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

168 Staff Nurse - RN - Medical Management jobs found in Orange, CA area

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Staff RN - DOU, PIH Health Good Samaritan Hospital, Los Angeles, Part Time, Days
  • PIH Health
  • Anaheim, 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

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Travel Nurse - RN - Dialysis - $2043.33 / Week
  • BluePipes
  • Lynwood, CA
  • Francis Medical Center is a general medical and surgical hospital in Lynwood, CA, with 323 beds ... to manage their disease through self-care and medication. About TotalMed Staffing: We find the ...
  • yesterday

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Home Healthcare LVN - Afternoon Shifts
  • Maxim Healthcare Services
  • Atwood, CA
  • ... Nurse (RN). The Licensed Vocational Nurse (LVN)will consistently perform according to nursing ... Maxim Healthcare Services is a leading provider of home healthcare, medical-related staffing ...
  • yesterday

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Clinical Care Coordinator - Must be a Registered Nurse (RN)
  • Colonial Care Center
  • Long Beach, CA
  • ... staff o Bedside care as needed o Suctioning o Identify change of condition o Follow up on skin ... changes o IV management o Tracheostomy care/tracheostomy tube change o Dressing condition ...
  • yesterday

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Registered Nurse RN Home Health
  • Tender Home Health
  • Westminster, 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

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CARE MANAGER - RN, - CARE MANAGEMENT, PIH HEALTH GOOD SAMARITAN HOSPITAL (LOS ANGELES), FULL TIME...
  • PIH Health
  • Anaheim, CA
  • ... 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare ... staff education, and discharge patient education and follow-up for the area assigned. Required ...
  • 3 days ago

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RN (Registered Nurse) Clinic Role
  • Maxim Healthcare Services
  • Long Beach, CA
  • Consistently performs according to nursing standards and is accountable in managing patient care ... Monitors consistency between patient plan of care and actions of medical staff. * Performs ...
  • 6 days ago

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RN Clinical Supervisor
  • Aveanna Healthcare
  • Orange, CA
  • The Clinical Supervisor is responsible for ensuring that patient care is coordinated and managed ... The Clinical Supervisor is responsible for the clinical activities of the field staff. The Clinical ...
  • 6 days ago

Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014. The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$82,764 to $96,798
Orange, California area prices
were up 3.0% from a year ago