Staff Nurse - RN - Medical Management jobs in Hayward, 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


169 Staff Nurse - RN - Medical Management jobs found in Hayward, CA area

Travel Nurse RN - Case Management - $1,985 per week
  • NurseFly Travel Nursing
  • Oakland, CA
  • TotalMed RevTech Staffing is seeking a travel nurse RN Case Management for a travel nursing job in ... We prove it, too, with the highest compensation, first-day medical benefits, a best-in-industry ...
  • 6 hours ago

Travel Cardiovascular Intensive Care Unit RN - CVICU RN
  • Supplemental Health Care
  • Burlingame, CA
  • Supplemental Health Care is a nationally recognized staffing provider, partnering with a ... Kimberly Bouton Recruitment Manager for Nursing, Allied and Therapy Office: 469-249-1878 Cell: 469 ...
  • 10 hours ago

Travel Registered Nurse RN Endoscopy GI Lab - Pomona
  • OneStaff Medical
  • Fremont, CA
  • Endoscopy Nurses include interviewing patients to obtain medical information; measuring patients ... The GI Registered Nurse assumes responsibility for assessing, diagnosing, identifying outcomes ...
  • 11 hours ago

Travel Nurse RN - Med Surg - $1,769 per week
  • NurseFly Travel Nursing
  • Walnut Creek, CA
  • Our managers and executive staff hold daily "Stand-Up" meetings where we not only discuss the needs ... rn, med surg nurse.
  • 18 hours ago

Assistant Nurse Manager - Medical Oncology
  • Nextaff
  • Oakland, CA
  • ... including practice standards, staffing, payroll, budgets, fiscal management, and quality ... Current California RN license required. * Current BLS certification required. * PALS certification ...
  • 21 hours ago

Workers' Comp Registered Nurse Case Manager (Field) 1 yr exp req
  • Orchard Medical Consulting
  • San Jose, CA
  • Orchard Medical Consulting is corporately located in Phoenix with additional full time staff in California, Colorado, Nevada, New Mexico, Utah, and Texas. Our Nurse Case Managers coordinate medical ...
  • 3 days ago

Registered Nurse Case Manager - RN - Hospital
  • CareerStaff Unlimited
  • Oakland, CA
  • Qualified candidates will have previous case management experience with exceptional focus on ... Medical, Dental and Vision Insurance * Referral Bonuses Our strong, long-term connections-with the ...
  • 6 days ago

Registered Nurse - RN - Med Surg - M\/S
  • CareerStaff Unlimited
  • Oakland, CA
  • ... staff with consideration for a collaborative and harmonious and compatible nurse-patient ... Additionally, CareerStaff provides Managed Service Programs to hundreds of healthcare facilities ...
  • 6 days ago

Hayward (/ˈheɪwərd/; formerly Haywards, Haywards Station, and Haywood) is a city located in Alameda County, California in the East Bay subregion of the San Francisco Bay Area. With a 2014 population of 149,392, Hayward is the sixth largest city in the Bay Area and the third largest in Alameda County. Hayward was ranked as the 37th most populous municipality in California. It is included in the San Francisco–Oakland–Fremont Metropolitan Statistical Area by the US Census. It is located primarily between Castro Valley and Union City, and lies at the eastern terminus of the San Mateo–Hayward Bridg...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$87,811 to $102,701
Hayward, California area prices
were up 4.5% from a year ago