Staff Nurse - RN, Sr. - Medical Management Salary in the United States
How much does a Staff Nurse - RN, Sr. - Medical Management make in the United States? The average Staff Nurse - RN, Sr. - Medical Management salary in the United States is $85,063 as of September 26, 2019, but the range typically falls between $77,081 and $94,680. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. View the Cost of Living in Major Cities
Skills Associated with Staff Nurse - RN, Sr. - Medical Management: Medical Policy Management, Utilization Management
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Salary estimation for Staff Nurse - RN, Sr. - Medical Management at companies like : HCI GROUP INC, PRIMERICA INC, VERISK ANALYTICS INC
Job Description
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 2019 Salary.com)
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Staff Nurse - RN, Sr. - Medical Management Pay Difference by Location
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- Staff Nurse - RN, Sr. - Medical Management Salaries with No Diploma
- Staff Nurse - RN, Sr. - Medical Management Salaries with a High School Diploma or Technical Certificate
- Staff Nurse - RN, Sr. - Medical Management Salaries with an Associate's Degree
- Staff Nurse - RN, Sr. - Medical Management Salaries with a Bachelor's Degree
- Staff Nurse - RN, Sr. - Medical Management Salaries with a Master's Degree or MBA
- Staff Nurse - RN, Sr. - Medical Management Salaries with a JD, MD, PhD or Equivalent