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

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42 Staff Nurse - RN - Medical Management jobs found in Modesto, CA area

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RN OR - Travel Nurse
  • The Gypsy Nurse
  • Modesto, CA
  • As an OR Travel Nurse, you will assist physicians and medical staff in caring for surgical patients ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include
  • 5 hours ago

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Travel Nurse RN - Labor and Delivery - $2,147 per week
  • NurseFly
  • Modesto, CA
  • ... Staffing Coordinator prepared to guide and assist you throughout your assignment and between ... offer medical and professional support and career development Housing liaison helps locate ...
  • 5 hours ago

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Nurse Practitioner (NP)
  • Premise Health
  • Manteca, CA
  • ... using Electronic Medical Record software). Educates and coaches nursing staff on best nursing ... Licensed as a Registered Nurse and Nurse Practitioner in state of practice Nationally Certified as ...
  • 13 hours ago

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Travel Nurse RN - OR - Operating Room - $2,180 per week
  • NurseFly Travel Nursing
  • Modesto, CA
  • As an OR Travel Nurse, you will assist physicians and medical staff in caring for surgical patients ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include
  • 2 days ago

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

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Certified Registered Nurse Anesthetist (CRNA)
  • Staff Care
  • Stockton, CA
  • ... Job Benefits Staff Care typically arranges medical or dental malpractice insurance for the ... management anesthesiology jobs
  • 3 days ago

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Quality Assurance Manager - RN
  • HealthCare Talent
  • Modesto, CA
  • Ensures staff integration into the QAPI process through Continuous Quality Improvement education ... Analyses of risk management data, and Quality Assessment Performance Improvement activities data ...
  • 4 days ago

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Travel Registered Nurse RN Cardiovascular Intensive Care Unit CVICU - Greenbrae
  • OneStaff Medical
  • Modesto, CA
  • Cardiovascular Intensive Care Unit Nurses, or CVICU RNs, provide critical care to patients with potentially life-threatening heart conditions. They must observe changes in their patients, analyze ...
  • 5 days ago

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$78,785 to $92,145
Modesto, California area prices
were up 2.5% from a year ago