Staff Nurse - RN - Medical Management jobs in New Rochelle, NY

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

298 Staff Nurse - RN - Medical Management jobs found in New Rochelle, NY area

Travel Nurse RN - Med Surg - $1,873 per week
  • NurseFly Travel Nursing
  • Bronx County, NY
  • The Medical Surgical Registered Nurse (MS RN) is responsible for managing the care of adult or ... staffing firms in the Tri-State by the Cincinnati Business Courier (2007-2017) Accredited by The ...
  • yesterday

Registered Nurse
  • Clinical Management Consultants
  • Sleepy Hollow, NY
  • This state-of-the-art medical center provides a number of patient care services including ... The Nurse Manager will be responsible for the fiscal management, personnel management, staff ...
  • 2 days ago

Travel Case Manager Registered Nurse RN - Make Up To $2,620 Per Week
  • InSync Consulting Services
  • New York, NY
  • The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability ... Medical benefits Sick pay, Retirement options * Boutique company where our employees are #1 * ...
  • 3 days ago

Travel Nurse RN - Med Surg - $2,031 per week
  • NurseFly Travel Nursing
  • Hackensack, NJ
  • Specialty: Med Surg * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week ... staffing and office managers to ensure clear communication and proper placements based on the ...
  • 3 days ago

Risk Management Associate / Must be an RN
  • RCM Health Care Services
  • Stamford, CT
  • ... medical record review , preparation of summary reports and participation in Root Cause Analysis ... Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions ...
  • 4 days ago

Clinical Specialist RN
  • EO2 Concepts
  • Westchester County, NY
  • Proficient to organize and manage workload effectively while traveling. * Assessing wound ... and medical device (or similar) experience, supporting field staff from a clinical perspective
  • 4 days ago

Specialty Registered Nurse - Valley Stream
  • ConnectiCare
  • Valley Stream, NY
  • ... medical office. The position works under the supervision of a Clinical Nurse Manager. The ... Is a role model and resource for the clinical staff. Delegates tasks appropriately according to ...
  • 4 days ago

RN - Transplant Coordinator
  • LiveOnNY
  • New York, NY
  • Consults and collaborates with hospital medical staff to provide optimal medical management of ... LiveOnNY is actively looking to hire RNs who are ready to take their career to the next level as a ...
  • 5 days ago

New Rochelle /rəˈʃɛl/ is a city in Westchester County, New York, United States, in the southeastern portion of the state. In 2007, the city had a population of 73,260, making it the seventh-largest in the state of New York. As of the 2010 Census, the city's population had increased to 77,062. In November 2008 Business Week magazine listed New Rochelle as the best city in New York State, and one of the best places nationally, to raise children. In 2014, based on analysis of 550 U.S. cities, New Rochelle was voted the 13th best city to live in. New Rochelle is located at the southeastern point o...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$85,508 to $100,007
New Rochelle, New York area prices
were up 1.6% from a year ago