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

64 Staff Nurse - RN - Medical Management jobs found in Oxnard, CA area

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PICU RN
  • National Staffing Solutions
  • Ventura, CA
  • Work collaboratively with medical staff * Provide quality care in a compassionate and professional manner Qualifications for the PICU RN: * Graduate of an accredited School of Nursing. * Licensed to ...
  • 2 days ago

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ICU RN
  • National Staffing Solutions
  • Ventura, CA
  • At National Staffing Solutions, we have the privilege and honor of working with dedicated health ... Enjoy peace of mind knowing you can elect Day One Medical Benefits Daily Range of Responsibilities ...
  • 2 days ago

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ER RN
  • National Staffing Solutions
  • Santa Paula, CA
  • At National Staffing Solutions, we have the privilege and honor of working with dedicated health ... Perform minor medical operations * Advise patients and their families on illness, care and ...
  • 2 days ago

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Hospice Intake and Triage LVN
  • Westlake Villa Hospice
  • Thousand Oaks, CA
  • ... Medical Record) * Informs admission RN of referral for scheduling of admission * Medically triage patients as needed for Hospice field staff * Assigns RN clinical manager and Hospice team to new ...
  • 3 days ago

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Travel RN-ICU job in California
  • RNnetwork
  • Camarillo, CA
  • * We are seeking a qualified intensive care RN to work in the ICU/critical care unit! ICU nurses possess the skills needed to manage the care of adult patients experiencing life-threatening problems ...
  • 3 days ago

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Travel Nurse - MedSurg RN - Medical Surgical Registered Nurse
  • Adex Medical Staffing
  • Oxnard, CA
  • ADEX Travel Nursing has been employing and servicing nurse travelers, sending them to great ... Benefits: - Hundreds of locations - Day One Major Medical, Vision, and Dental - Top Pay - Custom ...
  • 5 days ago

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Travel Nurse - MedSurg RN - Medical Surgical Registered Nurse
  • Adex Medical Staffing
  • Camarillo, CA
  • ADEX Travel Nursing has been employing and servicing nurse travelers, sending them to great ... Benefits: - Hundreds of locations - Day One Major Medical, Vision, and Dental - Top Pay - Custom ...
  • 5 days ago

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Remote Quality Nurse Advisor
  • A-Line Staffing Solutions
  • Ventura, CA
  • A-Line Staffing is searching for a Registered Nurse with HEDIS data abstraction experience to work ... Provide education for HEDIS measures, appropriate medical record documentation and appropriate ...
  • 7 days ago

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Landfill Disposal Operations Management Trainee (Simi Valley, CA)
  • Waste Management
  • Simi Valley, CA Full-Time
  • Equal Opportunity Employer: Minority/Female/Disability/Veteran Waste Management (WM), a Fortune 250 company, is the lead...
  • 16 Days Ago
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Production/Plant Staff
  • Mission Linen Supply
  • Oxnard, CA Full-Time
  • Responsibilities Mission Linen Supply is currently accepting online applications for Production Staff . The Production S...
  • Just Posted
Oxnard (/ˈɒksnɑːrd/) is a city in Ventura County, California, United States. Located along the coast of Southern California, it is the most populous city in Ventura County and the 19th most populous city in California. Incorporated in 1903, the city lies approximately 60 miles (97 km) west of downtown Los Angeles and is part of the larger Greater Los Angeles area. It is located at the western edge of the fertile Oxnard Plain, sitting adjacent to an agricultural center of strawberries and lima beans. Oxnard is also a major transportation hub in Southern California, with Amtrak, Union Pacific, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$79,271 to $92,716
Oxnard, California area prices
were up 2.5% from a year ago