RN Utilization Review Specialist - Case Management
Gateway Regional Medical Center, Inc.
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 Gateway Regional Medical Center, Inc.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Review Specialist - Case Management in Granite City, IL vacancy
$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 is ideal...SuggestedFull timeWeekend workWeekday workGateway Regional Medical Center
Granite City, IL4 days ago$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$48 per hour
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...SuggestedFull 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 timeBethesda Health
Saint Louis, MO3 days ago- ...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
BJC HealthCare
Saint Louis, MO5 days ago $20.59 - $25.52 per hour
...Health Navigator & Outreach Specialist to be based out of our Central... ...CHW) is a member of the care management team partnering with Primary... ...minimum years of experience in case management, care coordination... ...a 45‑mile radius from 63141 (utilizing personal vehicle)....Full timeTemporary workWork at officeMonday to FridayFlexible hours$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 startBethesda Health Group
Saint Louis, MO2 days ago- ...which includes, but is not limited to: case management and total care of multiple patients with... ...and timely documentation by utilization of the Epic computer system. Per Diem... ...Position Details: Mercy – Home Health RN (Community-Based) Are you a skilled...Daily paidFull timePart timeCurrently hiringFlexible hoursDay shift
$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 startBethesda Health
Saint Louis, MO5 days ago$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 workBoise Cascade
Granite City, IL2 days ago- Life Care Centers of America is seeking an experienced RN to serve as Clinical Reimbursement Specialist. You will translate clinical care into correct reimbursement by reviewing patient records, overseeing MDS/RAI processes, and partnering with Nursing, Therapy, Admissions...
$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 workTeam Select Home Care
Saint Louis, MO10 days ago- ...Find your calling at Mercy! The RN Care Manager II - IPCM, as part of the interdisciplinary... ...Preferred Certification: Certification in Case Management preferred. Preferred... ...setting preferred. Care Management or Utilization Management experience preferred. Why...Full time
- Chestnut Health Systems is seeking an Employment Specialist to provide case management and mental health services, guiding consumers toward employment and recovery. The role supports the recovery model, emphasizes trauma-informed care, and involves linkage to vocational...
- ...Commercial Post Closing Review File Specialist I The Commercial Post Closing Review File Specialist I is part of the Post Closing Team in the... ...Ability to: Multi-task and work independently Manage multiple deadlines Analyze and solve problems for which there...Work at office
- ...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 understanding... ...optionsGenerous Paid-Time OffAnnual Reviews and Development PlansRetirement Plan...Hourly payFull timeWork at officeLocal areaImmediate startRemote workNight shiftWeekend work
Southern Scripts
Saint Louis, MO2 days ago - Chestnut Health Systems Inc. seeks an Employment Specialist to provide case management mental health services and support consumers toward employment and recovery. You will promote recovery, coordinate referrals, and work with community partners to build opportunities....
- ...and extrusion blow molding machines, listening for subtle changes, scanning the HMI, and walking utilities. A conveyor hesitates? A grinder trips? You trace it back, reviewing mechanical drawings and electrical schematics to confirm the fault path. Before lunch, you’ve...Fixed term contractWeekend workDay shift
Express Saint Louis
Saint Louis, MO9 days ago - ...Summary The Nurse Care Manager is responsible for helping... ...needs. Perform case management following the... ...achieve their health goals. Utilize Motivational... ...Degree in Nursing (BSN) or RN with bachelor's degree... ...1 year of utilization review, home health, discharge...Work experience placementWork at officeRemote work
$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 officeCity of St. Louis
Saint Louis, MO1 day ago- ...Position Summary The Authorization Specialist is responsible for creating... ...authorization for payer review. The Authorization Specialist... ...patient population. Ability to utilize critical thinking skills... ...Demonstrates effective time management skills and problem solving skills...Work at office
Park Nicollet Methodist Hospital
Saint Louis, MO2 days ago $75k - $85k
...nationwide. The Trenchless EIT/ Specialist will report to the... ...the Trenchless Program by: utilizing experience and expertise to... ...through construction). Data management, quality control of design and... ...crossing locations. Prepare and/or review project documentation...Full timeTemporary workPart timeRemote workHDR
Saint Louis, MO5 days ago- ...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
Home Depot
Saint Louis, MO5 days ago - ...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
Loyal Source
Saint Louis, MO5 days ago - ...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...
The Home Depot
Saint Louis, MO4 days ago - ...requests. Thoroughly researches, reviews, and analyzes Veteran... ...resources or agency for support. Utilizes independent judgment and... ...efficiencies and to support management goals, mission effectiveness... ..., and assist junior Program Specialists. Performs public outreach...Permanent employmentFull timePart timeWork at officeLocal areaRelocationRelocation packageMonday to FridayFlexible hours
National Cemetery Administration
Saint Louis, MO1 day ago - ...Experience: ~ No Experience Licenses & Certifications: ~ RN Preferred Requirements: Education: ~ Master's Degree -... ...providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. ~...Flexible hours
- ...team. The role involves medication administration, IV therapies, and timely documentation. Candidates must hold an accredited nursing degree, current Missouri and Illinois RN licenses, CPR/AED certification, and experience in long-term care. #J-18808-Ljbffr Confidential
- ...largest technology companies. As a BIM Specialist, you will collaborate with our BIM... ...site-level contact for BIM content review, approval, management, and maintenance. Your responsibilities... ...content for data center projects, utilizing professional tools and processes to...Full timeFlexible hours
Olsson
Saint Louis, MO2 days ago $2,113 per week
...Registered Nurse (RN) | Wound/Ostomy Location... ...assessment, treatment, and management of patients with acute... ...facility protocols, utilizing safe and effective methods... .... Participate in case discussions and care meetings... ..., such as audits, peer reviews, and training, to...Full timeContract workFlexible hoursShift workTravelNurseSource
Saint Louis, MO9 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Review Specialist - Case Management. Be the first to apply!
Related searches
- icu rn Granite City, IL
- part time clinic rn Granite City, IL
- clinic registered nurse rn Granite City, IL
- prn rn Granite City, IL
- fema rn Granite City, IL
- travel registered nurse l&d Granite City, IL
- oncology rn Granite City, IL
- clinic outpatient rn registered nurse Granite City, IL
- rn insurance assessment Granite City, IL
- prn registered nurse Granite City, IL