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)
With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service. From the moment you apply, your recruitment specialist is focused on you—helping you build your profile to increase your chances of landing your perfect assignment. That includes developing your résumé, skills checklist and references.
Harris, New York, United States
Start date: 6/5/2023
Assignment length: 13 Weeks
Minimum years of experience: 2
Job type: Traveler
Shift: Day
Certifications: BCLS/BLS
We’re just as serious about your career as you are. We understand that in order to focus all your energies on patient care, you need to know that all your personal needs are also being met. That’s why Titan Medical does all it can to take care of you with benefits that focus on your financial, professional and personal needs, including:
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Poughkeepsie, NY area