Staff Nurse - RN, Sr. - Medical Management jobs in Massachusetts

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
  • 21 Days Ago

B
RN or LPN, Staff Nurse
  • Bane Care Management, LLC
  • Pittsfield, MA FULL_TIME,PART_TIME
  • Offering Full Time, Part Time, and Per Diem Shifts on All Shifts! 11PM-7AM Availability ($2 shift differential!) SALARY RANGE: $32 - $45/hour plus differentials! Our facility at Springside is a top-ra...
  • 26 Days Ago

B
RN/LPN, Staff Nurse
  • Bane Care Management, LLC
  • Randolph, MA FULL_TIME,PART_TIME
  • *NEW PAY RATES* RN/LPN SALARY RANGE: Up to $45/hr! BaneCare Management is currently seeking Full Time, Part Time, and Per Diem RN/LPN Staff Nurses across the South Shore/Metro-Boston area! Our compass...
  • 2 Months Ago

B
Staff Nurse, RN or LPN
  • Bane Care Management, LLC
  • Braintree, MA FULL_TIME,PART_TIME
  • RN SALARY RANGE: $32 - $42 per hour! LPN SALARY RANGE: $30 - $40 per hour! SHIFTS: Full-Time/Part Time ALL Shifts Available John Scott House Rehabilitation and Nursing Center is currently seeking Full...
  • 7 Days 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 ...
  • 15 Days Ago

B
Staff Nurse, RN or LPN
  • Bane Care Management, LLC
  • Boston, MA FULL_TIME,PART_TIME
  • SALARY RANGE: $32 - $46/hr! Plus shift differentials! Full Time/Part Time 7AM-3PM & 3PM-11PM and Part Time 11PM-7AM Brighton House Rehabilitation and Nursing Center, located in Brighton, is currently ...
  • 15 Days Ago

R
Staff Nurse
  • 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...
  • 6/2/2024 12:00:00 AM

P
Staff Nurse
  • Peak Resources
  • Wilmington, NC
  • Description: SIGN ON BONUS FULL & PART TIME At Peak Resources, a leading NC nursing home, memory care and assisted livin...
  • 6/2/2024 12:00:00 AM

B
Staff Nurse
  • Brooklyn Hospital Center
  • Brooklyn, NY
  • Requirements Graduate from an accredited School of Nursing Bachelor's Degree in Nursing from an accredited colleges or u...
  • 6/1/2024 12:00:00 AM

A
Staff Nurse
  • Akron Children's Hospital
  • Akron, OH
  • Akron Main OR Full Time Days + Call Variable Shifts Summary:The Staff Nurse provides nursing care requiring specialized ...
  • 6/1/2024 12:00:00 AM

U
Staff Nurse
  • University Health System- San Antonio
  • San Antonio, TX
  • University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Cr...
  • 5/31/2024 12:00:00 AM

G
Staff Nurse
  • Great Salt Plains Health Center
  • Cherokee, OK
  • Job Description Job Description We are looking for a staff nurse for our Cherokee location! We Offer: - 100% paid premiu...
  • 5/30/2024 12:00:00 AM

N
Staff Nurse - OR
  • NYC Health Hospitals
  • New York, NY
  • Harlem Hospital Center has been a bedrock of the Harlem community since 1887. The hospital provides a wide range of medi...
  • 5/29/2024 12:00:00 AM

H
Staff Nurse
  • Heart, Rhythm & Vascular Specialists of Dayton
  • Beavercreek, OH
  • Job Description Job Description Busy private cardiology practice in need of a Licensed Practical Nurse or Registered Nur...
  • 5/29/2024 12:00:00 AM

Massachusetts is the 7th-smallest state in the United States. It is located in the New England region of the northeastern United States and has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast. Boston is the largest city, at the inmost point of Massachusetts Bay, and the mouth of the Charles River. Despite its small size, Massachusetts features numerous topographically distinctive regions. The large coastal plain of the Atlantic Ocean in the eastern section of the state contains Greater Boston, along with most of the state's po...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Staff Nurse - RN, Sr. - Medical Management jobs
$98,240 to $122,745