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 2024 Salary.com)
Position: RN OR
Shift: Days
Duration: 13 weeks
Weekly Gross: $ 2,820 (based on 40 hours)
Estimated NET: $ 2,424 (based on 40 hours)
Misc. and I E : $ 600(non-tax weekly)
Lodging : $ 750 per week
OT Rate: $ 75/hour (after 40 hours)
Weekly gross $ 3,420 (Based on 48 hours)
Est. Weekly Net $ 2,844 (Based on 48 hours)
Send in your resume at ann@rnstaff.com and book your prescreen interview at the link below:
https://calendly.com/anndizon/pre-screen-interview
Ann Dizon
Account Manager
317 328 2866
ann@rnstaff.com
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0 Staff Nurse - RN - Medical Management jobs found in Rockville, MD area