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.
$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$32 - $48 per hour
...Job Description Job Description 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...SuggestedFull timeWeekend workWeekday work- ...administration of hospital resources while providing quality care. Candidates must have 2 years of experience in nursing and utilization review, along with an active RN license in Missouri or Illinois. The position offers flexibility with potential remote work, requiring two shifts...SuggestedRemote jobReliefShift 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- ...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
$33 - $36 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... ...strategies and procedures utilizing community resources as... ...clinical record/utilization review of medical records and...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work- Bethesda Brings out the Best in Talented, Caring People! At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses, career advancement...Daily paidFull timePart time
- ...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...
- ...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 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...Local area
- ...with at least 2 years of hospital-based RN experience. Monday - Friday Days;... ...Additional Preferred Requirements BSN Prior Case Management experience in a hospital setting... ...Case Management, Social Services, and Utilization Review. The personnel in this office are...Work at officeMonday to FridayFlexible hoursWeekend work
- ...Summary: The Nurse Care Manager is responsible for... ...identified 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 placementRemote work
$20.51 - $28.18 per hour
...curriculum and programs to support students by providing a thorough review of program and expectations throughout their experiential... ...deliver an optimal student experience. Addresses student concerns by utilizing interpersonal and problem solving skills. Provides training,...Work at officeAfternoon shift- BJC HealthCare is seeking a Registered Nurse (RN) Admission in Saint Louis, Missouri. The role focuses on providing direct patient care, educating families, and ensuring patient safety and quality compliance. This position requires a Nursing Diploma or Associate’s degree...
- Stability Healthcare is seeking a travel RN for the EP/Cardiac Cath Lab in St. Louis, Missouri. The position requires working 40 hours weekly with 10-hour shifts. This role involves performing diagnostics and interventional procedures in a cardiology lab setting. The selected...Contract workImmediate startShift work
- ...within an interprofessional team. The candidate will educate families on health management and contribute to a safety-sensitive environment. Qualifications include a Nursing Diploma and an RN license, with a preference for a Bachelor's degree. BJC offers comprehensive...Part time
- ...healthcare organization in St. Louis is seeking a Behavioral Health RN to provide direct patient care for patients with complex needs.... ...creating individual care plans, and educating families on care management. The role supports professional development, leadership, and...Full timeNight shift
- ...other needs and action plans and reviews treatment goals and resources... ...-up referral contacts Refers cases where patients and/or family... ...of social services/case management function Evaluates patient satisfaction... ...effective and efficient utilization of clinical resources Any...Monday to Friday
- Cross Country Nurses is hiring a travel nurse RN specializing in CVICU for a role in St. Louis, Missouri. This position involves advanced patient care in a Cardiac Medical Intensive Care Unit, requiring a current nursing license on the first day. Working night shifts of...Night shift
- SSM Health in St. Louis seeks a Registered Nurse to manage nursing care activities within the cath lab and interventional radiology. The... ...ensuring the best outcomes for patients. The position requires a valid RN license in Missouri, along with BLS and ALS certifications. Ideal...
$2,636.96 - $2,829.92 per month
Aya Healthcare, Inc. is seeking a CVOR Registered Nurse in St. Louis, MO, with a competitive weekly pay range of $2636.96 to $2829.92. The position offers a 13-week assignment and requires a MO License or Compact License. Exceptional benefits include medical, dental, vision...Weekly pay$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- ...paperwork from our sales team, review coverage requirements under... ...role, reporting to the team's Managers and Directors, will require... ...Interface with Parachute Case processing will be responsible... ...insurance companies and manage utilization review activities, requests...Contract workPart timeWork at officeWeekend work
$15.25 - $16.25 per hour
...Front End Specialist 1 Part Time Join our team and live the Ollie-tude! : (Ollie's Core Values) BE A TEAM PLAYER - Associates are expected... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Hourly payMinimum wageFull timePart timeWeekend workAfternoon shift$70k - $100k
VDC Specialist - Mechanical Plumbing We are seeking a qualified professional to join our Virtual... ...IL, and supports the team by creating, managing, and coordinating 3D models and drawings... ...through the project lifecycle. Reviewing and ensuring the accuracy of modeling and...$48k - $114k
Title: School Improvement Specialist — Classification: Certified —... ...assist in the analysis and utilization of assessment data to improve... ...regularly with the principal to review assessment data and assess... ...on classroom/student management as warranted or directed by...Work at office- ...Summary The SCADA Process Control Specialist - Drinking Water Systems is... ..., engineering, and management to ensure regulatory compliance... ...user access controls, account reviews, logging, backup validation,... ...platforms used in water utilities (iFIX Preferred). PLC programming...Remote work
- ...Conduct and policies. Inform manager of work, site difficulties, and... ...computer proficiency. Comfortable utilizing phones, fax machines, printers,... ...these requirements will be reviewed by Datavant Human Resources and determined on a case‑by‑case basis. Depending on the...Full timeWork experience placementWork at officeMonday to Friday
$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- ...Product Security Compliance Specialist, you will support Hubbell’s product... ...internal assessments, manage evidence collection, and track... ...remediation status for leadership review. Compliance Operations Lead... ...high quality electrical and utility solutions enabling customers...
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