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)
We currently have a client in Pottstown, PA looking for a Travel TELE RN - Telemetry Registered Nurse!
Focus Staff is seeking a traveling Telemetry RN to use different devices and technology to monitor patient blood pressure and oxygen saturation, heart rhythms and respirations, and other data, then record the information and interpret the data to help the doctor assess how the patient is recovering and allow the physician to determine a treatment protocol.
Contract Assignment ? 13 Weeks (Temporary)
Shift ? 3x12 Days
Rewards: (Telemetry Registered Nurse Benefits)
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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Reading, PA area