Staff Nurse - RN, Sr. - Medical Management jobs in Springfield, OH

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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RN - brief contract
  • MANIFEST-STAFF MEDICAL LLC
  • East Liberty, OH CONTRACTOR
  • Schedule: Mon-Fri 8a-4p

    Start date: TBD.(after Apr-1)

    Location: East Liberty, OH area

    Contract Duration: 1.5 to 2 weeks.

    Pay rate: $40/hr $100 Bonus per shift.

    Your role is very simple and all small training needed will be given to you for this research. For more information, contact us at 614-Five89-Zero423 via text or call.

  • 3 Days Ago

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LACTATION SPECIALIST - STAFF NURSE - POSTPARTUM
  • STAFF NURSE - POSTPARTUM in Middleburg Heights, OH - Southwest General
  • Middleburg, OH FULL_TIME
  • Summary POSITION INFORMATION Position summary: A professional caregiver who plans, provides, and directs patient care and teaching, utilizing the nursing process in accordance with patient care standa...
  • 1 Month Ago

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RN Registered Nurse Medical Cardiac
  • OneStaff Medical
  • Sidney, OH FULL_TIME
  • OneStaff Medical is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Sidney, Ohio. Start Date:ASAP~ Shift: 10 hours, days ~ Employment Type: Travel In this specialty, you'll have...
  • 1 Day Ago

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Med/Surg RN - Medical Surgical - Travel Nurse
  • Fusion Medical Staffing
  • Middleburg, OH FULL_TIME,CONTRACTOR
  • Job DescriptionInterested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we’re always looking for p...
  • Just Posted

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Travel Nurse RN
  • OneStaff Medical
  • Sidney, OH FULL_TIME
  • OneStaff Medical is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Sidney, Ohio. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: ASAP Dura...
  • 1 Day Ago

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Travel Registered Nurse RN Labor and Delivery L&D
  • OneStaff Medical
  • BELLEFONTAINE, OH FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 27 Days Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Springfield, OH area

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Travel Nurse RN - Stepdown - $1,710 per week
  • TRS Healthcare
  • Springfield, OH
  • TotalMed Staffing is seeking a travel nurse RN Stepdown for a travel nursing job in Springfield, Ohio. Job Description &...
  • 3/29/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $1,707 per week
  • TRS Healthcare
  • Springfield, OH
  • TotalMed Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Springfield, Ohio...
  • 3/29/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $1,710 per week
  • TRS Healthcare
  • Springfield, OH
  • TotalMed Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Springfield, Ohio...
  • 3/29/2024 12:00:00 AM

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Travel Nurse RN - ICU - Intensive Care Unit - $1,833 per week
  • TRS Healthcare
  • Springfield, OH
  • TotalMed Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Springfield, Ohio. ...
  • 3/27/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,733 per week
  • PRN Healthcare
  • Dayton, OH
  • Skyline Med Staff Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Dayton, Ohio. Job Descriptio...
  • 3/26/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $1,993 per week
  • PRN Healthcare
  • Dayton, OH
  • Skyline Med Staff Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Dayton, O...
  • 3/26/2024 12:00:00 AM

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Staff Nurse, LPN 6P-6A
  • United Church Homes
  • Fairborn, OH
  • Community Name: Trinity Community at Fairborn The Staff Nurse (LPN) is responsible for operating within scope of practic...
  • 3/25/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $1,909 per week
  • PRN Healthcare
  • Dayton, OH
  • Skyline Med Staff Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Dayton, O...
  • 3/25/2024 12:00:00 AM

Springfield is a city in the U.S. state of Ohio and the county seat of Clark County. The municipality is located in southwestern Ohio and is situated on the Mad River, Buck Creek and Beaver Creek, approximately 45 miles (72 km) west of Columbus and 25 miles (40 km) northeast of Dayton. Springfield is home to Wittenberg University, a liberal arts college. As of the 2010 census, the city had a total population of 60,608. The Springfield Metropolitan Statistical Area had a population of 138,333 residents. and the Dayton-Springfield-Greenville, OH Combined Statistical Area had 1,072,891 residents....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$85,348 to $106,649
Springfield, Ohio area prices
were up 1.3% from a year ago