Staff Nurse - RN, Sr. - Medical Management jobs in Iowa
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)
Recently Added Staff Nurse - RN, Sr. - Medical Management jobs
- Staff Nurse - Medical Surgical Float RN (CRU 4) Days - Jobs@UIOWA Careers
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Iowa, IA
FULL_TIME
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Qualified candidates with a minimum of two years of experience are eligible for a sign-on bonus up to $12,500
The University of Iowa Hospitals and Clinics Department of Nursing is seeking a Clinical Resource Float Staff Nurse (RN) for the Medical Surgical Services (MSS) division. CRU Team 4 areas include the following units: Adult Acute Care, Transplant and General Surgery, Neurology, Orthopedics, General Medicine, Hematology/Oncology & Urology, Adult Bone Morrow Transplant, Medical Observation, Short Stay Recovery, and Medical Psychiatry.
Percent of Time: 60% (24 hours/week)
Schedule: Saturday/Sunday Days, 0700 - 1930Location: CRU Team 4 (Medical Surgical Services Division)
Rotations: Rotating holidays
Benefits Highlights:
- Regular salaried position located in Iowa City, Iowa
- Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans. For more information click here
- For more information about Why Iowa?, click here
- To learn more about our units click here
Education Required
- An Associate’s Degree in Nursing, a Diploma in Nursing, a Baccalaureate Degree in Nursing, Professional Masters of Nursing and Healthcare Practice (MNHP), MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA) is required
Experience Required
- Excellent written and verbal communication skills are required
- Demonstrates excellent interpersonal skills with patients/families, nursing staff, and interdisciplinary team members as demonstrated through written and verbal interactions
- General computer skills are required, including proficiency in managing multiple databases including Microsoft Excel
- Current license to practice nursing in Iowa is required by date of hire
Desirable Qualifications:
- Baccalaureate Degree in Nursing is highly desired
- If Baccalaureate degree in Nursing is not yet obtained, active enrollment in a BSN program is desirable
- A minimum of 2 years of inpatient nursing experience, preferably within the last 5 years, is highly desired.
A resume is required as part of the application process. This posting is for multiple openings and will be posted for 14calendar days. At the end of the 14-day posting period, candidates may reapply to be considered for additional openings. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. For questions or additional information, please contact Kyle Fountain at kyle-fountain@uiowa.edu
This position is not eligible for University sponsorship for employment authorization.
Additional InformationCompensationContact Information - 2 Months Ago
- PeopleFirst RN
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Waterloo, IA
FULL_TIME
- Owned and led by clinicians and business professionals with decades of healthcare experience, our team focuses on providing exceptional, effective, and efficient staffing services.We are dedicated to ...
- Just Posted
- MSS Float RN (CRU 4) 50% - 100% - Jobs@UIOWA Careers
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Iowa, IA
FULL_TIME
- All qualified candidates are eligible for a sign-on bonus up to $12,500 University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive...
- 22 Days Ago
- GREENE COUNTY MEDICAL CENTER
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JEFFERSON, IA
FULL_TIME
- Full-time position (72 hours/2-week pay period)Benefits eligible, PTO, IPERS7P-7A, plus every third weekend and rotating holidaysTeam player with a positive attitudeExcellent communication skillsPrevi...
- 26 Days Ago
- Staff Today Inc.
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Elk, IA
CONTRACTOR
- Job SummaryThis position provides care to assigned residents in a caring, safe and efficient manner and is responsible to perform the following according tolocation standards, procedures and individua...
- 12 Days Ago
- Mercy Medical Center - Cedar Rapids
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Hiawatha, IA
FULL_TIME
- External hires can get up to a $25,000 sign on bonus! Summary This position supports Mercy's philosophy of patient centered care by being a competent, respectful, and compassionate professional who is...
- 4 Days Ago
Staff Nurse - RN, Sr. - Medical Management jobs at Popular Companies
- Brooklyn Hospital Center
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Brooklyn, NY
- Requirements Graduate from an accredited School of Nursing Bachelor's Degree in Nursing from an accredited colleges or u...
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- DuPage County ROE
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Wheaton, IL
- Position Type: Support Staff/Staff Nurse Date Posted: 5/21/2024 Location: Districtwide District: Community Unit School D...
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- Wheaton Warrenville Unit School District 200
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Wheaton, IL
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- Berkshire Health Systems, Inc.
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Pittsfield, MA
- # # # # # # This is a temporary position up to 6 months. # # # # # # This position is for an experienced CCN and labor #...
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- University Health System
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San Antonio, TX
- PRN 4502 Medical Dr. Nursing Rotating Shifts University Health is Bexar County and South Texas' first health system to e...
- 6/10/2024 12:00:00 AM
- Kaiser Permanente
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Honolulu, HI
- This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. Job Summary: Provide...
- 6/9/2024 12:00:00 AM
- Heart, Rhythm & Vascular Specialists of Dayton
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Beavercreek, OH
- Job Description Job Description Busy private cardiology practice in need of a Licensed Practical Nurse or Registered Nur...
- 6/8/2024 12:00:00 AM
- Peak Resources
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Wilmington, NC
- Description: SIGN ON BONUS FULL & PART TIME At Peak Resources, a leading NC nursing home, memory care and assisted livin...
- 6/7/2024 12:00:00 AM