Staff Nurse - RN - Medical Management jobs in Santa Clara, 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

103 Staff Nurse - RN - Medical Management jobs found in Santa Clara, CA area

Travel Registered Nurse RN Intensive Care unit ICU - Fortuna
  • OneStaff Medical
  • San Jose, CA
  • Intensive care unit (ICU) staff RNs provide care for patients with life-threatening medical conditions. These nurses work in the critical care unit of a hospital or healthcare facility and look after ...
  • 3 days ago

Drug Trials | RN - Registered Nurse
  • BrightStar Care
  • Santa Clara, CA
  • Medical, Dental, Vision, and Life Insurance! * Weekly pay via direct deposit! * Mileage ... management, our professional care staff is available 24/7 to help when you need it most.
  • 3 days ago

Registered Nurse - RN - Home Health
  • CareerStaff Unlimited
  • Sunnyvale, CA
  • ... time management for a full-time home health contract positions in San Francisco, CA . In this ... Medical, Dental and Vision Insurance * Referral Bonuses MORE ABOUT THE NURSE POSITION: * Making ...
  • 3 days ago

Travel Home Health RN - Registered Nurse
  • Supplemental Health Care
  • Sunnyvale, CA
  • Supplemental Health Care is partnering with a reputable, National Home Health Agency in Sunnyvale, CA that needs a Registered Nurse for a 13-week travel assignment. The Nurse will cover the Sunnyvale ...
  • 4 days ago

Travel L&D RN
  • Titan Medical
  • San Jose, CA
  • Must have a minimum of 2 years experience as a L&D RN. We offer our clients the best in traveling ... Titan Medical is one of the top medical staffing agencies because we provide superior support to ...
  • 4 days ago

Oncology Registered Nurse RN
  • Incredible Health
  • Palo Alto, CA
  • Oncology RN Includes Lucile Packard Children's Hospital, Stanford Medical Center, UCSF, and more ... Openings include staff nurse, charge nurse, nurse manager, or nurse director.Responsibilities and ...
  • 4 days ago

Medical-Surgical Travel Nurse RN - $53/hour
  • Nomad Health
  • San Mateo, CA
  • ... RN experience.Housing: Stipend provided. Best-in-class availability through our housing partner.Travel: Up to 1,000 reimbursement for travel to your assignment.Medical/Dental: Major medical and ...
  • 4 days ago

Travel Registered Nurse RN Med Surg - Placentia
  • OneStaff Medical
  • San Jose, CA
  • OneStaff Medical has an assignment available for a Travel Registered Nurse RN Med SurgJoin the OneStaff Medical Team of Healthcare professionals as a Travel Registered Nurse RN Med SurgJob ...
  • 5 days ago

Santa Clara is drained by three seasonal creeks, all of which empty into the southern portion of San Francisco Bay; these creeks are San Tomas Aquino Creek, Saratoga Creek, and Calabazas Creek. There are some significant biological resources within the city including habitat for the burrowing owl, a species of special concern in California due to reduction in habitat from urban development during the latter 20th century. This owl uses burrows created by ground squirrels and prefers generally level grasslands and even disturbed areas. According to the United States Census Bureau, the city cover...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$93,501 to $109,360
Santa Clara, California area prices
were up 2.9% from a year ago