How much does a Staff Nurse - RN - Medical Management earn in the United States? The average Staff Nurse - RN - Medical Management salary in the United States is $74,684 as of October 31, 2018, but the range typically falls between $69,017 and $80,292. 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.
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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-certificatio More
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 special degree of Nursing or its equivalent. Typically reports to a manager. Requires RN license. Typically requires 3-5 years of related experience. Gaining exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Less
Includes bonus, healthcare, and retirement
3 - 5 years experience
5 + years experience
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