Staff Nurse - RN - Medical Management coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Being a Staff Nurse - RN - 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 - Medical Management typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. To be a Staff Nurse - RN - Medical Management typically requires 3-5 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)
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RNStaff is looking for USRNs looking for a permanent contract in the State of Alaska. International RNs looking for sponsorship program are very welcome.
See Job Description:
Location: Alaska
Position: RN Stepdown
Responsibilities:
Certifications - Required
AHA BLS - Basic Life Support Certificate
Education - Required
Graduate of accredited Nursing program
Experience - Required
1 - 2 year Acute Care Experience and/or experience congruent with role in service line
Licenses - Required
Registered Nurse State of Alaska
Ann Dizon
Account Manager
317 328 2866
ann@rnstaff.com