Staff Nurse - RN - Medical Management jobs in Kaneohe, HI

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


19 Staff Nurse - RN - Medical Management jobs found in Kaneohe, HI area

Travel CT Tech - $1,720 per week
  • NurseFly Travel Nursing
  • Honolulu, HI
  • ... medical conditions. * Positioning patients for CT scans using immobilization and protective ... staffing services. Since 1983, we have placed nursing and allied travelers in top healthcare ...
  • yesterday

Nurse Practitioner / Physician Assistant
  • Medical Recruiting Strategies
  • Honolulu, HI
  • ... MinuteClinic Nurse Practitioner delivers defined patient care services in a retail clinic ... co-manage and treat patients' medical needs for safe and high quality treatment Document all ...
  • yesterday

On-Location Health Care Providers (NP)--Weekends--As Needed
  • Logistics Health Inc.
  • Honolulu, HI
  • ... medical record and recommend appropriate referral information. Education/Qualifications Qualified Nurse Practitioner candidates will possess a Master's degree. Qualified candidates must hold an ...
  • yesterday

Entry Level Business Development Rep.
  • Synergy Staffing
  • Pearl City, HI
  • ... Medical, dental vision coverage · 401(k) with company match Paid Vacation, Sick and Holidays If ... hiring manager. Company Description We are a staffing company dedicated in placing quality ...
  • yesterday

RN LPN Nurse
  • Manoa Cottage Kaimuki
  • Honolulu, HI
  • Be among caring staff, great residents and family members and strong management support. Manoa ... Provides medical treatments as ordered by physician. * Coordinates resident care between other ...
  • 2 days ago

Disability Evaluation Coordinator Sr Spec
  • QTC Management, Inc.
  • Honolulu, HI
  • Management reserves the right to add or change the duties of this position as required at any time ... CPR * Medical Assistant * Phlebotomy Certification Preferred * Licensed Vocational Nurse
  • 3 days ago

On Location- LPN- Per Diem Weekends
  • Logistics Health Inc.
  • Honolulu, HI
  • Customers want an efficient medical examination process, seamless information technology data exchange and workflow, and often, electronic records of encounters. LHI provides high quality medical ...
  • 5 days ago

  • Wilson Care Group
  • Waianae, HI
  • You do not need to have a CNA or have gone through Nurse Aide schooling to apply. We look forward ... Medical, Dental, Vision, Prescription and 401K! We are seeking compassionate professionals who'd ...
  • 6 days ago

Kaneohe is located at 21°24′33″N 157°47′57″W / 21.40917°N 157.79917°W / 21.40917; -157.79917 (21.409200, -157.799084). Nearby towns include Kailua to the east, reached either by Kāneʻohe Bay Drive (State Rte. 630) or Kamehameha Highway (State Rte. 83), the former also providing a connection to Marine Corps Base Hawaii, and the latter connecting to Interstate H-3 and (at Castle Junction) Pali Highway (State Rte. 61) to Honolulu. Likelike Highway (State Rte. 63) runs southwest over and through the Koʻolau to Honolulu. Likelike provides connections to Kahekili Highway and Heʻeia, and H-3 south...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$77,677 to $90,852
Kaneohe, Hawaii area prices
were up 1.9% from a year ago