  • Focus Staff is seeking a Telemetry Registered Nurse for a travel contract in Phoenixville, PA. The ideal candidate will have at least 1 year of experience in a Telemetry setting. Contract Length: 13 W...
  • 10 Days Ago

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Travel Nurse RN - Med/Surg - $1,814 to $1,869 per week in Philadelphia, PA
  • Focus Staff
  • Philadelphia, PA FULL_TIME
  • Focus Staff is seeking a Med Surg Registered Nurse for a travel contract in Philadelphia, PA. The ideal candidate will have at least 1 year of experience in a Med Surg setting.Contract Length: 13 Week...
  • 10 Days Ago

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Travel Nurse RN - Rehab - $1,143 to $1,178 per week in King of Prussia, PA
  • Focus Staff
  • King of Prussia, PA FULL_TIME
  • Focus Staff is seeking a Rehab Registered Nurse for a travel contract in King of Prussia, PA. The ideal candidate will have at least 1 year of experience in a Rehab setting. Contract Length: 57 Start ...
  • 10 Days Ago

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Travel Nurse RN - Wound/Ostomy - $2,239 to $2,307 per week in Philadelphia, PA
  • Focus Staff
  • Philadelphia, PA FULL_TIME
  • We currently have a client in Philadelphia, PA looking for a Travel Wound Care RN Registered Nurse!Focus Staff is seeking a traveling Certified Rehabilitation RN, who will provide comprehensive wound ...
  • 10 Days Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Philadelphia, PA area

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Part-time Staff Nurse Pre-op/PACU
  • Wills Eye Hospital
  • Philadelphia, PA
  • EOE Statement We are an equal employment opportunity employer.All qualified applicants will receive consideration for em...
  • 4/19/2024 12:00:00 AM

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Staff Nurse Mental Health UCHC-Per Diem NJSP
  • Rutgers University
  • Trenton, NJ
  • Position Details Position Information Recruitment/Posting Title Staff Nurse Mental Health UCHC-Per Diem NJSP Job Categor...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,503 per week
  • Skyline Med Staff Nursing
  • Philadelphia, PA
  • Skyline Med Staff Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Philadelphia, Pennsylvania. ...
  • 4/19/2024 12:00:00 AM

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RN - Cardiac Catheterization - (FT - Day) - Abington, Jefferson
  • Thomas Jefferson University
  • Philadelphia, PA
  • Responsibilities Join the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42,000 employe...
  • 4/19/2024 12:00:00 AM

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RN - ER (Per-Diem, Nights) - Jefferson Frankford
  • Thomas Jefferson University
  • Philadelphia, PA
  • Responsibilities Join the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42,000 employe...
  • 4/19/2024 12:00:00 AM

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UCHC Staff Nurse Mental Health NJSP PT Evenings
  • Rutgers University
  • Trenton, NJ
  • Position Details Position Information Recruitment/Posting Title UCHC Staff Nurse Mental Health NJSP PT Evenings Job Cate...
  • 4/17/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,503 per week
  • Hiring Now!
  • Philadelphia, PA
  • Skyline Med Staff Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Philadelphia, Pennsylvania. ...
  • 4/17/2024 12:00:00 AM

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LPN Staff Nurse
  • Acw Health Care Inc
  • Haddonfield, NJ
  • Job Description Job Description ACW Healthcare INC has been providing skilled nursing care in the tristate area since 19...
  • 4/15/2024 12:00:00 AM

Philadelphia, sometimes known colloquially as Philly, is the largest city in the U.S. state and Commonwealth of Pennsylvania, and the sixth-most populous U.S. city, with a 2017 census-estimated population of 1,580,863. Since 1854, the city has been coterminous with Philadelphia County, the most populous county in Pennsylvania and the urban core of the eighth-largest U.S. metropolitan statistical area, with over 6 million residents as of 2017[update]. Philadelphia is also the economic and cultural anchor of the greater Delaware Valley, located along the lower Delaware and Schuylkill Rivers, wit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$95,118 to $118,848
Philadelphia, Pennsylvania area prices
were up 1.0% from a year ago