Staff Nurse - RN - Medical Management jobs in Sacramento, 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

67 Staff Nurse - RN - Medical Management jobs found in Sacramento, CA area

Utilization Management Supervisor - RN
  • A-Line Staffing Solutions
  • Sacramento, CA
  • Supervise the daily operations of the UM staff * Ensure appropriate usage of resources in order to ... Medical, Dental, Vision, Life, Short-term Disability * 401k after 1 year of employment: With ...
  • 5 hours ago

RN - Home Health
  • Mercy San Juan Medical Center
  • Carmichael, CA
  • ... Medical Center and the Mission and Philosophy of Dignity Health. nurse, staff nurse, registered nurse, rn, charge nurse, lead, assistant nurse manager, clinical coordinator, supervisor, home health ...
  • yesterday

Registered Nurse (RN) - Travel - Case Management and Hospital-160146
  • Delta Healthcare Providers
  • Sacramento, CA
  • Paid Blue Cross Blue Shield medical benefits * Paid Reward Days * Paid housing or tax-free stipend ... staffing.
  • 2 days ago

Registered Nurse - RN - Flu Clinic
  • CareerStaff Unlimited
  • Davis, 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 ...
  • 5 days ago

Travel Nurse RN - Labor and Delivery - $2,205 per week
  • Advanced Travel Nursing
  • Roseville, CA
  • Advanced Travel Nursing is a nationwide staffing company for nurses. As one of the largest ... Comprehensive Medical Dental and Vision Insurance * Meals and Incidentals Stipend * Generous ...
  • 5 days ago

Travel Registered Nurse RN Director - South Lake Tahoe
  • OneStaff Medical
  • Sacramento, CA
  • Directors of nursing are registered nurses who wish to assume more responsibility in a managerial ... level staff members. They also, maintain high standards of care, manage patient data and medical ...
  • 5 days ago

KAISER PERMANENTE- Medical Surgical Telemetry Registered Nurse RN
  • Kaiser Permanente
  • Sacramento, CA
  • The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability ... mgmt plan. * Ensures patient safety related but not limited to, medications and procedures ...
  • 6 days ago

Travel Registered Nurse RN House Supervisor - San Leandro
  • OneStaff Medical
  • Sacramento, 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
  • 7 days ago

Sacramento (/ˌsækrəˈmɛntoʊ/ SAK-rə-MEN-toh; Spanish: [sakɾaˈmento]) is the capital city of the U.S. state of California and the seat of Sacramento County. Located at the confluence of the Sacramento River and the American River in Northern California's Sacramento Valley, Sacramento's estimated 2018 population of 501,334 makes it the sixth-largest city in California and the ninth largest capital in the United States. Sacramento is the seat of the California Assembly, the Governor of California, and Supreme Court of California, making it the state's political center and a hub for lobbying and th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$80,682 to $94,363
Sacramento, California area prices
were up 2.5% from a year ago