RN Utilization Review Specialist - Case Management
Gateway Regional Medical Center
Gateway Regional Medical Center, Inc. is seeking a full-time Utilization Review Specialist RN responsible for conducting admission and concurrent reviews to avoid payment denials, while managing appeals. This role requires collaboration with interdisciplinary teams to enhance patient outcomes and promote efficient resource utilization. Candidates must have five years of nursing experience in an acute care setting, current nursing license, and knowledge of relevant criteria is preferred. The position offers a competitive salary, health benefits, and a supportive work environment. #J-18808-Ljbffr
$32 - $48 per hour
...Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center | Granite City, Illinois Gateway Regional Medical Center is hiring a Utilization Review Specialist Registered Nurse (RN) to join our Case Management team. This role...SuggestedFull timeWeekend workWeekday work$32 - $48 per hour
...better health. Position Overview The Utilization Review Specialist RN assumes responsibility and... ...payers, as well as coordination and management of appeals for accounts deemed appropriate... ...Utilization Review Specialist RN Department: Case management Location: Gateway...SuggestedHourly payFull time$81.68k - $136.14k
...making administrative decisions utilizing knowledge of long-term care... ...Interviews and hires nursing management and supervisory staff.... ...s annual facility assessment review process. Review and/or revise... ...school of nursing Current RN license in the state you will...SuggestedDaily paidFull timePart time- ...for hospitalized patients. ~2 years of utilization review (UR) experience reviewing hospital... ...Louis. ~ Have both Missouri and Illinois RN licenses. ~ If candidate only has one... ...with benefits and resources to help you manage your physical, emotional, social, and financial...SuggestedReliefLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift work
$29.39 - $48.2 per hour
...residents, families, and other IDT members. Reviews and revises the care plan as the resident... ...becoming a registered nurse Current RN license in the state you will be working... ...patients, visitors, and staff Excellent time management and organizational skills Ability to...SuggestedHourly payDaily paidFull timePart timeImmediate start$29 - $40 per hour
...as a Registered Nurse (RN), where you'll bring comfort... ...and participate in case conferences Be a... ...physician Provides case management to an assigned group of... ...and procedures utilizing community resources as... ...clinical record/utilization review of medical records and...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work$23 - $30 per hour
...Description Boise Cascade has an exciting opening for a Freight Specialist! Responsibilities Schedule the inbound and/or outbound... ...to provide trucking arrangements for all freight needs. Utilize RFN system (review routes, assign route number, release pick ticket information...Contract workWork experience placementWork at officeFlexible hoursShift work$29.39 - $48.2 per hour
...residents, families, and other IDT members. Reviews and revises the care plan as the resident... ...in becoming a registered nurse Current RN license in the state you will be working... ...patients, visitors, and staff Excellent time management and organizational skills Ability to...Hourly payImmediate start$45 per hour
...residents, families, and other IDT members. Reviews and revises the care plan as the... ...in becoming a Registered Nurse Current RN license in Missouri & Illinois required... ...patients, visitors, and staff Excellent time management and organizational skills Ability to stand...Hourly payDaily paidFull timePart timeImmediate start$41.2 - $62.17 per hour
...Job Description: The RN Hospital Care Manager I delivers comprehensive care management services... ...) from an accredited institution. Case Management Certification Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning...Hourly payRemote workShift workWeekend work- ...Boise Cascade has an exciting opening for a Freight Specialist! Responsibilities Schedule the inbound and/or outbound... ...personnel to provide trucking arrangements for all freight needs. Utilize RFN system (review routes, assign route number, release pick ticket...Contract workWork experience placementWork at officeFlexible hours
- ...Associate Care Navigator will conduct case management on behalf of the client and Southern Scripts... ...include, but not be limited to: Utilizes resources to assist members in... ...options Generous Paid-Time Off Annual Reviews and Development Plans Retirement Plan...Hourly payFull timeWork at officeLocal areaImmediate startRemote workNight shiftWeekend work
- ...The Senior Specialist, Benefits plays a key role in managing and enhancing the organization’s employee benefits programs... ...Monitor and evaluate benefits utilization, costs, and trends; prepare... ...For further information, please review the Know Your Rights notice from...Contract workWork at officeRemote work
- ...other needs and action plans and reviews treatment goals and resources... ...referral contacts Refers cases where patients and/or family... ...of social services/case management function Evaluates patient... ...Promotes effective and efficient utilization of clinical resources Any...Monday to Friday
- ...The Asset Protection Specialist is primarily responsible... ...multiple stores. They utilize tools to minimize loss... ...of theft and fraud, reviewing CCTV and exception reports... ...accurate and detailed case reports documenting... ...unsafe condition to the Manager on Duty and carry out...
$20 - $35 per hour
...obtaining clear property titles for projects. Review and analyze property appraisals and... ...perform data entry into various databases. Manage multiple property acquisition assignments... ...-way acquisition for transportation and utility projects What we offer: Health & Wellness...Work at officeLocal areaNight shift$24.31 per hour
...patterns Operate overhead cranes / hoists safely as needed by management Load / unload the transit castings into and out of the... ...status, age, or any other characteristic protected by law. To review our EEO Policies or to request assistance please go to and...Hourly payContract workTemporary workLocal area$22.9 per hour
...Video Production Specialist (Talent) (Per Performance) (250000MX) Job Description Salary... ...video equipment; directs productions. Reviews programs and operates production equipment... ...Knowledge, Skills, and Abilities Data Utilization: Requires the ability to perform basic...Hourly payPermanent employmentFull timePart timeWork at office- ...is looking to hire an Authorization Specialist to join our Pain Management team! Come join us as a Partner for... ...services requiring authorization for payer review. The Authorization... ...and patient population. Ability to utilize critical thinking skills while working...Work at officeMonday to Friday
- ...supervision of the HP program Manager and/or Coordinator. Use... ...Participate in meetings to review and evaluate physical training... ...and facilities are organized, utilized properly, and in safe working... ...Certified Strength and Conditioning Specialist (CSCS) or Strength &...For contractorsFor subcontractorWorldwide
- ...The Asset Protection Specialist (APS) is primarily responsible... ...store. The APS will utilize several tools to... ...incidents of theft and fraud, reviewing CCTV and exception... ...accurate and detailed case reports documenting... ...reporting conditions to the Manager on Duty, and working...Local areaImmediate start
- ...Job Title: Schedule Specialist Department: Schedule Management / Operations Reports To: Director of Schedule... ...using Microsoft Project • Review, interpret, and coordinate external... ...data across assigned projects • Utilize company-standard scheduling tools...For contractorsWork at officeLocal area
$54k - $61k
...Overview We are seeking a Crisis Intervention Specialist to provide advanced clinical crisis... ...funder requirements Provide LPHA-level review and authorization of medical necessity,... ...counseling, and group services Provide case management, community support, and linkage to...Full timeWork at officeLocal areaImmediate start$18 - $25 per hour
...member service by maintaining exit areas; reviewing member receipts; acknowledging the... ...types; assisting members with transactions utilizing self-checkout area. Assists with securing... ...data, and resources; collaborating with managers, co-workers, customers, and other...Hourly payMinimum wageFull timeTemporary workPart time$18 - $25 per hour
...and damages. Provides member service by maintaining exit areas, reviewing member receipts, acknowledging the member, and identifying... ...membership and payment types, assisting members with transactions utilizing self-checkout area. Assists with securing and safeguarding...Hourly payMinimum wageFull timeTemporary workPart time- ...Supervisory Control Specialist Wells Fargo Advisors (WFA) is seeking a Supervisory... ...the private client group # Review and analyze controls to manage high risk investment strategies and... ...computer systems, applications, and utilize search tools to find information...Ongoing contractWork experience placementWork at officeImmediate startRemote work
$60k - $65k
...this low-pressure role of Advancement Specialist, you will work with the leadership team... ...·Have a bachelor’s degree in nonprofit management, communications, or related field ·Have... ...acquisition reports, among other metrics ·Utilizing and updating the current financial...Full time- ...interdisciplinary teams to ensure safe, compliant discharges. The nurse will address barriers to timely discharge, work to prevent readmissions through root cause analysis, and participate in utilization management and post-acute liaison activities while adhering to #J-18808-Ljbffr...
$40.79 - $61.19 per hour
...Description Nursing House Supervisor (RN) – Full-Time Night Shift... ...patient care delivery utilizing the nursing process (assessment... ...evaluation). Resource Allocation: Manage staffing adjustments, bed... ...and vision insurance plans. (Review our full offerings in our Benefits...Hourly payFull timeNight shift- ...Summary: The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities... ...on PACU flow sheet. C) Reviews and initiates physician orders in... ...waste. 3) Minimizes overtime and utilizes time well. Criteria 8) Quality...Hourly payImmediate startFlexible hoursShift workDay shift
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