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 2022 Salary.com)

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Registered Nurse (RN) - Patient Placement Specialist - 9795_1768-f4f5ab68faac1fc06a57452c3325f772
  • Power Personnel
  • Redwood City, CA
  • Medical/dental/vision/life insurance * Paid sick time (eligible after 90 days) * Referral bonus ... This includes receiving requests for incoming patients and working with nursing floor staff ...
  • 10 hours ago

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Registered Nurse (RN) Medical Practice Manager - House Institute Los Angeles - PHP, Full-Time
  • PIH Health
  • Chino, CA
  • ... and staff ownership all characterize the qualities needed for this position. Participates in ... This is a management position. Required Skills * Demonstrates leadership and organizational skills ...
  • yesterday

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RN, PIH Health Good Samaritan Hospital Med/Surg, Nights
  • PIH Health
  • Los Angeles, CA
  • ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ... The Staff RN is responsible for independently utilizing the nursing process to safely ...
  • yesterday

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Clinical RN - ED Peds - 9795_1750-ebb44d658d12a5f8ef04c21e0a04fc30
  • Power Personnel
  • Los Altos Hills, CA
  • Medical/dental/vision/life insurance * Paid sick time (eligible after 90 days) * Referral bonus ... We are the experts in healthcare staffing in Northern California. That' s why so many hospitals ...
  • 2 days ago

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Travel Nurse RN - Med Surg - $3,802 per week - 12 hour shift
  • Vivian Health
  • Monterey, CA
  • ... career management platform. With over 2,000 open travel healthcare positions and offices in San ... Our team of leaders has over 100 years of staffing and recruiting experience that span several ...
  • 2 days ago

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Travel Nurse RN - Case Management - $2,536 per week
  • Vivian Health
  • San Diego, CA
  • Day one medical, dental, and vision insurance * License, travel, tuition, and scrub reimbursement ... At Host Healthcare, we recognize that there are many healthcare staffing companies to choose from
  • 4 days ago

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Float Pool RN (Med/Surg & Cardiac)
  • MarinHealth Medical Center
  • Greenbrae, CA
  • ... manage patient care in the interest of the patient, acting as a patient advocate when necessary ... Ability to demonstrate proficiency in all items of the Staff Nurse Skills Criteria at the ...
  • 4 days ago

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Staff RN - ICU *$20,000 Sign-On Bonus*
  • Providence St. Joseph's Health
  • Fawnskin, CA
  • Mary Medical Center. Location: Apple Valley, CA Work Schedule: Full Time - 72 Biweekly Hours Shift ... Knows staff nurse is a team member in the Utilization Management process. * Participates in ...
  • 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
$86,277 to $100,914