Staff Nurse - RN, Sr. - Medical Management jobs in Hawaii

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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HI- L&D
  • RN Staff
  • Hawaii County, HI FULL_TIME
  • Labor & Delivery and Nursery RN with couplet care experience for a rural community hospital in Hawaii. 45-50 deliveries a month. 72-80 working hours every two weeks. When assigned to charge nurse duties an additional ***/hr. will be compensated. May float to assist other departments but not as a primary nurse. Intermediate or advanced fetal monitoring. Some days and some nights.

    No Guarantee
  • 1 Day Ago

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Travel Nurse RN
  • Tact Staff
  • Kapaau, HI CONTRACTOR
  • Tact Staff is seeking a travel nurse RN Med Surg for a travel nursing job in Kapaau, Hawaii.Job Description & RequirementsSpecialty: Med SurgDiscipline: RNStart Date: 04/01/2024Duration: 13 weeks36 ho...
  • Just Posted

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Travel OR RN - Operating Room Registered Nurse
  • Focus Staff
  • Wailuku, HI FULL_TIME
  • We currently have a client in Wailuku, HI looking for an Operating Room RN(OR RN) ! Focus Staff is seeking a traveling OR RN to work as an Operating room nurse (or perioperative nurse) to assist surge...
  • 9 Days Ago

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Travel M/S RN - Med/Surg Registered Nurse
  • Focus Staff
  • Wailuku, HI FULL_TIME
  • We currently have a client in Wailuku, HI looking for a Travel M/S RN - Med/Surg Registered Nurse! Focus Staff is seeking a traveling Med/Surg RN to care for patients who may have a medical issue such...
  • 9 Days Ago

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Travel Nurse RN - Home Health - $2,176 per week
  • Focus Staff
  • Kaneohe, HI FULL_TIME
  • Focus Staff is seeking a travel nurse RN Home Health for a travel nursing job in Kaneohe, Hawaii.Job Description & RequirementsSpecialty: Home HealthDiscipline: RNStart Date: 03/18/2024Duration: 13 we...
  • 1 Month Ago

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Travel Nurse RN - Cardiac Cath Lab - $3,229 per week
  • Tact Staff
  • Hilo, HI FULL_TIME
  • Tact Staff is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Hilo, Hawaii. Job Description & Requirements • Specialty: Cardiac Cath Lab • Discipline: RN • Start Date: 02/26/202...
  • 1 Month Ago

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Staff Nurse
  • Arista Healthcare
  • Naperville, IL
  • Arista Healthcare - Staff Nurse WITH ROOM TO GROW Interest on our part is to have a nurse who performs care with a smile...
  • 3/28/2024 12:00:00 AM

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Staff Nurse
  • Long term care
  • Waukegan, IL
  • Long term care - Are you looking for a rewarding career in Nursing? We are currently searching for RNs and LPNs to join ...
  • 3/28/2024 12:00:00 AM

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STAFF NURSE
  • Healix Infusion Therapy
  • Wexford, PA
  • Job Details Job Location A003 - Wexford, PA Description Healix Infusion Care is seeking a Registered Full Time Staff Nur...
  • 3/27/2024 12:00:00 AM

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Staff Nurse
  • The Brooklyn Hospital Center
  • Brooklyn, NY
  • * Graduate from an accredited School of Nursing * Bachelor's Degree in Nursing from an accredited colleges or universiti...
  • 3/27/2024 12:00:00 AM

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Staff Nurse
  • Diamond Preventive Care, Inc.
  • El Monte, CA
  • Job Description Job Description We are seeking a Staff Nurse to join our team! You will be responsible for the assessmen...
  • 3/27/2024 12:00:00 AM

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STAFF NURSE
  • City of New York
  • New York, NY
  • Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medic...
  • 3/26/2024 12:00:00 AM

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Staff Nurse - RN
  • Good Samaritan Society
  • Central City, NE
  • Create Your Career With Us! Join our not-for-profit organization that has provided over 100 years of housing and service...
  • 3/25/2024 12:00:00 AM

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Staff Nurse - RN
  • Good Samaritan Society
  • Central City, NE
  • Create Your Career With Us! Join our not-for-profit organization that has provided over 100 years of housing and service...
  • 3/25/2024 12:00:00 AM

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$94,320 to $117,860