Staff Nurse - RN - Medical Management jobs in Pearl City, HI

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


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19 Staff Nurse - RN - Medical Management jobs found in Pearl City, HI area

On Location- LPN- Per Diem Weekends
  • Logistics Health Inc.
  • Honolulu, HI
  • Customers want an efficient medical examination process, seamless information technology data exchange and workflow, and often, electronic records of encounters. LHI provides high quality medical ...
  • yesterday

  • Wilson Care Group
  • Waianae, HI
  • You do not need to have a CNA or have gone through Nurse Aide schooling to apply. We look forward ... Medical, Dental, Vision, Prescription and 401K! We are seeking compassionate professionals who'd ...
  • 2 days ago

Insurance Agent - Outside Sales
  • FFL Aloha
  • Kaneohe, HI
  • Products Offered - Mortgage Protection, IUL's, Final Expense, Annuities, Med-Sups, & ReliaShield ... We have an incredible staff of experienced managers ready to help you We sell Life and health ...
  • 2 days ago

Administrative Assistant / Project Coordinator
  • Integral Consulting Inc.
  • Waipahu, HI
  • The selected candidate will support technical staff, including the principal engineer, to best ... Project Coordination: Supporting several project managers by assisting with project budgets ...
  • 3 days ago

Medical Assistant Sr Spec
  • QTC Management, Inc.
  • Honolulu, HI
  • Management reserves the right to add or change the duties of this position as required at any time ... Licensed Vocational Nurse * Phlebotomy Certification * Emergency Medical Techn. * Licensed ...
  • 4 days ago

Telemedicine Psychiatric Nurse Practitioner (California License)
  • Vivo HealthStaff Inc.
  • Honolulu, HI
  • This and other nurse practitioner jobs brought to you by Vivo HealthStaff is ... Provide initial psych evaluations, follow-up and psychiatric medication management services to ...
  • 4 days ago

Telemedicine Nurse Practitioner (Full-time Permanent)
  • Vivo HealthStaff Inc.
  • Honolulu, HI
  • This and other nurse practitioner jobs brought to you by Vivo HealthStaff is ... Experience with telemedicine and Electronic Medical Record systems
  • 4 days ago

MANAGER AND CHIEF ENGINEER - Island of Kaua'i #18121
  • Bishop & Company, Inc.
  • Honolulu, HI
  • ... Management | Utilities | Engineer | Operations | Utilities | Licensed Engineer | Island of Kaua'i ... To be considered for this exceptional career opportunity, submit a resume with proof of registered ...
  • 4 days ago

Pearl City is a census-designated place (CDP) located in the ʻEwa District and City & County of Honolulu on the Island of Oʻahu. As of the 2010 Census, the CDP had a total population of 47,698. Pearl City is located along the north shore of Pearl Harbor. Waimalu borders Pearl City to the east, while Waipahu borders the west. The U.S. postal code for Pearl City is 96782. Pearl City is located at 21°24'30" North, 157°58'1" East (21.408333, −157.966902). According to the United States Census Bureau, the CDP has a total area of 5.8 square miles (15 km2), of which, 5.0 square miles (13 km2) of it i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$77,677 to $90,852
Pearl City, Hawaii area prices
were up 1.9% from a year ago