Staff Nurse - RN, Sr. - Medical Management jobs in South Carolina

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

Travel Nurse RN - Med Surg / Telemetry - $1,897 per week
  • NurseFly Travel Nursing
  • Greenwood, SC
  • Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 07/20/2020 * Duration: 13 weeks * 36 ... Anders Group is a Joint Commission accredited staffing agency and stands out from other agencies by ...
  • 1 hour ago

Travel Registered Nurse RN Telemetry - Mount Pleasant
  • OneStaff Medical
  • Charleston, SC
  • OneStaff Medical has an assignment available for a Travel Registered Nurse RN TelemetryJoin the OneStaff Medical Team of Healthcare professionals as a Travel Registered Nurse RN TelemetryJob ...
  • 2 hours ago

Medical-Surgical Travel Nurse RN - $48/hour
  • Nomad Health
  • Charleston, SC
  • ... RN experience.Housing: Stipend provided. Best-in-class availability through our housing partner.Travel: Up to 1,000 reimbursement for travel to your assignment.Medical/Dental: Major medical and ...
  • 8 hours ago

Travel ICU RN
  • Titan Medical
  • Simpsonville, SC
  • Must have a minimum of 2 years experience as an ICU RN. We offer our clients the best in traveling ... Titan Medical is one of the top medical staffing agencies because we provide superior support to ...
  • 19 hours ago

Travel Registered Nurse RN Intensive Care unit ICU - Greenwood
  • OneStaff Medical
  • Myrtle Beach, SC
  • 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 ...
  • yesterday

Travel Nurse RN - Med Surg - $1,594 per week
  • NurseFly Travel Nursing
  • North Charleston, SC
  • The Medical Surgical Registered Nurse (MS RN) is responsible for managing the care of adult or ... Staffing Nam
  • yesterday

Travel RN-Homehealth Nurse - Travel Home Health Nurse Needed in Florence, SC, Skill Required
  • Foundation Medical Staffing
  • Florence, SC
  • * We are seeking an experienced and self-motivated Home Health RN to join our growing team of nursing ... Contact a Foundation Medical Staffing consultant for more information on this and other ...
  • 3 days ago

Dialysis Registered Nurse RN- Floater
  • U.S. Renal Care
  • Easley, SC
  • ... management which may be an Area Director, Regional Director, or Vice President of Operations ... Demonstrate effective use of supplies and staff labor hours. * Perform duties as assigned to meet ...
  • 3 days ago

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$75,862 to $94,786