Staff Nurse - RN - Medical Management jobs in West Covina, 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)

172 Staff Nurse - RN - Medical Management jobs found in West Covina, CA area

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Registered Nurse (RN) - PRN - ICU, ER, TELE, MS $800-700 Per Shift
  • Gale Healthcare Solutions LLC
  • Los Angeles, CA
  • NurseStaffing has been in business since 1996 and with the evolution and automation of staffing ... Medical Surgical (MS). If you are looking for another position, simply share your requests and your ...
  • yesterday

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Registered Nurse - Outpatient
  • Continuum Medical Staffing
  • Los Angeles, CA
  • RN needed for at outpatient medical clinic with supervisory experience. Must be comfortable working ... Medical Staffing employs and places healthcare professionals such as Senior Leader Management ...
  • yesterday

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Home Health Lead Registered Nurse (RN)
  • Tender Home Health
  • San Marino, 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
  • yesterday

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Staff RN - NICU - PIH Health Good Samaritan Hospital, Los Angeles, Full-Time, Days
  • PIH Health
  • La Mirada, CA
  • ... medical (physician) group, home healthcare services and hospice care, as well as heart, cancer ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ...
  • 2 days ago

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STAFF RN - GOOD SAMARITAN HOSPITAL, LOS ANGELES; CVDOU, PER DIEM, DAYS
  • PIH Health
  • Rosemead, CA
  • ... medical (physician) group, home healthcare services and hospice care, as well as heart, cancer ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ...
  • 2 days ago

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KAISER PERMANENTE - Intensive Care Unit Registered Nurse ICU RN
  • Kaiser Permanente
  • Los Angeles, CA
  • The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability ... medical mgmt plan. * Ensures patient safety related but not limited to, medications and procedures ...
  • 6 days ago

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RN- LVN's**** *URGENT NEEDS** SUB ACUTE EXP
  • Xpert Recruiters LLC
  • Los Angeles, CA
  • ... staff * Administer prescribed medications to patients * Sterilize and prepare medical tools and ... This position reports to Clinical Services Manager. Excellent verbal, writing and telephone skills
  • 6 days ago

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Med Surg Registered Nurse (Permanent Roles)
  • Incredible Health
  • Beverly Hills, CA
  • Openings include staff nurse, charge nurse, nurse manager, or nurse director. Nurse practitioners also welcomeResponsibilities and Duties:* Tasks expected of a Med Surg RN. Qualifications and Skills
  • 7 days ago

West Covina is a city in Los Angeles County, California, located 19 miles (31 km) east of Downtown Los Angeles in the eastern San Gabriel Valley and is part of Greater Los Angeles. The population for the city was 106,098 at the 2010 census....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN - Medical Management jobs
$82,771 to $96,806
West Covina, California area prices
were up 3.2% from a year ago