Staff Nurse - RN - Medical Management coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Being a Staff Nurse - RN - 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 - Medical Management typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. To be a Staff Nurse - RN - Medical Management typically requires 3-5 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)
Core Medical-Perm is seeking a Registered Nurse (RN) Home Health Director for a nursing job in Waynesboro, Georgia.
Experience Required: Position requires at least 1 year of relevant specialty experience. Shift: 8 Hour Days CoreMedical Group is a nationally recognized leader in the medical recruitment and employment industry. We're the only healthcare staffing company to offer our permanent staff a free, all-inclusive tropical vacation. You can earn our Club CoreMed vacation by taking a permanent position and referring other travel and permanent professionals Just starting your permanent job search? Here are some of the FREE & CONFIDENTIAL services you will receive from CoreMedical Group's staffing experts:
Core Medical Direct Job ID # Posted job title: RN
CoreMedical Group is one of the largest healthcare staffing agencies in the country. We have jobs nationwide in travel nursing, travel allied health, interim, locum tenens, and permanent placements Join the staffing agency with Club CoreMed, the best perk in the industry - an all inclusive paid trip to a tropical resort
0 Staff Nurse - RN - Medical Management jobs found in Aiken, SC area