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

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)

R
RN MedSurg Float in ND Pay up to $4200/wk
  • RN Staff
  • East Grand Forks, MN FULL_TIME

  • Location: Grand Forks, ND

    Position: RN Med Surg

    Shift: Days/Nights Rotating

    Duration: 13 weeks

    Weekly Gross: $ 2,780 (based on 36 hours)

    Estimated NET: $ 2,456 (based on 36 hours)

    Misc. and I E : $ 800(non-tax weekly)

    Lodging : $ 900 per week

    OT Rate: $ 80/hour (after 40 hours)

    Weekly gross $ 4,200 (Based on 48 hours)

    Est. Weekly Net $ 3,480 (Based on 48 hours)

    48 Hour Rotating - Float as needed to take similar Med-Surg assignment on units.

    Prefer candidates with travel and epic experience. - Certifications: ACLS, BLS & NIHSS.

    Ann Dizon

    Account Manager

    (phone number removed)

    (url removed)

  • 21 Days Ago

F
Dialysis Clinic Charge Nurse - Management RN
  • Fresenius Medical Care
  • Waconia, MN FULL_TIME
  • PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements...
  • 4 Days Ago

F
Travel Nurse RN
  • Focus Staff
  • Bemidji, MN FULL_TIME
  • Job DescriptionFocus Staff is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Bemidji, Minnesota.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDisci...
  • 1 Day Ago

F
Travel L&D RN - Labor & Delivery Registered Nurse
  • Focus Staff
  • Hibbing, MN FULL_TIME
  • We currently have a client in Hibbing, MN looking for a Travel L&D RN - Labor & Delivery Registered Nurse! Focus Staff is seeking a traveling Certified Labor & Delivery RN, who will assesses, implemen...
  • 10 Days Ago

H
Staff Nurse RN (0.8 FTE) - Brooklyn Park Clinic
  • Hennepin County Medical Center
  • Brooklyn, MN FULL_TIME
  • Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a cl...
  • 4 Days Ago

H
Staff Nurse RN (1.0 FTE) - Adult Psychiatry Clinic
  • Hennepin County Medical Center
  • Minneapolis, MN FULL_TIME
  • Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a cl...
  • 4 Days Ago

A
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

D
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

H
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

T
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

M
Staff Nurse
  • Manhattanview Healthcare Center
  • Union City, NJ
  • Manhattanview Healthcare Center - Manhattanview Healthcare Center is looking for Staff Nurse.
  • 3/27/2024 12:00:00 AM

C
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

B
Staff Nurse
  • Berkshire Health Systems
  • Pittsfield, MA
  • DEFINITION/PRIMARY FUNCTIONS Registered Nurse is the designation given to an individual who is licensed to practice prof...
  • 3/26/2024 12:00:00 AM

V
Staff Nurse, OR
  • Valley Ambulatory Surgery Center - St. Charles
  • Saint Charles, IL
  • A Registered Nurse is a professional who provides patient care based upon the nursing process; being effectively involve...
  • 3/26/2024 12:00:00 AM

Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North). Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$92,126 to $115,119