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Alternate job titles: Patient Benefit and Care Nurse Coordinator II | Patient Care Authorization Senior Nurse | Senior Nurse Manager, Care Coordination | Senior Nurse Manager, Member Benefit Coordination

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. Assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Applies the medical and reimbursement policies within the claim adjudication process. Typically requires a bachelor's degree in Nursing. Typicall more...



Alternate job titles: Nurse Manager, Member Benefit Coordination | Patient Benefit and Care Nurse Coordinator I | Patient Care Authorization Nurse

Coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. Typically requires 3-5 years of related experience. Gains more...


Alternate job titles: Registered Nurse (RN), Geriatric

Provides professional nursing care to assigned geriatric patients. Records patient histories, performs various diagnostic tests, administers medications, and develops geriatric care plans in conjunction with other medical professionals. Assists physicians during examinations and procedures, operating and monitoring medical equipment as necessary. Observes patients' progress and records observations in patient medical records. Promotes patients' independence by teaching patients and families to understand conditions, medications, and self-care skills. Typically requires a bachelor's degree in n more...


Alternate job titles: Registered Nurse (RN), Hospice

Provides professional nursing care to assigned terminally ill patients in a hospice environment. Records patient histories, performs various diagnostic tests, administers medications, and develops patient care plans in conjunction with other medical professionals. Performs examinations and prescribed procedures, operating and monitoring medical equipment as necessary. Observes patients' condition and records observations in patient medical records. Typically requires a bachelor's degree in nursing.Typically reports to a manager or head of a unit/department. Requires a valid state RN license. Y more...



Alternate job titles: Registered Nurse - Burn Unit (RN)

Provides professional nursing care to assigned patients in the burn unit. Examines, prepares, cleans, and dresses patient burn wounds. Evaluates, plans, and documents nursing care for burn patients, as needed. Promotes patients' well-being by teaching patients and families to understand burn wound conditions, medications, and self-care skills. May administer medication and IV treatments to alleviate patients' pain and discomfort. Typically requires a bachelor's degree in nursing. Typically reports to a manager or head of a unit/department. Requires a valid state RN license. Years of experience more...


Alternate job titles: Clinical Research Nurse Leader

Evaluates, plans, implements, and documents scientific research utilizing human subjects. Gathers data and analyzes results. May be responsible for participant recruitment and counseling, ethical oversight, or compilation of study results. Typically requires a bachelor's degree in nursing. Requires a valid state RN license. Typically reports to a manager or head of a unit/department. Years of experience may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. more...



Alternate job titles: Medical Call Center Nurse | Registered Nurse (RN), Telephone Triage | Telehealth Call Center Nurse

Provides professional nursing triage services and health advice to patients over the phone. Performs a detailed evaluation of patient symptoms and provides appropriate medical advice on treating symptoms and/or recommendations for escalating treatment. Follows established procedures and protocols, and documents calls as required. Typically requires a bachelor's degree in nursing. Typically reports to a manager or head of a unit/department. Requires a valid state RN license. Years of experience may be unspecified. Certification and/or licensing in the position's specialty is the main requiremen more...


Alternate job titles: Pediatric Nurse | Registered Nurse (RN), Pediatrics

Provides professional nursing care to assigned pediatric patients. Records patient histories, performs various diagnostic tests, administers medications, and develops pediatric patient care plans in conjunction with other medical professionals. Assists physicians during examinations and procedures, operating and monitoring medical equipment as necessary. Observes patients' progress and records observations in patient medical records. Promotes patients' independence by teaching patients and families to understand conditions, medications, and self-care skills. Typically requires a bachelor's deg more...


Alternate job titles: Oncology Nurse | Registered Nurse (RN), Oncology

Provides professional nursing care to assigned oncology patients. Records patient histories, performs various diagnostic tests, administers medications including chemotherapy, and develops patient care plans in conjunction with other medical professionals. Assists oncologists during examinations and procedures, operating and monitoring medical equipment as necessary. Observes patients' progress and records observations in patient medical records. Teaches patients and families about conditions and treatment options. Typically requires a bachelor's degree in nursing. Typically reports to a manag more...



Alternate job titles: Registered Nurse (RN), Emergency Room

Provides professional nursing care to assigned patients in the emergency room. Triages each patient and determines priority of care based on physical, psychological, and social needs. Records patient histories, performs various diagnostic tests, administers medications, and develops patient care plans in conjunction with other medical professionals. Assists physicians during examinations and emergency procedures, operating and monitoring medical equipment as necessary. Observes patients' progress, records observations in patient medical record, and updates attending physician directly when nec more...


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