Staff Nurse - RN - Medical Management jobs in Santa Cruz, 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 Salary.com)

24 Staff Nurse - RN - Medical Management jobs found in Santa Cruz, CA area

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Travel PACU RN
  • Titan Medical
  • Watsonville, CA
  • Must have a minimum of 2 years experience as an PACU 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 hours ago

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Registered Nurse (RN) - SNF - Contract
  • Centra Healthcare Solutions
  • Santa Cruz, CA
  • ... in managing patient care and assisting others in the management of patient care. Minimum ... License and medical reimbursement. Housing accommodations or a very competitive tax advantage plan ...
  • 15 hours ago

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Travel OR RN-Santa Cruz, CA
  • Soliant
  • Santa Cruz, CA
  • Are you an OR RN looking for your next assignment? Great! This is the assignment for you! * What are we looking for? * A motivated OR RN with 2+ years experience * Where will you go? * To the ...
  • 15 hours ago

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Covid Crisis OR RN Job in Santa Cruz, CA
  • Soliant
  • Santa Cruz, CA
  • Covid Crisis OR RN Job in Santa Cruz, CA "We make lives better for those who make lives better" - Soliant Soliant is connecting with a hospital in Santa Cruz, CA to fill a traveling need they have ...
  • 15 hours ago

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Medical Assistants
  • Dignity Health Medical Group Santa Cruz
  • Boulder Creek, CA
  • ... Registered Nurse, Nurse Practitioner, Physician's Assistant, or Licensed Vocational Nurse. Core ... management system preferred #missioncritical **This position is represented by the SEIU-UHW
  • 23 hours ago

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Travel Registered Nurse RN Medical Surgical - Watsonville
  • OneStaff Medical
  • Watsonville, CA
  • Job Requirements: * Minimum of 1 year of current work experience providing in specialty area applying for. * Current State Healthcare Provider license or willing to obtain * Current certifications ...
  • yesterday

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Travel Registered Nurse RN Operating Room OR Health - Santa Cruz
  • OneStaff Medical
  • Santa Cruz, CA
  • The Operating Room (OR) Nurse will provide care for patients before, during and after surgery. They will also, educate the patient, circulating nurse and/or scrub nurse, and potentially RN first ...
  • yesterday

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Medical Surgical Telemetry (Med Surg Tele) Travel Nurse RN - COVID-19 - $101.51/Hour $3654/Weekly
  • Wanderly
  • Watsonville, CA
  • Wanderly offers top paying assignments from TotalMed Staffing. Compare your offer with the market to maximize compensation. Chat anonymously with recruiters & submit a universal application w/ 1 ...
  • yesterday

Santa Cruz (/ˈsæntə ˈkruːz/, Spanish: Holy Cross) is the county seat and largest city of Santa Cruz County, California. As of 2013 the U.S. Census Bureau estimated Santa Cruz's population at 62,864. Situated on the northern edge of Monterey Bay, about 32 mi (51 km) south of San Jose and 75 mi (120 km) south of San Francisco, the city is part of the 12-county San Jose-San Francisco-Oakland Combined Statistical Area. Santa Cruz is known for its moderate climate, natural environment, coastline, redwood forests, alternative community lifestyles, and socially liberal leanings. It is also home to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$83,078 to $97,165
Santa Cruz, California area prices
were up 2.5% from a year ago