Staff Nurse - RN - Medical Management jobs in North Carolina

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

Home Health RN Assessment Advisor
  • Kindred at Home
  • Morehead City, NC
  • ... medical home care services. Kindred at Home, and its affiliates, delivers compassionate, high ... appropriate administrative staff, referral sources and external case managers to ensure ...
  • 1 hour ago

Travel Nurse RN - Oncology - $2,505 per week
  • NurseFly Travel Nursing
  • Winston-Salem, NC
  • ... Medical was recently ranked as a TOP 5 travel nurse by a healthcare career management platform ... Our team of leaders has over 100 years of staffing and recruiting experience that span several ...
  • 15 hours ago

Travel Nurse RN - Med Surg - $1,584 per week
  • NurseFly Travel Nursing
  • Laurinburg, NC
  • MedPro Healthcare Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in ... to manage illness. Due to the broad range of medical conditions Med/Surg Nurses will encounter ...
  • 3 days ago

  • UNC Health Care
  • Siler City, NC
  • Supportive work environment. Rural hospital with medical center standards. Free Parking for ... Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for ...
  • 3 days ago

Registered Nurse (RN) PRN
  • Careerbuilder-US
  • Asheville, NC
  • Our low staff-to-patient ratio allows us to provide intensive, highly skilled treatment and ... Pain management Plan and implement care for patients in accordance with the medical and nursing ...
  • 4 days ago

Travel Registered Nurse RN Hospice Case Management
  • One Staff Medical
  • Asheville, NC
  • Case Management Nurses coordinate long-term care for their patients. Their goal is to treat their ... Medical/Dental/Vision Insurance * 401K * Weekly Pay through Direct Deposit * Guaranteed Hours
  • 5 days ago

Registered Nurse-PACT
  • Veterans Affairs, Veterans Health Administration
  • Greenville, NC
  • ... and manages the care for patients with a variety of medical problems including hypertension ... Responsibilities The clinic is staffed by providers (attending physicians, advanced practice ...
  • 5 days ago

RN Branch Director
  • Kindred at Home
  • King, NC
  • ... medical home care services. Kindred at Home, and its affiliates, delivers compassionate, high ... Provision of monthly Aide in-services, general staff meetings and monthly case manager meetings
  • 6 days ago

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$71,289 to $83,388