RN Utilization Review Case Manager Improve Care Quality
$48 per hourGateway Regional Medical Center
Gateway Regional Medical Center is looking for a Utilization Review Specialist RN to join our Case Management team in Granite City, Illinois. This full-time role is ideal for nurses eager to transition into a more analytical and administrative position, focused on service utilization and compliance. The ideal candidate will have extensive nursing experience and a strong attention to detail, working collaboratively to ensure quality patient care. A comprehensive benefits package is offered including health insurance and competitive pay rates up to $48/hour. #J-18808-Ljbffr
$32 - $48 per hour
...compassionate, high-quality healthcare... ...receives personalized care in a safe and... ...Overview The Utilization Review Specialist RN assumes responsibility... ...and management of appeals for accounts... ...denial trends, improve workflows, and ensure... ...RN Department: Case management...QualityHourly payFull time$32 - $48 per hour
Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center | Granite City... ...an experienced acute care nurse who is ready to move... ..., and supporting high‑quality, cost‑effective patient... ...for process improvement Supporting efficient patient...QualityFull timeWeekend workWeekday work$32 - $48 per hour
...Utilization Review Specialist RNFull-Time | Case Management | Gateway Regional Medical Center | Granite City... ...Specialist Registered Nurse (RN) to join our Case... ...for an experienced acute care nurse who is ready to move... ..., and supporting high-quality, cost-effective patient...QualityFull timeWeekend workWeekday work$29.39 - $48.2 per hour
...Best in Talented, Caring People! At Bethesda... ...dedicate their careers to improving the lives of others... ...the delivery of quality patient care and... ..., drug regimen reviews and reconciliation.... ...call schedule, weekly case conference meetings... ...preferred Current RN Missouri license in...QualityHourly payDaily paidFull timePart timeWork experience placementDay shift- ...TruHealth Rn Case Manager Come Grow with Us!... ...living in long-term care facilities, as well... ...identified needs utilizing available... ...program Perform improvement projects involving... ...collection tools, review of medical records... ...assessment; meet quality standards. 3. Accountability...QualityCasual workWork at officeFlexible hours
$80k
...Difference as a Hospice RN Case Manager in Collinsville, IL... ...to deliver exceptional care coordination, palliative... ...comfort, dignity, and quality of life throughout... ...with care management, utilization management, and clinical... ...experience in utilization review, managed care,...QualityFull time- ...American Traveler, LLC. is hiring an RN Case Manager for a 12-week acute hospital assignment in Missouri. Requires... ...healthcare experience are needed. The role focuses on care coordination, discharge planning, and utilization management, with a Mon–Fri day shift and...Day shift
- ...least 2 years of RN experience (ideally... ...) BSN Prior Case Management experience... ...excellence in nursing care, Barnes-Jewish Hospital... ...Case Management, Utilization Management, and... ...achievement of quality cost-effective... ...and Performance Improvement programs in order...QualityFull timePart timeMonday to FridayFlexible hoursShift workWeekend work
$29.39 - $48.2 per hour
...Best in Talented, Caring People! At Bethesda... ...dedicate their careers to improving the lives of others... ...the delivery of quality patient care and... ...assessments, drug regimen reviews and reconciliation.... ...schedule, weekly case conference meetings... ...preferred Current RN Missouri license in...QualityHourly payDaily paidFull timeContract workPart timeFor contractorsWork experience placementFor subcontractorWork at officeNight shiftWeekend work- ...at Mercy! Overview Utilization Management for the assigned inpatient Care Management population.... ...Management model; supporting quality patient care, safety and... ...or Utilization Review experience. Preferred Certifications: Case Management or Utilization...QualityRemote work
- ...organized, and collaborative RN Case Manager to join our team. The... ...coordinating patient care, facilitating safe and... ...achievement of quality cost-effective outcomes... ...consultation regarding Utilization Management and Performance Improvement programs in order to obtain...QualityFull timeMonday to FridayFlexible hoursWeekend work
$29.39 - $48.2 per hour
...Best in Talented, Caring People! At Bethesda... ...dedicate their careers to improving the lives of others... ...the delivery of quality patient care and... ...assessments, drug regimen reviews and reconciliation.... ...schedule, weekly case conference meetings... ...preferred Current RN Missouri license in...QualityHourly payDaily paidFull timeContract workPart timeFor contractorsWork experience placementFor subcontractorWork at officeNight shiftWeekend work$90k
...healthcare affordable, improve the health of... ...a centralized Managed Service... ...to deliver high-quality healthcare focused... ...the health care system as a collaborative... ...team. As an RN Case Manager, the RN... ..., clinical review, medical and behavioral... ...Knowledge of utilization review, quality...QualityRemote jobBi-weekly payFull timeTemporary workFor contractorsWork experience placementLocal areaWork from homeHome officeWeekend work- ...Center, Inc. is seeking a full-time Utilization Review Specialist RN responsible for conducting admission... ...reviews to avoid payment denials, while managing appeals. This role requires... ...years of nursing experience in an acute care setting, current nursing license, and...Full time
- ...Phoenix Home Care and Hospice is seeking an RN Case Manager for the St. Louis, MO area. Role includes providing compassionate nursing care within an... ...care discussions and informed healthcare decisions to improve quality of life. The ideal candidate should bring energy,...QualityRelocation packageDay shift
- ...The Case Manager is a qualified registered nurse... ...and oversee the care of assigned... ...and procedures utilizing community resources... ...record/utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly... ...as the on-call RN acts as the...QualityFull timeImmediate startNight shiftWeekend work
- Bethesda Health Group is seeking an RN to organize, coordinate and... ...patients. You will ensure quality patient care, supervise staff as needed,... ...comprehensive assessments, drug regimen reviews, and timely documentation in... ...in on-call schedules, weekly case conferences, and the agency’s...Quality
$71.76k - $116.69k
...passionate about End of Life Care? Do you enjoy providing support... ...Hospice - Registered Nurse Case Manager Monday - Friday 8:00am -... ...Progression available: The BJC RN Career Ladder differentiates BJC... ...evidence-based practice and quality patient outcomes. BJC has determined...QualityFull timeRelocationRelocation packageMonday to FridayFlexible hours- ...passionate about End of Life Care? Do you enjoy providing support... ...families? Hospice - Registered Nurse Case Manager Monday - Friday 8:00am - 4:30... ...available: The BJC RN Career Ladder differentiates BJC... ...ensure evidence-based practice and quality patient outcomes.BJC has...QualityRelocation packageMonday to FridayFlexible hoursWeekend work
- ...certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one... ...of recent experience in an Acute Care Case Manager setting Active RN... ..., Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly...QualityHourly payWeekly payContract workImmediate start
- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerSt. Louis, Missouri, United StatesPosition status: OpenAssignment type... ...setup and discharge assistanceResponsibilities include care coordination, discharge planning, needs assessment, DME...Weekly payContract workLocal areaShift workDay shift
$77k - $105k
...SSM Health Position: Case Manager Location: Bridgeton, MO... ...exceptional and compassionate care to best address the... ...treatment plans that improve quality and outcomes,... ...meeting patient-related utilization management criteria, and... ...or related discipline (RN Preferred) OR a Bachelor...QualityFull timeMonday to Friday- ...To: Clinical Services Manager Job Summary LIV... ...a mission-driven Case Manager to support individuals... ...and supporting high-quality recovery care, we encourage you to... ...integrity, chart review participation, service... ..., quality improvement activities, and mission...QualityHourly pay
- ...Case Manager Career Opportunity Recognized for your... ...exceptional care and the transformative... ...patient experience: quality/timeliness/service... ...operations. Review/analyze case management... .... Participate in utilization review process: data... ...(for example, RN, SW, OT, PT, ST, and...QualityFull timeContract workPart timeFlexible hours
- ...provision of patient services within the agency. You will ensure quality patient care, supervise during shifts, and collaborate with families,... ...Requirements include an accredited nursing degree and current Missouri RN license; two years of varied nursing experience, with...QualityShift work
- ...Heartland Hospice is seeking a Hospice RN / RN Case Manager to deliver personalized end-of-life care in patients' homes or other living environments. You will assess... ...to regulatory standards, with a strong focus on quality, empathy, and timely communication across care...QualityRelocation package
- ...and implementing individualized care plans, and coordinating... ...a passionate Registered Nurse Case Manager specializing in End of Life Care... ...evidence-based practice to achieve quality outcomes. The role emphasizes... ...Candidates must hold a valid RN license and have at least 2 years...QualityFlexible hours
- ...involves providing specialized nursing care and support to patients at the... ...team to ensure quality, patient-centered care. The nurse acts as a case manager, coordinating all aspects of patient... ...Diploma/Associate’s degree and RN licensure. At least 2 years of nursing...QualityFull time
- ...Nurse Care ManagerArchWell Health... ...experience, improved access, and... ...delivering improved quality, better... ...The Nurse Care Manager is... ...needs.Perform case management following... ...health goals.Utilize Motivational... ...Nursing (BSN) or RN with bachelor... ...utilization review, home health,...QualityWork experience placementWork at officeRemote work
- ...OPCO Skilled Management in Missouri is seeking an experienced RN with leadership skills to oversee nursing care within scope of practice and in alignment with policies and... ...management. You will participate in quality improvement, infection control, and patient/family...Quality
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