Staff Nurse - RN - Medical Management jobs in Pomona, 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


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212 Staff Nurse - RN - Medical Management jobs found in Pomona, CA area

  • PIH Health
  • La Palma, 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 ...
  • 2 days ago

Nursing Department Manager, RN NICU FT Nights
  • Abis Solutions
  • Downey, CA
  • Holds staff accountable in providing the highest quality of care while in compliance with the ... Develops standards of care and standards of practice, directs fiscal management, and quality ...
  • 2 days ago

Hospice Case Manager, RN
  • Regal Medical Group
  • Anaheim, CA
  • Your low case load ensures you are able to provide compassionate care, active symptom management ... Our dedication to our staff is evident in our comprehensive benefits package. We offer a very ...
  • 3 days ago

RN Clinical Manager of Home Health $5,000 Sign On Bonus
  • Brookdale Senior Living
  • Placentia, CA
  • ... the medical records reflect compliance with medical necessity, homebound status, and visit ... day interactions with co-workers, management staff, and customers. * Maintains positive ...
  • 3 days ago

Travel Registered Nurse RN House Supervisor - San Leandro
  • OneStaff Medical
  • Anaheim, CA
  • The House Supervisor provides oversight for multiple hospital departments in the absence of unit management. Addresses patient care, staffing, and any other issues that may arise. Job Requirements
  • 4 days ago

RN Quality Improvement Coordinator
  • BeverlyCare
  • Montebello, CA
  • The Quality Coordinator reports to the Medical Director as well as the Senior Operations Manager ... In collaboration with the all clinics staff, provides ongoing leadership on quality issues ...
  • 4 days ago

Registered Nurse - RN -Intensive Care Unit- ICU
  • CareerStaff Unlimited
  • Covina, 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 ...
  • 4 days ago

Travel Nurse RN - ICU - Intensive Care Unit - $1,983 per week
  • NurseFly Travel Nursing
  • Riverside, CA
  • The Intensive Care Unit (ICU) RN provides care for patients with life-threatening medical ... managing medication doses, anesthesia, and ventilator support. 1+ year of recent ICU/CCU RN ...
  • 5 days ago

Pomona (/pəˈmoʊnə/) is a city in Los Angeles County, California, United States. Pomona is located in the Pomona Valley, between the Inland Empire and the San Gabriel Valley. As of the 2010 United States Census, the city's population was 149,058. Pomona is 30 miles (48 km) east of the Los Angeles area of Los Angeles County in the Pomona Valley, located at 34°3′39″N 117°45′21″W / 34.06083°N 117.75583°W / 34.06083; -117.75583 (34.060760, -117.755886). According to the United States Census Bureau, the city has a total area of 22.964 square miles (59.48 km2), over 99% of it land. Pomona is appro...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$82,922 to $96,985
Pomona, California area prices
were up 3.2% from a year ago