Staff Nurse - RN, Sr. - Medical Management jobs in Youngstown, 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)

U
Full Time Professional Staff Nurse - UPMC Horizon Pain Management
  • UPMC - Pittsburgh Medical Center
  • Farrell, PA FULL_TIME
  • The UPMC Horizon Pain Management Center is hiring a Professional Staff Nurse to join the Pain Management Team! This full-time role will work Monday through Friday daylight hours with no on call, weekends, or holidays required. Occasional travel to the pain management clinic in Greenville may be required. Assisting the provider with pain management procedures is required. Candidates with proficiency in sterile technique and EPIC Software are encouraged to apply!

    Final candidates will be selected for a job title in the career ladder that reflects level of education, experience and manager discretion at time of offer.

    Responsibilities:

    • Develops and maintains productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Demonstrates an understanding of cultural differences and holds peers accountable for healthy relationships. Maintains a conscious balance between work and personal life. Models safe work hours, time management and healthy lifestyle. Communicates with peers and management any safety hazards identified in the workplace.
    • Demonstrates knowledge of adult learning principles (and/or teaching children if applicable) and applies in teaching of patients, families, students and new staff. Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. Supports the development of students, new staff and colleagues, may serve as a preceptor. Creates an environment of open dialogue, inquiry and continuous development by asking for feedback and improving practice.
    • Applies the nursing process within the framework of Relationship Based Care to create a healing environment. Formulates daily goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care within an episode of care. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and unit practices. Patient documentation is comprehensive and promotes communication between caregivers. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction.Creates a caring and compassionate patient focused experience by building healing relationships with patients, families and colleagues.
    • Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Actively participates in unit-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment. Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership. Participates in work that improves patient care and the professional practice environment. Adapts to change and demonstrates flexibility with the change process.
    • Actively participates in department or unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management. Takes personal responsibility in improving patient satisfaction with the quality of care and service. Utilizes research and evidence-based practice to support improvement in clinical care: identifies research issues or articles related to clinical specialty or areas of interest, discusses opportunities for quality improvement at multidisciplinary rounds, and influences patients' plans of care.
    • Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Actively participates in unit-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment. Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership. Participates in work that improves patient care and the professional practice environment. Adapts to change and demonstrates flexibility with the change process.
    • Applies the nursing process within the framework of Relationship Based Care to create a healing environment. Formulates daily goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care within an episode of care. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and unit practices. Patient documentation is comprehensive and promotes communication between caregivers. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction. Creates a caring and compassionate patient focused experience by building healing relationships with patients, families and colleagues.
    • Demonstrates knowledge of adult learning principles (and/or teaching children if applicable) and applies in teaching of patients, families, students and new staff. Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. Supports the development of students, new staff and colleagues, may serve as a preceptor. Creates an environment of open dialogue, inquiry and continuous development by asking for feedback and improving practice.
    • Actively participates in department or unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management. Takes personal responsibility in improving patient satisfaction with the quality of care and service. Utilizes research and evidence-based practice to support improvement in clinical care: identifies research issues or articles related to clinical specialty or areas of interest, discusses opportunities for quality improvement at multidisciplinary rounds, and influences patients' plans of care.
    • Develops and maintains productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Demonstrates an understanding of cultural differences and holds peers accountable for healthy relationships. Maintains a conscious balance between work and personal life. Models safe work hours, time management and healthy lifestyle. Communicates with peers and management any safety hazards identified in the workplace.
      • Performs in accordance with system-wide competencies/behaviors.
      • Performs other duties as assigned.
    The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the ages of the patients served by his/her assigned unit as specified below. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Zero to two years of experience. BSN preferred. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment. Good clinical judgment with critical thinking, analytical and problem solving abilities required as related to various aspects of patient care. Critical thinking skills necessary to exercise and to lead others in application of the nursing process. Mobility and visual manual dexterity. Physical stamina for frequent walking, standing, lifting and positioning of patients.

    Licensure, Certifications, and Clearances:
    UPMC approved national certification preferred. Current licensure as a Registered Professional Nurse either in the state where the facility is located or in a state covered by a licensure compact agreement with the state where the facility is located. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire. Graduate nurses must complete licensure examination within FOUR MONTHS of hire or within one year of graduation, whichever comes first. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void), UPMC requires that GNs take the licensure examination within 4 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.

    UPMC approved national certification preferred. Current licensure as a Registered Professional Nurse either in the state where the facility is located or in a state covered by a licensure compact agreement with the state where the facility is located. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire. Graduate nurses must complete licensure examination within FOUR MONTHS of hire or within one year of graduation, whichever comes first. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void), UPMC requires that GNs take the licensure examination within 4 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.
    • Basic Life Support (BLS)
    • Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
    • Registered Nurse (RN) OR Temporary Practice Permit (TPP)
    • Act 34

    UPMC is an Equal Opportunity Employer/Disability/Veteran
  • 14 Days Ago

F
Travel M/S RN - Med/Surg Registered Nurse
  • Focus Staff
  • Youngstown, OH CONTRACTOR,OTHER
  • Focus Staff is seeking a Med Surg Registered Nurse for a travel contract in Youngstown, OH. The ideal candidate will have at least 1 year of experience in a Med Surg setting. Contract Length: 8 Weeks ...
  • 1 Day Ago

S
Staff RN/PICC RN
  • Salem Regional Medical Center
  • Salem, OH FULL_TIME
  • SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Part Time Staff RN/PICC RN ‍ Department: Tower 3 Shift: Days/Evenings, 0.4-0.8 FTE ‍PURPOSE The PICC RN is responsible for coordina...
  • 25 Days Ago

T
Registered Nurse (RN) - Warren, Ohio
  • Towne Nursing Staff
  • Warren, OH FULL_TIME
  • ESHYFT is a mobile app that connects nurses to flexible shifts at long-term care facilities. In 25 states, vetted CNAs, LPNs, and RNs, use ESHYFT’s top-rated nurse app to pick up shifts where they wan...
  • 19 Days Ago

T
Registered Nurse (RN) - Youngstown, Ohio
  • Towne Nursing Staff
  • Youngstown, OH FULL_TIME
  • Eshyft is an app that connects nurses to nursing home. Like an Uber for Nurses! By picking up shifts from the app the CNA, LPN or RN can easily see their schedule and clock in and out from their phone...
  • 23 Days Ago

T
Registered Nurse (RN) - Fowler, Ohio
  • Towne Nursing Staff
  • Fowler, OH FULL_TIME
  • ESHYFT is a mobile app that connects nurses to flexible shifts at long-term care facilities. In 25 states, vetted CNAs, LPNs, and RNs, use ESHYFT’s top-rated nurse app to pick up shifts where they wan...
  • 6 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

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

S
Travel Nurse RN - First Assist - $3,990 per week
  • Skyline Med Staff Nursing
  • East Canton, OH
  • Skyline Med Staff Nursing is seeking a travel nurse RN First Assist for a travel nursing job in Canton, Ohio. Job Descri...
  • 3/29/2024 12:00:00 AM

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

U
Flex Full Time Professional Staff Nurse - UPMC Jameson 2200 Medical Surgical
  • University of Pittsburgh Medical Center
  • New Castle, PA
  • UPMC Jameson is currently hiring a flexible full-time Professional Staff Nurse to support our 2200 Medical Surgical Unit...
  • 3/28/2024 12:00:00 AM

T
Travel Nurse RN - PCU - Progressive Care Unit - $1,449 per week
  • TRS Healthcare
  • Youngstown, OH
  • TotalMed Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Youngstown, Ohio....
  • 3/28/2024 12:00:00 AM

U
Graduate Nurse: UPMC Horizon
  • UPMC - University of Pittsburgh Medical Center
  • Farrell, PA
  • Are you a current student nurse graduating in the Fall/Winter of 2023, Spring 2024 or Summer 2024 and looking to continu...
  • 3/27/2024 12:00:00 AM

U
Graduate Nurse: UPMC Jameson
  • UPMC - University of Pittsburgh Medical Center
  • New Castle, PA
  • Join Our Community! Are you a current student nurse graduating in the Fall/Winter of 2023, Spring 2024 or Summer 2024 an...
  • 3/27/2024 12:00:00 AM

U
Graduate Nurse Rotational Program: UPMC Jameson - Med/Surg Track (Spring 2024 Graduates)
  • UPMC - University of Pittsburgh Medical Center
  • New Castle, PA
  • Are you graduating in the Spring 2024 from nursing school and looking to launch your nursing career? Our Graduate Nurse ...
  • 3/27/2024 12:00:00 AM

T
Travel Nurse RN - PCU - Progressive Care Unit - $1,626 per week
  • TRS Healthcare
  • Youngstown, OH
  • TotalMed Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Youngstown, Ohio....
  • 3/26/2024 12:00:00 AM

Youngstown is a city in and the county seat of Mahoning County in the U.S. state of Ohio, with small portions extending into Trumbull County. According to the 2010 Census, Youngstown had a city proper population of 66,982, while the Youngstown-Warren-Boardman, OH-PA Metropolitan Statistical Area it anchors contained 565,773 people in Mahoning and Trumbull counties in Ohio, and Mercer County in Pennsylvania. Youngstown is located on the Mahoning River, approximately 65 miles (105 km) southeast of Cleveland and 61 miles (100 km) northwest of Pittsburgh. Despite having its own media market, Young...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$84,665 to $105,795
Youngstown, Ohio area prices
were up 1.3% from a year ago