Staff Nurse - RN - Medical Management jobs in El Monte, 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


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266 Staff Nurse - RN - Medical Management jobs found in El Monte, CA area

Staff RN - Labor & Delivery - PIH Health Good Samaritan Hospital, Los Angeles, Full-Time, Nights
  • PIH Health
  • Los Angeles, CA
  • ... 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ...
  • 1 hour ago

Staff RN - DOU, PIH Health Good Samaritan Hospital, Los Angeles, Full Time, days
  • PIH Health
  • Temple City, 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 ...
  • 17 hours ago

Hospice Case Manager, RN
  • Regal Medical Group
  • Anaheim, CA
  • Your low case load ensures you are able to provide compassionate care, active symptom management ... Our dedication to our staff is evident in our comprehensive benefits package. We offer a very ...
  • 22 hours ago

RN Clinical Manager of Home Health $5,000 Sign On Bonus
  • Brookdale Senior Living
  • Placentia, CA
  • ... the medical records reflect compliance with medical necessity, homebound status, and visit ... day interactions with co-workers, management staff, and customers. * Maintains positive ...
  • yesterday

Travel Registered Nurse RN House Supervisor - San Leandro
  • OneStaff Medical
  • Los Angeles, 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
  • yesterday

RN Quality Improvement Coordinator
  • BeverlyCare
  • Montebello, CA
  • The Quality Coordinator reports to the Medical Director as well as the Senior Operations Manager ... In collaboration with the all clinics staff, provides ongoing leadership on quality issues ...
  • 2 days ago

Travel Nurse RN - OR - Operating Room - $2,309 per week
  • NurseFly
  • Santa Monica, CA
  • As an OR Travel Nurse, you will assist physicians and medical staff in caring for surgical patients ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include
  • 2 days ago

Registered Nurse - RN -Intensive Care Unit- ICU
  • CareerStaff Unlimited
  • Covina, CA
  • Medical, Dental and Vision Insurance * Referral Bonuses Our strong, long-term connections-with the ... Additionally, CareerStaff provides Managed Service Programs to hundreds of healthcare facilities ...
  • 2 days ago

El Monte /ɛl ˈmɒntiː/ is a residential, industrial, and commercial city in Los Angeles County, California, the United States. The city lies in the San Gabriel Valley east of the city of Los Angeles. El Monte's slogan is "Welcome to Friendly El Monte" and historically is known as "The End of the Santa Fe Trail". As of the 2010 census, the city had a total population of 113,475, down from 115,965 at the 2000 census. As of 2010, El Monte was the 51st largest city in California. El Monte is located at 34°4′24″N 118°1′39″W / 34.07333°N 118.02750°W / 34.07333; -118.02750 (34.073276, -118.027491...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$83,621 to $97,803
El Monte, California area prices
were up 3.2% from a year ago