Staff Nurse - RN, Sr. - Medical Management jobs in Oklahoma
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 2024 Salary.com)
Recently Added Staff Nurse - RN, Sr. - Medical Management jobs
- PeopleFirst RN
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tulsa, OK
FULL_TIME
-
Owned and led by clinicians and business professionals with decades of healthcare experience, our team focuses on providing exceptional, effective, and efficient staffing services.
We are dedicated to providing customer-defined quality and service to nurses and facilities nationwide by matching top-tier healthcare professionals with the right client facilities. We believe the success of our company depends on the strength of our relationships with our nurses and client facilities. Our goal is to make healthcare better, improve lives and transform patient care through these relationships.
If you want a company that “sees you”, “hears you”, and “understands you”, PeopleFirst RN is your company for your next travel career choice. We understand the importance of your role in the field of healthcare and are specialized in our dedication to you, our nurse travelers.
PeopleFirst RN is dedicated to connecting and supporting the people and organizations who take care of our health every day. We work hard to match you with the right opportunity to fit your lifestyle and career goals. Your needs are our top priority. We know career choices are some of the most important decisions you will make in your life.
Our team is dedicated to providing you with the best experience possible. You will have direct access to a personal recruiter that will give you that individualized attention you deserve and will help you get to where you want to be.
It’s time to make your next career move.
About the Company:
PeopleFirst RN
- 11 Days Ago
- Focus Staff
-
Tulsa, OK
FULL_TIME
- We currently have a client in Tulsa, OK looking for an Operating Room RN(OR RN) ! Focus Staff is seeking a traveling OR RN to work as an Operating room nurse (or perioperative nurse) to assist surgeon...
- 16 Days Ago
- Focus Staff
-
Oklahoma, OK
OTHER,CONTRACTOR,PART_TIME,TEMPORARY
- We currently have a client in Oklahoma City, OK looking for a Travel L&D RN - Labor & Delivery Registered Nurse! Focus Staff is seeking a traveling Certified Labor & Delivery RN, who will assesses, im...
- 20 Days Ago
- Focus Staff
-
Oklahoma, OK
CONTRACTOR,OTHER
- Focus Staff is seeking a Telemetry Registered Nurse for a travel contract in Oklahoma City, OK. The ideal candidate will have at least 1 year of experience in a Telemetry setting. Contract Length: 13 ...
- 23 Days Ago
- Focus Staff
-
Bartlesville, OK
FULL_TIME
- Focus Staff is seeking a Step Down Registered Nurse for a travel contract in Bartlesville, OK. The ideal candidate will have at least 1 year of experience in a Step Down setting. Contract Length: 13 W...
- 10 Days Ago
- Focus Staff
-
Ada, OK
FULL_TIME
- We currently have a client in Ada, OK looking for a Travel Dialysis RN Registered Nurse!Focus Staff is seeking a traveling Dialysis RN who is highly motivated and energetic.Contract Assignment – 13 We...
- 10 Days Ago
Staff Nurse - RN, Sr. - Medical Management jobs at Popular Companies
- University Health System
-
San Antonio, TX
- PRN 200 N. Comal Nursing Rotating Shifts POSITION SUMMARY/RESPONSIBILITIES Provides basic leadership skills for assigned...
- 4/19/2024 12:00:00 AM
- Berkshire Health Systems
-
Pittsfield, MA
- **This is North Adams Regional Hospital (NARH) position. The position will start as a BMC position in Pittsfield, then t...
- 4/19/2024 12:00:00 AM
- East Carolina University
-
Greenville, SC
- Job Title Staff Nurse Position Number 400290 Vacancy Open to All Candidates Time-Limited No Department Homepage https://...
- 4/19/2024 12:00:00 AM
- Skagit Regional Health
-
Mount Vernon, WA
- Department: Progressive Critical Care SVH Exempt: No Schedule: NIGHTS Position Type: Full Time Base Wage $35.82 to $66.2...
- 4/19/2024 12:00:00 AM
- Healix, LLC.
-
Wexford, PA
- Job Description Job Description Healix Infusion Care is Urgently Hiring a Registered Full Time Infusion Nurse to coordin...
- 4/19/2024 12:00:00 AM
- Regenirex LLC
-
Kearney, NE
- Job Description Job Description We are seeking a Staff Nurse to join our team! You will be responsible for collecting pa...
- 4/18/2024 12:00:00 AM
- Valley Ambulatory Surgery Center - St. Charles
-
St Charles, IL
- A Registered Nurse is a professional who provides patient care based upon the nursing process; being effectively involve...
- 4/16/2024 12:00:00 AM
- Satellite Healthcare / Wellbound
-
Modesto, CA
- What You Will Do As a Staff Nurse you will actively participate in professional role development activities, including c...
- 4/16/2024 12:00:00 AM