Staff Nurse - RN - Medical Management jobs in Ontario, 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

92 Staff Nurse - RN - Medical Management jobs found in Ontario, CA area

Staff RN - DOU, PIH Health Good Samaritan Hospital, Los Angeles, Full Time, days
  • PIH Health
  • Diamond Bar, CA
  • ... medical (physician) group, home healthcare services and hospice care, as well as heart, cancer ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ...
  • yesterday

Travel Nurse RN - Med Surg - $1,319 per week
  • NurseFly Travel Nursing
  • Moreno Valley, CA
  • OneStaff Medical is seeking a travel nurse RN Med Surg for a travel nursing job in Moreno Valley, California: - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours ...
  • yesterday

Registered Nurse RN Home Health
  • Tender Home Health
  • Chino, CA
  • Case management of patient services includes: * Perform initial evaluation, follow up visit and ... Establish the patient's individualized treatment (Plan of Care) and medical record baseline
  • yesterday

KAISER PERMANENTE - Intensive Care Unit Registered Nurse ICU RN
  • Kaiser Permanente
  • Riverside, CA
  • The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability ... medical mgmt plan. * Ensures patient safety related but not limited to, medications and procedures ...
  • yesterday

  • PIH Health
  • San Dimas, CA
  • ... hospital staff about healthcare options. Required Skills * Excellent verbal and written ... Excellent organizational and time management skills * Knowledge of medical terminology and current ...
  • 3 days ago

Nurse Case Manager
  • Nexus Staffing Group
  • Rancho Cucamonga, CA
  • ... or RN Description Under the general direction of the Care Management Manager Supervisor, the LVN Care Manager is responsible for working directly with the Plan, IPA medical groups, providers ...
  • 6 days ago

Travel Registered Nurse RN Intensive Care unit ICU - Corona
  • OneStaff Medical
  • Corona, CA
  • Intensive care unit (ICU) staff RNs provide care for patients with life-threatening medical conditions. These nurses work in the critical care unit of a hospital or healthcare facility and look after ...
  • 7 days ago

LVN (Licensed Vocational Nurse) PT / FT/ Per Diem
  • Maxim Healthcare Services
  • Ontario, CA
  • ... Nurse (RN). The Licensed Practical Nurse (LPN) will consistently perform according to nursing ... Maxim Healthcare Services is a leading provider of home healthcare, medical-related staffing ...
  • 7 days ago

Ontario is a city located in southwestern San Bernardino County, California, 35 miles (56 km) east of downtown Los Angeles and 23 miles (37 km) west of downtown San Bernardino, the county seat. Located in the western part of the Inland Empire metropolitan area, it lies just east of Los Angeles County and is part of the Greater Los Angeles Area. As of the 2010 Census, the city had a population of 163,924, up from 158,007 at the 2000 census, making it the county's fourth most populous city after San Bernardino, Fontana, and Rancho Cucamonga.[not verified in body] The city is home to the Ontario ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$79,253 to $92,692
Ontario, California area prices
were up 3.0% from a year ago