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)
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 Health Care!
Local Travel Contracts Available!
MED SURG / TELEMETRY POSITION SUMMARY
The Med Surg /Telemetry RN is responsible and accountable for directing, planning and organizing the nursing activities on the Telemetry unit with a focus on patient, physician and staff needs. The Registered Nurse supports the medical care of patients under the direction of the Medical Staff pursuant to the mission and objectives of the Hospital.
EDUCATION AND EXPERIENCE REQUIREMENTS
BENEFITS OFFERED:
We have many plans with various deductibles, which can cover individuals or families so you can customize a plan that will work for you! Steward Health Care works with Blue Cross Blue Shield of Massachusetts to provide affordable health insurance for our employees in benefit eligible positions. Our Health Plans Highlights are:
Other Benefits provided:
Salary Range:
Please feel free to email us with any questions regarding the Steward National Traveler Network!
Crystal.Justice@steward.org
About Steward Health Care
Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country’s largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.
Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah.
For more information, visit www.steward.org.
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Port Arthur, TX area