Staff Nurse - RN, Sr. - Medical Management jobs in Pittsfield, MA

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)

R
RN Community Health
  • RN Staff
  • Pittsfield, MA CONTRACTOR
  • Location: Pittsfield, MA

    Position: Community Health RN

    Shift: Days

    Guaranteed Hours: 40 hrs

    Duration: 13 weeks

    Weekly Gross: $ 3,040 (based on 40 hours)

    Estimated NET: $ 2,804 (based on 40 hours)

    Misc. and I E $ 800 (non-tax weekly)

    Lodging $ 800 (weekly)

    Hourly Rate: $36/hour

    OT Rate: $ 85/hour (after 40 hours)

    Weekly gross $ 3,720 (Based on 48 hours)

    Est. Weekly Net $3,084 (Based on 48 hours)

    The Community Health Nurse (CHN) provides, teaches, supervises and documents nursing care of the sick and injured at home.

    • The CHN intervenes to promote, maintain or restore health to prevent illness and to effect rehabilitation
    • The CHN collaborates with other healthcare providers, professionals and community representatives to coordinate care at home
    • The CHN evaluates the individual's and families' response to interventions.
    • Ability to function independently under general guidance of the Director and follows the guidelines and protocols and/or policies and protocols specific to each unit
    • Duties require independent action and judgment
    • Utilizes time management, communication, planning, delegating, and problem solving in providing care.
    • Must possess and demonstrate critical thinking skills. Must maintain emotional stability in emergency settings.
    SUBMISSION REQUIREMENTS
    • One year acute nursing care required, hospital based preferred.
    • Experience in home health Required
    • Certified Home Health Required Including Proficieny with OASIS
    • Demonstrated knowledge of the principles and practices of nursing.
    • Knowledge of and ability to apply community health principles and practice.
    • Demonstrated ability to perform independently as a clinician with minimal supervision or assistance.
    • Experience with self-scheduling of caseload preferred.
    • History of flexibility in assuming varied assignments.
    • BSN strongly preferred
    • Current Driver License (and insurance) Required
    • In order to effectively provide home care, they must have a working knowledge of home care reimbursement and regulatory guidelines.
    Contact
    Ann Dizon
    ann@rnstaff.com
    317 328 2866
  • 1 Month Ago

B
RN LPN, Staff Nurse
  • Bane Care Management, LLC
  • Dalton, MA PART_TIME
  • Part Time and Per Diem Availability SALARY: Up to $44/hour! **Dependent on experience, shift, etc** Craneville Place of Dalton Rehabilitation & Skilled Care Center, located in Dalton MA, is currently ...
  • 1 Month Ago

B
RN LPN, Staff Nurse *11PM-7AM
  • Bane Care Management, LLC
  • Dalton, MA FULL_TIME,PART_TIME
  • Full Time/Part Time hires 3PM-11PM & 11PM-7AM shift! SALARY RANGE: Up to $44/hour! Craneville Place of Dalton Rehabilitation & Skilled Care Center, located in Dalton MA, is currently seeking Full-Time...
  • 22 Days Ago

B
RN LPN, Staff Nurse **11PM-7AM
  • Bane Care Management, LLC
  • Dalton, MA FULL_TIME,PART_TIME
  • Full Time/Part Time Availability on our 11PM-7AM SHIFT! SALARY: Up to $44/hour! **Dependent on experience, shift, etc** Craneville Place of Dalton Rehabilitation & Skilled Care Center, located in Dalt...
  • 7 Days Ago

P
Travel Nurse RN - Med/Surg in Pittsfield, MA
  • PeopleFirst RN
  • Pittsfield, MA 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...
  • 22 Days Ago

B
RN LPN, Staff Nurse *3PM-11PM and 11PM-7AM
  • Bane Care Management, LLC
  • Dalton, MA PART_TIME
  • Part Time hires 3PM-11PM & 11PM-7AM shift! SALARY RANGE: Up to $44/hour! Craneville Place of Dalton Rehabilitation & Skilled Care Center, located in Dalton MA, is currently seeking Part-Time, and Per-...
  • 22 Days Ago

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0 Staff Nurse - RN, Sr. - Medical Management jobs found in Pittsfield, MA area

B
Staff Nurse
  • Berkshire Health Systems Inc.
  • Pittsfield, MA
  • This position is for a CCN nurse. CCN experience preferred DEFINITION/PRIMARY FUNCTIONS Registered Nurse is the designat...
  • 4/28/2024 12:00:00 AM

B
Oncology Staff Nurse
  • Berkshire Health Systems Inc.
  • Pittsfield, MA
  • # # # # # # Coverage of North County Satellite facility required.#Start times may vary from#7:30am, 8:00am, 8:30am, and ...
  • 4/28/2024 12:00:00 AM

B
Staff Nurse - Fairview
  • Berkshire Health Systems
  • Great Barrington, MA
  • DEFINITION/PRIMARY FUNCTIONSThe staff RN is a registered, professional nurse who is responsible for providing individual...
  • 4/28/2024 12:00:00 AM

B
RN LPN, Staff Nurse *$10,000 SIGN ON BONUS for 3PM-11PM*
  • Banecare Management Llc.
  • Dalton, MA
  • Part Time and Per Diem AvailabilitySALARY: Up to $44/hour! **Dependent on experience, shift, etc**Craneville Place of Da...
  • 4/28/2024 12:00:00 AM

S
11PM-7AM RN/LPN, Staff Nurse *SIGN ON BONUS FOR FIRST 3 HIRES*
  • Springside Skilled Nursing Home & Rehabilitation
  • Pittsfield, MA
  • Springside Skilled Nursing Home & Rehabilitation - Offering Full Time, Part Time, and Per Diem Shifts on the 11PM-7AM Sh...
  • 4/28/2024 12:00:00 AM

S
Travel Nurse RN - Telemetry - $1,929 per week
  • Skyline Med Staff Nursing
  • Albany, NY
  • Skyline Med Staff Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Albany, N...
  • 4/28/2024 12:00:00 AM

H
Travel Nurse RN - PCU - Progressive Care Unit - $2,087 per week
  • Hiring Now!
  • Pittsfield, MA
  • Skyline Med Staff Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Pittsfiel...
  • 4/28/2024 12:00:00 AM

H
Travel Nurse RN - Med Surg - $1,994 per week
  • Hiring Now!
  • Pittsfield, MA
  • Skyline Med Staff Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Pittsfield, Massachusetts. J...
  • 4/28/2024 12:00:00 AM

Pittsfield is located at 42°27′N 73°15′W / 42.450°N 73.250°W / 42.450; -73.250 (42.4522, -73.2515). According to the United States Census Bureau, the city has a total area of 42.5 square miles (110.0 km2), of which 40.5 square miles (104.8 km2) is land and 2.0 square miles (5.2 km2), or 4.70%, is water. Pittsfield is bordered by Lanesborough to the north, Dalton to the east, Washington to the southeast, Lenox to the south, Richmond to the southwest, and Hancock to the west. Pittsfield is located 48 miles (77 km) northwest of Springfield, 135 miles (217 km) west of Boston, and 39 miles (63 k...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$92,415 to $115,472
Pittsfield, Massachusetts area prices
were up 1.6% from a year ago