Staff Nurse - RN - Medical Management jobs in Simi Valley, 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)

Filters

74 Staff Nurse - RN - Medical Management jobs found in Simi Valley, CA area

N
Travel Nurse RN - Long Term Care - $1,820 per week
  • NurseFly Travel Nursing
  • Los Angeles, CA
  • Major Medical Dental/Vision Insurance Pet Insurance Life Insurance with extensive family health ... Our managers and executive staff hold daily "Stand-Up" meetings where we not only discuss the needs ...
  • 6 hours ago

N
Long Term Care Travel Nurse RN - $48/hour
  • Nomad Health
  • Los Angeles, CA
  • Active Registered Nurse license in the specified state. RN degree from an accredited registered ... Medical/Dental: Major medical and dental plans available from your first day of work.Payroll
  • yesterday

C
Registered Nurse Team Leader
  • Companion Health Group
  • Burbank, CA
  • ... staff supervision, managing documentation, and service coordination. * Demonstrated ability to ... We offer a wonderful working environment, competitive salary, medical, dental and vision insurance ...
  • yesterday

C
Registered Nurse RN Hospice
  • Companion Health Group
  • Burbank, CA
  • WHAT YOU BRING TO COMPANION Your medical expertise to be the liaison between the medical team and ... We welcome your non-traditional ideas regarding comfort and symptom management for each individual ...
  • yesterday

C
Registered Nurse For Camarillo!
  • Concentric Healthcare Staffing
  • Camarillo, CA
  • CONCENTRIC HEALTHCARE STAFFING is looking for qualified and committed Registered Nurses! Registered ... Medical Teamwork * Multi-tasking * Computer Charting * Listening and Verbal Communication * Health ...
  • yesterday

N
Travel Nurse RN - Skilled Nursing Facility - $1,794 per week
  • NurseFly Travel Nursing
  • Los Angeles, CA
  • Valley Medical Staffing is seeking a travel nurse RN Skilled Nursing Facility for a travel nursing job in Chatsworth, California: - Specialty: Skilled Nursing Facility - Discipline: RN - Start Date
  • 2 days ago

T
Home Health Lead Registered Nurse (RN)
  • Tender Home Health
  • Los Angeles, CA
  • Case management of patient services includes: * Perform initial evaluation, follow up visit and ... Establish the patient's individualized treatment (Plan of Care) and medical record baseline
  • 3 days ago

P
Staff RN - DOU - PIH Health Good Samaritan Hospital, Los Angeles, Full-Time, Nights
  • PIH Health
  • Los Angeles, CA
  • ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ... One year of acute care experience in Med/Surg, CVDOU or other related clinical area. License ...
  • 4 days ago

Simi Valley is a city located in the very southeast corner of Ventura County, bordering the San Fernando Valley in Los Angeles County, and is a part of the Greater Los Angeles Area. The City of Simi Valley basically consists of the eponymous valley itself. City of Simi Valley borders the Santa Susana Mountains to the north, the Simi Hills to the east and south, and is adjacent to Thousand Oaks to the southwest and Moorpark to the west. Simi Valley is connected to the nearby San Fernando Valley by the Santa Susana Pass in the extreme east of Simi Valley. Simi Valley is located at 34°16'16" Nort...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$81,212 to $94,983
Simi Valley, California area prices
were up 2.5% from a year ago