Staff Nurse - RN, Sr. - Medical Management jobs in Anderson, IN

Staff Nurse - RN, Sr. - Medical Management leads the coordination between care providers and plan members with the goal of maximizing member benefits while managing costs. Oversees the assessment of medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and ensures compliance with established guidelines. Being a Staff Nurse - RN, Sr. - 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, Sr. - Medical Management applies the medical and reimbursement policies within the claim adjudication process. Typically requires a bachelor's degree in Nursing. Typically reports to a manager. Requires RN license. To be a Staff Nurse - RN, Sr. - Medical Management typically requires more than 5 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2020 Salary.com)

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23 Staff Nurse - RN, Sr. - Medical Management jobs found in Anderson, IN area

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Utilization Review (UR) Travel Nurse RN - $52.30/Hour $2092/Weekly
  • Wanderly
  • Muncie, IN
  • Wanderly offers top paying assignments from Ventura MedStaff. Compare your offer with the market to maximize compensation. Chat anonymously with recruiters & submit a universal application w/ 1 click.
  • 4 days ago

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Registered Nurse (RN) - Medical / Respiratory / Telemetry
  • Ascension
  • Anderson, IN
  • We Are Hiring Registered Nurse - Medical/Respiratory/Telemetry - Full-time, Night Shift - 6:00pm-6:30am St Vincent 2015 Jackson Street, Anderson, IN. Join our Faith Based Culture and Make a ...
  • 4 days ago

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RN Supervisor - New Castle Correctional Facility (Full Time)
  • Wexford Health
  • Pendleton, IN
  • ... staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management ... RN Supervisor will participate and assist in the structuring and comprehensive planning and ...
  • 4 days ago

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Registered Nurse (RN) - New Castle Correctional Facility (Full Time - Day Shift)
  • Wexford Health
  • Pendleton, IN
  • ... staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management ... DUTIES/RESPONSIBILITIESThe Registered Nurse shall provide a broad range of services to the center ...
  • 4 days ago

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Registered Nurse (RN) - New Castle Correctional Facility (Full Time - Day Shift)
  • Wexford Health
  • New Castle, IN
  • ... staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management ... DUTIES/RESPONSIBILITIESThe Registered Nurse shall provide a broad range of services to the center ...
  • 4 days ago

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Registered Nurse (RN) - Pendleton Correctional Facility (Full Time)
  • Wexford Health
  • Pendleton, IN
  • ... Medical Director. Responsibilities include delivering patient care through the nursing process of ... with inmates, correctional staff, and health care personnel. Temperature extremes may be ...
  • 4 days ago

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RN Supervisor - New Castle Correctional Facility (Full Time)
  • Wexford Health
  • New Castle, IN
  • ... staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management ... RN Supervisor will participate and assist in the structuring and comprehensive planning and ...
  • 4 days ago

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Registered Nurse
  • U.S. Renal Care
  • Muncie, IN
  • The Registered Nurse (RN) provides hemodialysis therapies to patients with chronic renal disease ... Demonstrates effective staffing, as appropriate with staffing ratios per state regulations, under ...
  • 5 days ago

Anderson is a city in and the county seat of Madison County, Indiana, United States. It is the principal city of the Anderson, Indiana Metropolitan Statistical Area which encompasses Madison County. Anderson is the headquarters of the Church of God (Anderson) and home of Anderson University, which is affiliated with Christian denomination. Highlights of the city include the historic Paramount Theatre and the Gruenewald Historic House. The population was 56,129 at the 2010 census. This is down from 70,000 in 1970. Anderson is located at 40°06′00″N 85°40′53″W / 40.100041°N 85.681525°W / 40.10...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$75,051 to $93,774
Anderson, Indiana area prices
were up 1.3% from a year ago