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

60 Staff Nurse - RN - Medical Management jobs found in Oceanside, CA area

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Aesthetic RN / Laser Hair Removal Specialist
  • South Coast MedSpa
  • San Diego, CA
  • South Coast MedSpa San Diego is looking for an energetic, bright, intelligent RN who has a passion ... staff, medical personnel, safety, and reliability has fostered a strong, dependable, and loyal ...
  • yesterday

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LVN - LPN - 1111
  • Belmont Village
  • Encinitas, CA
  • ... to medical, dental, vision and life insurance. Participate in philanthropic events, form lasting bonds with residents and work with management passionate about senior care and our employees
  • 5 days ago

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Registered Nurse
  • Community Health Systems, Inc. (CHSI)
  • Fallbrook, CA
  • Work with and report to Site-Manager (SM) regarding all operational related duties and advises the ... Directly supervises Medical Assistants in the performance of their clinical duties and ...
  • 6 days ago

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Registered Nurse (RN) Home Health
  • Healthy Living at Home
  • Escondido, CA
  • Healthy Living at Home - providing home health "At Your Service." As a Registered Nurse (RN) with Healthy Living at Home, you will plan, organize, and direct the skilled, clinical in-home care ...
  • 7 days ago

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LVN - Home Health Nurse - Full Time
  • Avery Home Health Agency, INC
  • Oceanside, CA
  • Monitor and document the patients' responses to care and consult with the RN Case Manager, the patients' physician, Medical Director and/or other clinical staff members when a change in the plan of ...
  • 7 days ago

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LVN - Home Health - Full Time
  • Avery Home Health Agency, INC
  • Carlsbad, CA
  • Monitor and document the patients' responses to care and consult with the RN Case Manager, the patients' physician, Medical Director and/or other clinical staff members when a change in the plan of ...
  • 7 days ago

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LVN's - Non Covid Cases
  • Aveanna Healthcare
  • San Marcos, CA
  • ... Registered Nurse, in accordance with the developed care plan and physicians orders for each ... Provide care utilizing infection control measures that protect both the staff and the patient ...
  • 7 days ago

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Registered Nurse - RN - Intensive Care Unit
  • Scripps Health
  • Encinitas, CA
  • The Intensive Care Unit (ICU) at Encinitas is a general medical surgical ICU with 12 beds, all ... We invite you to join our team of Registered Nurses responsible for providing direct patient care ...
  • 7 days ago

Oceanside is a coastal city located on California's South Coast. It is the third-largest city in San Diego County, California. The city had a population of 167,086 at the 2010 census. Together with Carlsbad and Vista, it forms a tri-city area. Oceanside is located just south of Marine Corps Base Camp Pendleton. Oceanside is at 33°12′42″N 117°19′33″W / 33.21167°N 117.32583°W / 33.21167; -117.32583 (33.211566, -117.325701). According to the United States Census Bureau, the city has a total area of 42.2 square miles (109 km2), of which 41.2 square miles (107 km2) is land and 0.9 square miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$79,984 to $93,547
Oceanside, California area prices
were up 2.6% from a year ago