Staff Nurse - RN - Medical Management jobs in Daly City, 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

107 Staff Nurse - RN - Medical Management jobs found in Daly City, CA area

Home Health Registered Nurse
  • Aveanna Healthcare
  • Alameda, CA
  • Medical Oncology RN - 2 years Registered Nurse experience with cardiac monitoring and oncology ... Time Management * Effective problem-solving and conflict resolution * Good organization and ...
  • 8 hours ago

Travel Nurse RN - ICU - Intensive Care Unit - COVID19 - $2,449 per week
  • Advanced Travel Nursing
  • San Francisco, CA
  • ... RN at a leading medical facility in the San Francisco area. This excellent, high-paying travel ... Advanced Travel Nursing is a nationwide staffing company for nurses. As one of the largest ...
  • 14 hours ago

Travel Nurse RN - ICU - Intensive Care Unit - $2,449 per week
  • Advanced Travel Nursing
  • San Francisco, CA
  • Respond to medical emergencies and alert the appropriate doctors * Manage medication doses ... staffing company for nurses. As one of the largest employment agencies in the United States, our ...
  • 14 hours ago

KAISER PERMANENTE- Medical Surgical Telemetry Registered Nurse RN
  • Kaiser Permanente
  • Oakland, CA
  • The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability ... mgmt plan. * Ensures patient safety related but not limited to, medications and procedures ...
  • yesterday

Registered Nurse (RN) - Travel - Case Management and Hospital-160146
  • Delta Healthcare Providers
  • San Francisco, CA
  • Paid Blue Cross Blue Shield medical benefits * Paid Reward Days * Paid housing or tax-free stipend ... staffing.
  • 2 days ago

Travel Registered Nurse RN Director - South Lake Tahoe
  • OneStaff Medical
  • San Francisco, 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 ...
  • 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 ...
  • 6 days ago

Manager of Care Management (RN)
  • Yoh Staffing Solutions
  • Alameda, CA
  • Manage process of pre-admission review of questionable admissions as referred by medical staff and ... Active California RN or LCSW license * Active BLS - Basic Life Support Certification issued by the ...
  • 6 days ago

Daly City (/ˈdeɪli/) is the largest city in San Mateo County, California, United States, with an estimated 2014 population of 106,094. Located immediately south of San Francisco, it is named in honor of businessman and landowner John Donald Daly. According to the United States Census Bureau, the city has a total area of 7.7 square miles (20 km2), all land. Daly City is bordered by the cities of San Francisco, Brisbane, Pacifica, South San Francisco, and the town of Colma. The city borders several unincorporated areas of San Mateo County. It surrounds Broadmoor, borders San Bruno Mountain State...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$93,528 to $109,387
Daly City, California area prices
were up 4.5% from a year ago