Staff Nurse - RN, Sr. - Medical Management jobs in West Virginia
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
-
Wheeling, WV
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.
Location: Wheeling, WV
Position: RN OR
Shift: Days
Duration: 13 weeks
Weekly Gross: $ 3,080 (based on 40 hours)
Common Cases All procedures including same day and overnight stays Experience or 'Must have' skills IV skills a must. Surgical care knowledge Scrubbing required -
Floating Requirements OR holding area
Scrub Color/Dress Code provided by facility
Unit/Department specific orientation Surgical Center/pre op
Additional Notes this is a preop area that we call surgical center so it is not a free standing surgical center
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/
Ann Dizon
Account Manager
317 328 2866
ann@rnstaff.com
- 15 Days Ago
- PeopleFirst RN
-
Huntington, WV
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...
- 10 Days Ago
- Nurse First Travel Agency
-
Pleasant, WV
PART_TIME
- Nurse First is seeking a travel nurse RN Case Management for a travel nursing job in Point Pleasant, West Virginia.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/...
- 4 Days Ago
- Wellspring Nurse Source
-
Pleasant, WV
PART_TIME
- Wellspring Nurse Source is seeking a travel nurse RN Case Management for a travel nursing job in Point Pleasant, West Virginia.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNSta...
- 5 Days Ago
- Nurse First Travel Agency
-
Pleasant, WV
PART_TIME
- Nurse First is seeking a travel nurse RN Case Management for a travel nursing job in Point Pleasant, West Virginia.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/...
- 2 Days Ago
- Wellspring Nurse Source
-
Pleasant, WV
PART_TIME
- Wellspring Nurse Source is seeking a travel nurse RN Case Management for a travel nursing job in Point Pleasant, West Virginia.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNSta...
- 4 Days 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
- Highlight Healthcare of Aurora
-
Aurora, IL
- Highlight Healthcare of Aurora - Highlight Healthcare of Aurora is a 68 bed skilled community. We have highly experience...
- 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