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)
The Operating Room Surgical Services Staff Nurse RN will work with a reputable medical center that offers inpatient, outpatient, diagnostic, medical, surgical and emergency services.
At this accredited facility with a Level III Trauma Center, they believe in the power of people to create great care and they work hard every day to be a place of healing, caring and connection for patients and families in the community they call home.
The Operating Room Perioperative Services Staff Nurse RN will coordinate the activities of the health care team during surgical intervention while delegating duties as needed.
The Operating Room Surgical Services Staff Nurse RN will relay information to the patient and family as appropriate, providing emotional support and comfort.
The Operating Room Surgical Services Staff Nurse RN will prepare the surgical site using aseptic techniques and initiate nursing actions based on physiological and psychological changes.
The Operating Room Perioperative Services Staff Nurse RN will deliver conscious sedation, providing psychological support to the patient when needed.
The Operating Room Perioperative Services Staff Nurse RNwill work with a prestigious healthcare system that believes where you work matters The hospital is committed to being the best place to receive care, and also the best place to work.
It rewards all employees with generous compensation and benefits, individualized orientation, education and a supportive work environment. Join the team now