Staff Nurse - RN - Medical Management jobs in Huntington Beach, 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


151 Staff Nurse - RN - Medical Management jobs found in Huntington Beach, CA area

Travel Nurse RN - ICU - Intensive Care Unit - $1,973 per week
  • Advanced Travel Nursing
  • Downey, 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 hours ago

RN - New Grad positions in ND, SD and AZ
  • JT MedStaff
  • Anaheim, 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 ...
  • yesterday

  • PIH Health
  • Westminster, 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

+$48/hr Registered Nurse | Skilled Nursing | ASAP Start!
  • Ro Health- Los Angeles
  • Long Beach, CA
  • ... medical and/or psychiatric care and report changes in patient condition to the RN * Obtain ... Led by management with nearly 20 years of healthcare staffing experience, Ro Health is a ...
  • 2 days ago

Grievance and Appeals Nurse (LVN or RN)
  • MediQuest Staffing
  • Orange, CA
  • Managed Care, IPA, or Health Plan experience is preferred Referral Bonus: * Not interested? Know ... support staff. Our dedicated medical focus and expertise allow us to build collaborative ...
  • 3 days ago

Registered Nurse (RN) - Tele-Triage
  • Companion Health Group
  • Downey, CA
  • The Tele-Triage Nurse will be responsible for patient triage,assist with nurse case management ... Minimum of three years experience in direct patient care, preferably in hospice and/or medical ...
  • 5 days ago

Clinical Care Coordinator - Must be a Registered Nurse (RN)
  • Colonial Care Center
  • Long Beach, CA
  • ... staff o Bedside care as needed o Suctioning o Identify change of condition o Follow up on skin ... changes o IV management o Tracheostomy care/tracheostomy tube change o Dressing condition ...
  • 5 days ago

Registered Nurse RN Home Health
  • Tender Home Health
  • Westminster, 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
  • 6 days ago

Huntington Beach is a seaside city in Orange County in Southern California. The city is named after American businessman Henry E. Huntington. The population was 189,992 during the 2010 census, making it the most populous beach city in Orange County and the seventh most populous city in the Los Angeles-Long Beach-Anaheim, CA Metropolitan Statistical Area.[citation needed] Its estimated 2014 population was 200,809. It is bordered by Bolsa Chica Basin State Marine Conservation Area on the west, the Pacific Ocean on the southwest, by Seal Beach on the northwest, by Westminster on the north, by Fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$82,764 to $96,798
Huntington Beach, California area prices
were up 3.0% from a year ago