Staff Nurse - RN, Sr. - Medical Management jobs in Maryland
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
- RN Staff
-
Salisbury, MD
FULL_TIME
-
Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together.
__________________________________________RNStaff is looking for USRNs looking for a permanent contract in the State of Maryland.
- Full Benefits (Medical, Dental and Vision) from the first day of work month
- Full Sponsorship except for NCLEX which is reimbursable
- Relocation Assistance/Allowance.
NO SALARY DEDUCTIONS
- Competitive salary ranges
- 401K (Retirement Savings)
- PTO and Sick Days
Possible Sign On Bonus Up to $2000!!
See Job Description:
Responsibilities:
- Manage patient pain relief and sedation by providing pharmacological and non-pharmacological intervention, monitor patient response and record care plans accordingly.
- Work with EKG monitor technicians to evaluate and interpret EKG strips.
- Interpret laboratory results and cardiac tests, and proactively educate patients in health promotion and disease prevention.
- Initiate intravenously therapy, administer medications, provide care for post-operative open-heart patients and post cardiac catheter patients.
- Maintain responsibility for clinical activities of all nurses caring for patients assign, prepare annual evaluations on all nurses assign.
Certifications -
- AHA BLS - Basic Life Support Certificate (Required)
AHA ACLS - Advanced Cardiac Life Support Certificate
AHA PALS - Pediatric Advanced Life Support Certificate
Education - Required
- Graduate of accredited Nursing program (BSN Preferred)
Experience - Required
ACCEPTING NEW GRADS!
Licenses - Required
- Registered Nurse State of Maryland or Compact
Submission Requirements Reminders(Disregard if completed)- Updated Resume
- SS card front and back ( for background checking)
- Driver's license or State ID or Passport ( photo ID)
- 2-3 professional References ( includes name, designation, hospital affiliation and contact info) from current/latest employer preferably from charge nurse, supervisor or higher.
- Certifications like BLS, ACLS, PALS, NIHSS, etc
- Covid Vax Record
- Skills checklist, Get link here:
https://rnstaff.com/skills-checklists/
Log in your online portal and Apply Now!
Ann DizonAccount Manager
317 328 2866
ann@rnstaff.com
7345 Woodland Dr, Indianapolis, IN 46278 - Just Posted
- Preferred Care Management
-
Gaithersburg, MD
FULL_TIME,PART_TIME
- Montgomery Village Health Care Center is currently looking for experienced Nurses to join our team of healthcare professionals. Montgomery Village Health Care Center is Located In Gaithersburg, MD We ...
- 20 Days Ago
- Preferred Care Management
-
Gaithersburg, MD
FULL_TIME,PART_TIME
- Montgomery Village Health Care Center is currently looking for experienced Nurses to join our team of healthcare professionals. Montgomery Village Health Care Center is Located In Gaithersburg, MD We ...
- 18 Days Ago
- Johns Hopkins Medical Management Corporation
-
Baltimore, MD
TEMPORARY
- Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Ou...
- 30 Days Ago
- RN in Randallstown, MD - LifeBridge Health
-
Randallstown, MD
FULL_TIME
- Summary Join our Team! Care Bravely with us! We offer: New Enhanced Pay Rates Sign on bonuses Free Parking Referral bonus Tuition Assistance Clinical support from clinical educators, clinical coaches ...
- 11 Days Ago
- Focus Staff
-
Baltimore, MD
FULL_TIME
- Focus Staff is seeking a ER Registered Nurse for a travel contract in Baltimore, MD. The ideal candidate will have at least 1 year of experience in a ER setting. Contract Length: 13 Weeks Start Date: ...
- 1 Month Ago
Staff Nurse - RN, Sr. - Medical Management jobs at Popular Companies
- Brooklyn Hospital Center
-
Brooklyn, NY
- Requirements Graduate from an accredited School of Nursing Bachelor's Degree in Nursing from an accredited colleges or u...
- 6/11/2024 12:00:00 AM
- DuPage County ROE
-
Wheaton, IL
- Position Type: Support Staff/Staff Nurse Date Posted: 5/21/2024 Location: Districtwide District: Community Unit School D...
- 6/11/2024 12:00:00 AM
- Wheaton Warrenville Unit School District 200
-
Wheaton, IL
- Position Type: Support Staff/Staff Nurse Date Posted: 5/21/2024 Location: Districtwide2024-2025 School Year Hourly rate ...
- 6/11/2024 12:00:00 AM
- Berkshire Health Systems, Inc.
-
Pittsfield, MA
- # # # # # # This is a temporary position up to 6 months. # # # # # # This position is for an experienced CCN and labor #...
- 6/10/2024 12:00:00 AM
- Akron Children's Hospital
-
Akron, OH
- Genetics Full Time Days Mon-Fri 8a-430p 40 Hours/week Summary: The Staff Nurse provides nursing care requiring specializ...
- 6/10/2024 12:00:00 AM
- Kaiser Permanente
-
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
-
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
-
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