Staff Nurse - RN, Sr. - Medical Management jobs in Indiana

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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Travel Registered Nurse RN Intensive Care unit ICU - South Bend
  • OneStaff Medical
  • Evansville, IN
  • 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 ...
  • 2 days ago

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Weekend Nurse Supervisor - RN/LPN
  • EagleCare LLC
  • Danville, IN
  • ... Senior Community is part of the neighborhood in which it exists. Our leaders and staff live in ... Medical/Dental/Vision insurance available - Plans starting as low as $20 a week * 401k * Paid time ...
  • 2 days ago

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Travel Nurse RN - Med Surg - $1,353 per week
  • NurseFly Travel Nursing
  • Fort Wayne, IN
  • Specialty: Med Surg * Discipline: RN * Start Date: 08/28/2020 * Duration: 13 weeks * 36 hours per ... Anders Group is a Joint Commission accredited staffing agency and stands out from other agencies by ...
  • 2 days ago

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Travel Cath Lab RN
  • Titan Medical
  • Munster, IN
  • * Speciality: Cath Lab RN * Start Date: 8/23/2020 * Shift: Day * Length: 13 weeks Health care ... Titan Medical is one of the top medical staffing agencies because we provide superior support to ...
  • 3 days ago

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Medical-Surgical Travel Nurse RN - $53/hour
  • Nomad Health
  • Fort Wayne, IN
  • 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
  • 3 days ago

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RN - Nursing Manager
  • Ascension
  • Fishers, IN
  • Conducts hiring, training, directing, development and evaluating of staff. * Identifies and ... management experience required. Equal Employment Opportunity St.Vincent is an EEO/AA Employer M/F ...
  • 5 days ago

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Travel Registered Nurse RN Endoscopy GI Lab - South Bend
  • OneStaff Medical
  • Indianapolis, IN
  • Endoscopy Nurses include interviewing patients to obtain medical information; measuring patients ... The GI Registered Nurse assumes responsibility for assessing, diagnosing, identifying outcomes ...
  • 5 days ago

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Registered Nurse (RN)-Patient Navigator
  • Ascension
  • Indianapolis, IN
  • ... ventures, medical practices, and clinics. St. Vincent's more than 15,000 associates and 3,000 ... Functions as a liaison for management staff, administration, physicians, managed care companies ...
  • 5 days ago

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$79,335 to $99,129