Browse Average Salary Ranges for Healthcare - Nursing Jobs

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... View job details

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, ... View job details

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... View job details

Evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Reviews and analyzes customer complaints. May need to help train staff on new or improved clinical practices. Requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/departme... View job details

Evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Reviews and analyzes customer complaints. May need to help train staff on new or improved clinical practices. Requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/departme... View job details

Evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Reviews and analyzes customer complaints. Helps train staff on new or improved clinical practices. Requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/department. Typical... View job details

Coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoin... View job details

Evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Reviews and analyzes customer complaints. May need to help train staff on new or improved clinical practices. Requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/departme... View job details

Evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Reviews and analyzes customer complaints. Helps train staff on new or improved clinical practices. Requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/department. Typical... View job details

Evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Reviews and analyzes customer complaints. Helps train staff on new or improved clinical practices. Requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/department. Typical... View job details