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

162 Staff Nurse - RN - Medical Management jobs found in Pasadena, CA area

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Registered Nurse (RN) - PRN - ICU, ER, TELE, MS $800-700 Per Shift
  • Gale Healthcare Solutions LLC
  • Los Angeles, CA
  • NurseStaffing has been in business since 1996 and with the evolution and automation of staffing ... Medical Surgical (MS). If you are looking for another position, simply share your requests and your ...
  • yesterday

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Registered Nurse - Outpatient
  • Continuum Medical Staffing
  • Los Angeles, CA
  • RN needed for at outpatient medical clinic with supervisory experience. Must be comfortable working ... Medical Staffing employs and places healthcare professionals such as Senior Leader Management ...
  • yesterday

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CARE MANAGER - RN, - CARE MANAGEMENT, PIH HEALTH GOOD SAMARITAN HOSPITAL (LOS ANGELES), FULL TIME...
  • PIH Health
  • Bell, 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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Med Surg Registered Nurse (Permanent Roles)
  • Incredible Health
  • Beverly Hills, CA
  • Openings include staff nurse, charge nurse, nurse manager, or nurse director. Nurse practitioners also welcomeResponsibilities and Duties:* Tasks expected of a Med Surg RN. Qualifications and Skills
  • 5 days ago

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STAFF RN - GOOD SAMARITAN HOSPITAL, LOS ANGELES; ICU, PART TIME, DAYS
  • PIH Health
  • Los Angeles, 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 ...
  • 6 days ago

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RN- LVN's**** *URGENT NEEDS** SUB ACUTE EXP
  • Xpert Recruiters LLC
  • Los Angeles, CA
  • ... staff * Administer prescribed medications to patients * Sterilize and prepare medical tools and ... This position reports to Clinical Services Manager. Excellent verbal, writing and telephone skills
  • 6 days ago

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REGISTERED NURSE - RN - POST ANESTHESIA CARE UNIT - PACU
  • CareerStaff Unlimited
  • Los Angeles, CA
  • Medical, Dental and Vision Insurance * Referral Bonuses Our strong, long-term connections-with the ... Additionally, CareerStaff provides Managed Service Programs to hundreds of healthcare facilities ...
  • 7 days ago

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REGISTERED NURSE - RN - INTENSIVE CARE UNIT - ICU
  • CareerStaff Unlimited
  • Los Angeles, CA
  • Medical, Dental and Vision Insurance * Referral Bonuses Our strong, long-term connections-with the ... Additionally, CareerStaff provides Managed Service Programs to hundreds of healthcare facilities ...
  • 7 days ago

Pasadena is a city in Los Angeles County, California, United States, located 10 miles (16 kilometers) northeast of Downtown Los Angeles. The estimated population of Pasadena was 142,647 in 2017, making it the 183rd-largest city in the United States. Pasadena is the ninth-largest city in Los Angeles County. Pasadena was incorporated on June 19, 1886, becoming one of the first cities to be incorporated in what is now Los Angeles County, following the city of Los Angeles (April 4, 1850). It is one of the primary cultural centers of the San Gabriel Valley. The city is known for hosting the annua...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$83,558 to $97,727
Pasadena, California area prices
were up 3.2% from a year ago