Staff Nurse - RN - Medical Management jobs in California

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

RN - Hospice
  • Mercy San Juan Medical Center
  • Carmichael, CA
  • Overview: Mercy San Juan Medical Center, a Dignity Health member, is a nationally recognized ... staff nurse, registered nurse, rn, charge nurse, lead, assistant nurse manager, clinical ...
  • yesterday

Travel Nurse RN - Case Management - $2,520 per week
  • NurseFly Travel Nursing
  • Quincy, CA
  • Skyline Med Staff Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Quincy, California. Job Description & Requirements * Specialty: Case Management * Discipline: RN * ...
  • 3 days ago

Travel Registered Nurse RN Director - South Lake Tahoe
  • OneStaff Medical
  • Long Beach, CA
  • Directors of nursing are registered nurses who wish to assume more responsibility in a managerial ... level staff members. They also, maintain high standards of care, manage patient data and medical ...
  • 4 days ago

  • CareerStaff Unlimited
  • Modesto, CA
  • ... and staffing services for the healthcare industry. Our mission is to connect our clients with ... Additionally, CareerStaff provides Managed Service Programs to hundreds of healthcare facilities ...
  • 5 days ago

Registered Nurse - Safer Ground #1252 - 9795_1252-6453163e44638a4d940bbc1585cdb531
  • Power Personnel
  • Alameda, CA
  • ... case management and assessment; monitors clients for significant and/or critical changes and ... Power Personnel is a leading Bay Area diversity health care staffing agency. Our company started ...
  • 5 days ago

Travel Registered Nurse RN House Supervisor - San Leandro
  • OneStaff Medical
  • Stockton, CA
  • The House Supervisor provides oversight for multiple hospital departments in the absence of unit management. Addresses patient care, staffing, and any other issues that may arise. Job Requirements
  • 6 days ago

Traveling ICU RN - Intensive Care Unit RN
  • Focus Staff
  • Mount Shasta, CA
  • Jobs staffing in all 50 states Candidates need to possess phenomenal efficiency and attention to ... Supports the Collaborative Care Management Model as a working partner with physicians, social ...
  • 6 days ago

Travel Nurse RN - Case Management - $2,009 per week
  • NurseFly Travel Nursing
  • Quincy, CA
  • Case Management * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week ... LRS is truly a full service medical staffing agency, so we take care of everything from housing and ...
  • 6 days ago

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$83,377 to $97,514