Staff Nurse - RN - Medical Management jobs in Anaheim, CA

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 2020 Salary.com)

184 Staff Nurse - RN - Medical Management jobs found in Anaheim, CA area

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Staff RN - DOU, PIH Health Good Samaritan Hospital, Los Angeles, Part Time, Days
  • PIH Health
  • Anaheim, CA
  • ... medical (physician) group, home healthcare services and hospice care, as well as heart, cancer ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ...
  • yesterday

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Travel Nurse - RN - Dialysis - $2043.33 / Week
  • BluePipes
  • Lynwood, CA
  • Francis Medical Center is a general medical and surgical hospital in Lynwood, CA, with 323 beds ... to manage their disease through self-care and medication. About TotalMed Staffing: We find the ...
  • yesterday

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Home Healthcare LVN - Afternoon Shifts
  • Maxim Healthcare Services
  • Atwood, CA
  • ... Nurse (RN). The Licensed Vocational Nurse (LVN)will consistently perform according to nursing ... Maxim Healthcare Services is a leading provider of home healthcare, medical-related staffing ...
  • yesterday

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Registered Nurse (RN) - PRN - ICU, ER, TELE, MS $800-700 Per Shift
  • Gale Healthcare Solutions LLC
  • Los Angeles, CA
  • NurseStaffing has been in business since 1996 and with the evolution and automation of staffing ... Medical Surgical (MS). If you are looking for another position, simply share your requests and your ...
  • yesterday

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Registered Nurse - Outpatient
  • Continuum Medical Staffing
  • Los Angeles, CA
  • RN needed for at outpatient medical clinic with supervisory experience. Must be comfortable working ... Medical Staffing employs and places healthcare professionals such as Senior Leader Management ...
  • yesterday

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Registered Nurse RN Home Health
  • Tender Home Health
  • Westminster, CA
  • Case management of patient services includes: * Perform initial evaluation, follow up visit and ... Establish the patient's individualized treatment (Plan of Care) and medical record baseline
  • yesterday

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REGISTERED NURSE (RN) INTERVENTIONAL RADIOLOGY - DOWNEY; FULL TIME, VARIABLE SHIFT (**SIGN-ON BO...
  • PIH Health
  • Anaheim, CA
  • ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ... In addition, the RN will collaborate with nursing and medical staff to determine the most ...
  • 3 days ago

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RN (Registered Nurse) Clinic Role
  • Maxim Healthcare Services
  • Long Beach, CA
  • Consistently performs according to nursing standards and is accountable in managing patient care ... Monitors consistency between patient plan of care and actions of medical staff. * Performs ...
  • 6 days ago

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$82,949 to $97,015
Anaheim, California area prices
were up 3.2% from a year ago