Staff Nurse - RN, Sr. - Medical Management jobs in Oklahoma
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)
Recently Added Staff Nurse - RN, Sr. - Medical Management jobs
- Clinical Management Consultants
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Velma, OK
FULL_TIME
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An exciting nursing career opportunity has just become available for a Medical Surgical RN Staff Nurse at an award winning hospital in Southern Oklahoma. Come join a team of dedicated healthcare professionals today!
Located in the heart of Southern Oklahoma, this 120 bed acute care hospital is well-known in the community for its commitment to excellence in patient care services. This health care system has over 20 provider clinics and offers a variety of specialty practices including MedSurg, ICU, Cardiac, and Wound Care. As a Medical Surgical RN Staff Nurse, you can ensure that you will be working in a healthcare system that values providing compassionate and exceptional care.
Reporting to the Nurse Manager of MedSurg, the Medical Surgical RN Staff Nurse will play a pivotal role in delivering care to patients. The nurse will collaborate with a multidisciplinary team, including Physicians, other MedSurg Nurses, a Charge Nurse, and the Nurse Manager to develop and implement individualized care plans for each patient's needs.
The Medical Surgical RN Staff Nurse will play an important part in the day-to-day clinical and patient operations of this unit. This person will take responsibility for patient assessment and history review, working with the physician and family to develop a clear path of care. Working under unit leadership, and in close collaboration with attending physicians, the Nurse will help formulate and execute care plans.
Living in Southern Oklahoma offers a blend of small-town charm and access to urban amenities. With its affordable cost of living and proximity to natural attractions, the Medical Surgical RN Staff Nurse will enjoy outdoor adventures while still being close to shopping, dining, and cultural experiences. It is also in close proximity for weekend trips to Oklahoma City or Dallas to enjoy concerts and sporting events.
The Medical Surgical RN Staff Nurse will be offered a desirable salary and comprehensive benefits package to complement this excellent opportunity to work with an outstanding team!
- 25 Days Ago
- RN Staff
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Bartlesville, OK
FULL_TIME
- Must be self-motivated, able to multi-task, be culturally sensitive, and professional. Computer skills including basic Microsoft products, fax, copying, and experience with electronic medical records ...
- 4 Days Ago
- RN Staff
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Ponca, OK
FULL_TIME
- The position may work on rotating shifts and in a variety of care units (e.g., SNF, ICF, medical, surgical, etc.). The position may also provide home care for patients. Must be able to work ANY SHIFT ...
- Just Posted
- PeopleFirst RN
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tulsa, OK
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...
- 7 Days Ago
- CommunityCare
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Tulsa, OK
FULL_TIME
- JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populat...
- 22 Days Ago
- Focus Staff
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Oklahoma, OK
OTHER,CONTRACTOR
- Focus Staff is seeking a ER Registered Nurse for a travel contract in OKLAHOMA CITY, OK. The ideal candidate will have at least 1 year of experience in a ER setting. Contract Length: 13 Weeks Start Da...
- 2 Days Ago
Staff Nurse - RN, Sr. - Medical Management jobs at Popular Companies
- Akron Children's Hospital
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Akron, OH
- Genetics Full Time Days Mon-Fri 8a-430p 40 Hours/week Summary: The Staff Nurse provides nursing care requiring specializ...
- 6/10/2024 12:00:00 AM
- University Health System
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San Antonio, TX
- PRN 4502 Medical Dr. Nursing Rotating Shifts University Health is Bexar County and South Texas' first health system to e...
- 6/10/2024 12:00:00 AM
- Northern Light Health
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Bangor, ME
- Northern Light Eastern Maine Medical Center Department: Interventional Services Position is located: Northern Light East...
- 6/10/2024 12:00:00 AM
- Kaiser Permanente
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Honolulu, HI
- This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. Job Summary: Provide...
- 6/9/2024 12:00:00 AM
- Heart, Rhythm & Vascular Specialists of Dayton
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Beavercreek, OH
- Job Description Job Description Busy private cardiology practice in need of a Licensed Practical Nurse or Registered Nur...
- 6/8/2024 12:00:00 AM
- Peak Resources
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Wilmington, NC
- Description: SIGN ON BONUS FULL & PART TIME At Peak Resources, a leading NC nursing home, memory care and assisted livin...
- 6/7/2024 12:00:00 AM
- Brooklyn Hospital Center
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Brooklyn, NY
- Requirements Graduate from an accredited School of Nursing Bachelor's Degree in Nursing from an accredited colleges or u...
- 6/6/2024 12:00:00 AM
- DuPage County ROE
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Wheaton, IL
- Position Type: Support Staff/Staff Nurse Date Posted: 5/21/2024 Location: Districtwide District: Community Unit School D...
- 6/6/2024 12:00:00 AM