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)
Position: Med Surg Tele Float
Shift: Days/Nights
Pay Calculation: 36H
Duration: 13 weeks
Weekly Gross: $ 2,616 (based on 36 hours)
Estimated NET: $ 2,281 based on 36 hours.
Misc. and I E $ 700 (non-tax weekly
Lodging $ 800 per week
Hourly Rate: $ 31/hour
OT Rate: $ 95/hour (after 40 hours)
Weekly gross $ 3,500(Based on 48 hours)
Est. Weekly Net $ 2,900(Based on 48 hours)
Responsibilities: