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

249 Staff Nurse - RN - Medical Management jobs found in Fullerton, CA area

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Travel Nurse RN - Case Management - $2,034 per week
  • NurseFly Travel Nursing
  • Pomona, CA
  • LRS Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Pomona ... LRS is truly a full service medical staffing agency, so we take care of everything from housing and ...
  • 17 hours ago

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Travel Registered Nurse RN Director - South Lake Tahoe
  • OneStaff Medical
  • Anaheim, 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 ...
  • 19 hours ago

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Travel ICU RN - Intensive Care Unit RN
  • Focus Staff
  • Whittier, 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 ...
  • yesterday

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Travel Registered Nurse RN House Supervisor - San Leandro
  • OneStaff Medical
  • Anaheim, 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

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Travel Nurse RN - Case Management - $1,577 per week
  • NurseFly Travel Nursing
  • Los Angeles, CA
  • Specialty: Case Management * Discipline: RN * Start Date: 08/17/2020 * Duration: 13 weeks * 40 ... LRS is truly a full service medical staffing agency, so we take care of everything from housing and ...
  • 3 days ago

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RN Clinical Manager Home Health Up to $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 ...
  • 6 days ago

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Travel Nurse RN - ICU - Intensive Care Unit - $2,095 per week
  • Advanced Travel Nursing
  • Fullerton, 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 ...
  • 6 days ago

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Travel Nurse RN - Med Surg / Telemetry - $1,796 per week
  • Advanced Travel Nursing
  • Orange, CA
  • ... providing case management and prevention tips. For more information about this fantastic ... Advanced Travel Nursing is a nationwide staffing company for nurses. As one of the largest ...
  • 6 days ago

Fullerton (/ˈfʊlərtən/) is a city located in northern Orange County, California, United States. As of the 2010 census, the city had a total population of 135,161. Fullerton was founded in 1887. It secured the land on behalf of the Atchison, Topeka and Santa Fe Railway. Historically it was a center of agriculture, notably groves of Valencia oranges and other citrus crops; petroleum extraction; transportation; and manufacturing. It is home to numerous higher educational institutions, particularly California State University, Fullerton and Fullerton College. From the mid-1940s through the late 19...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$83,414 to $97,558
Fullerton, California area prices
were up 3.2% from a year ago