Staff Nurse - RN - Medical Management jobs in Fontana, 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)

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72 Staff Nurse - RN - Medical Management jobs found in Fontana, CA area

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Registered Nurse Team Leader
  • Companion Health Group
  • Pomona, CA
  • ... staff supervision, managing documentation, and service coordination. * Demonstrated ability to ... We offer a wonderful working environment, competitive salary, medical, dental and vision insurance ...
  • 2 days ago

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Registered Nurse RN Hospice
  • Companion Health Group
  • Pomona, CA
  • WHAT YOU BRING TO COMPANION Your medical expertise to be the liaison between the medical team and ... We welcome your non-traditional ideas regarding comfort and symptom management for each individual ...
  • 2 days ago

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Staff RN - DOU, PIH Health Good Samaritan Hospital, Los Angeles, Full Time, days
  • PIH Health
  • Diamond Bar, 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 ...
  • 2 days ago

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Travel Registered Nurse RN Intensive Care Unit ICU
  • One Staff Medical
  • Riverside, CA
  • Intensive care unit (ICU) staff RNs provide care for patients with life-threatening medical conditions. These nurses work in the critical care unit of a hospital or healthcare facility and look after ...
  • 3 days ago

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Registered Nurse RN Home Health
  • Tender Home Health
  • Chino, 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
  • 3 days ago

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KAISER PERMANENTE - Intensive Care Unit Registered Nurse ICU RN
  • Kaiser Permanente
  • Riverside, CA
  • The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability ... medical mgmt plan. * Ensures patient safety related but not limited to, medications and procedures ...
  • 3 days ago

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RN CHARGE NURSE, ONCOLOGY, WHITTIER, FULL TIME, 7PM-7AM
  • PIH Health
  • Ontario, CA
  • We're a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical ... Charge nurse duties include, assessment of patient and staff needs, coordination of care delivery ...
  • 4 days ago

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RN - New Grad positions in ND, SD and AZ
  • JT MedStaff
  • Riverside, CA
  • Registered Nurses - new grads Full time positions at facilities in 3 states * North Dakota * South ... Vegas * Med Surg Company Description We place healthcare staff and management into permanent ...
  • 6 days ago

Fontana (/fɒnˈtænə/) is a city in San Bernardino County, California. Founded by Azariel Blanchard Miller in 1913, it remained essentially rural until World War II, when entrepreneur Henry J. Kaiser built a large steel mill in the area. It is now a regional hub of the trucking industry, with Interstate 10 and State Route 210 transecting the city from east to west, and Interstate 15 passing diagonally through its northwestern quadrant. It is home to the largest of the San Bernardino County system libraries, a renovated historic theater, a municipal park, and the Auto Club Speedway on the site of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$79,372 to $92,830
Fontana, California area prices
were up 3.0% from a year ago