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)
Come join our awesome Nursing Leadership Team at White Oak Manor of Tryon!
White Oak Tryon is a 100-bed skilled nursing, assisted living, and rehabilitation facility. Our facility currently has a full-time Registered Nurse Staff Development Coordinator position opportunity available. This position is part of the Leadership Team and is responsible for providing training and education for staff, residents, and family members of the facility. This position is 8AM to 5pm Monday – Friday, and alternates RN on call responsibilities with other RNs as assigned.
Excellent Compensation and Benefits package! Insurance is effective after 30 days of employment!
Benefits include:
Medical, Dental, and Vision Insurance, 401-K, Company Paid Life Insurance, Voluntary life insurance options, Cancer and accident insurance options & Short-term disability.
PTO accrual starting on day 1
And many more!
Essential Functions:
Supervises and participates in orientation for all personnel. Assists Director of Nursing in planning yearly in-service programs for nursing staff and helps in recruitment of new personnel. Schedules and implements mandatory in-services for all departments, acts as liaison to other department heads in developing in-service programs. Develops instructional materials utilizing facility policies and procedures.
Education:
Must be a graduate of a state approved school of nursing, with a current and active RN license in North Carolina.
Apply now! We look forward to hearing from you!
EOE
#SJ
SUPERVISOR: Administrator and/or DON
WORK AREA: Entire Facility
PURPOSE: To provide appropriate and timely training and education for staff, residents and family members of the facility.
WORKING HOURS: Eight hours per day or as necessary as assigned by Administrator and/or DON.
HIPAA MINIMUM NECESSARY: Responsible to adhere to HIPAA MINIMUM NECESSARY guidelines and safeguard protected health information.
EDUCATION AND QUALIFICATIONS: Graduate of approved school of nursing and currently licensed to practice as a Registered Nurse in the state of residence (North or South Carolina). Should have at least three years of supervisory or administrative experience. Good physical and mental health verified by an annual physical health screening. Must have knowledge of current changes in the nursing and medical field and be able to interpret how these changes will affect long-term care. Proven leadership abilities. Displays organizational ability and good time management skills. Teaching background is desirable but not mandatory.
DUTIES AND RESPONSIBILITIES:
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0 Staff Nurse - RN - Medical Management jobs found in Spartanburg, SC area