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

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

Clinical Study Coordinator - Honolulu, HI
  • Cayuse Native Hawaiian Veterans, LLC
  • Honolulu, HI
  • ... reviews, data management, interacting with physicians, nurses, and other research personnel ... Core service areas for CNHV includeHealth & Medical Services,Unexploded Ordnance (UXO), Surface ...
  • 16 hours ago

Travel Nurse RN - OR - Operating Room - $1,357 per week
  • NurseFly Travel Nursing
  • Honolulu, HI
  • About the job Aequor Healthcare Services Staffing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Honolulu, Hawaii: * Specialty: OR - Operating Room * Discipline: RN * ...
  • 16 hours ago

RN Case Manager, PRN - Relocation Required
  • Christus Health
  • Honolulu, HI
  • Description The Case Manager facilitates clinically appropriate and fiscally responsible patient care through communication with the treating physician and all other members of the healthcare team ...
  • 19 hours ago

Certified Nurse Assistant
  • Matrix Providers Inc.
  • Honolulu, HI
  • We are hiring for Certified Nursing Assistants (CNA) to join our team of talented professionals who provide health care services to our veterans and their families at Tripler Army Medical Center in ...
  • yesterday

APRN NP Nurse Practitioner
  • Honolulu Elite Chiropractic, LLC
  • Honolulu, HI
  • Develop and implement patient management policies and procedures * Facilitate referrals to other ... Previous experience in nursing or other medical fields * Ability to build rapport with patients
  • yesterday

Physician Assistant, Nurse Practitioner or APRN
  • Sleep Center Hawaii
  • ‘Aiea, HI
  • Physician Assistant, Nurse Practitioner or Advanced Practice Registered Nurse needed in Sleep ... Develops treatment plans to provide optimal patient and medical management. * Participates in ...
  • 2 days ago

NICU RN- Neonatal Intensive Care Nurse
  • National Coalition Of Healthcare Recruiters
  • 96859, HI
  • ... Medical Center in Honolulu, HI. Benefits: Full TIme Competitive financial package with a ... 401(k) Plan The NICU RN must have the following qualifications: Must have (1) one year NICU ...
  • 4 days ago

Medical Management Specialist #18155
  • Bishop & Company, Inc.
  • Kapolei, HI
  • Medical Management Specialist # 18155 Position Overview: The Medical Management Specialist will ... staffing. We charge no fees to our placed candidates and our temporary/contract employees. Our ...
  • 5 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
$77,823 to $91,019
Kaneohe, Hawaii area prices
were up 1.9% from a year ago