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
...health. Position Overview: The Utilization Review Specialist RN assumes responsibility and... ...payers, as well as coordination and management of appeals for accounts deemed appropriate... ...Review Specialist RN - Department: Case management -Location: Gateway Regional...SuggestedHourly payFull time- ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...SuggestedRemote 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- ...Friday from 8am-4:30pm. Requirements 2 years of RN experience performing care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital... ...family with benefits and resources to help you manage your physical, emotional, social and financial...SuggestedFull timeReliefLocal 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... ...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...SuggestedHourly payDaily paidFull timePart timeImmediate start- ...File Compliance Specialist, Real Estate - Remote Responsibilities Work closely with... ...able to ascertain their completeness. Review a high volume of documents continuously... ...strong sense of urgency. Be able to self‑manage, take initiative, yet feel comfortable...Work at officeRemote workShift work
$18.25 - $29.26 per hour
...persistent mental illness needs, to manage their symptoms, find... ...services including housing, case management, psychiatric care,... ...Role Purpose The Psych Rehab Specialist II is responsible for providing... ...’ strengths and talents, utilize those talents by building genuine...Hourly payFull timeWork experience placementLocal areaMonday to FridayFlexible hoursShift work$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- ...your calling at Mercy! The Cardiac Device Specialist (CDS) assists physicians, advanced... ...Proficient in CIED programming, the CDS manages patient diagnostics via remote monitoring... ...Degree, Diploma, or BSN). Experience : RN experience or LVN, CMA, paramedic, and/or...Full timeRemote workShift work2 days per week1 day per week
- ...Summary: The Nurse Care Manager is responsible for... ...identified needs. Perform case management following... ...their health goals. Utilize Motivational Interviewing... ...in Nursing (BSN) or RN with bachelor's degree... ...1 year of utilization review, home health, discharge...Work experience placementWork at officeRemote work
$88k - $94.6k
Description The Hospice RN Case Manager plans, organizes and directs hospice care and is experienced... ...Benefits Include: ~ Annual Reviews/Raises{Shift differentials if... ...supplies assuring appropriate DME provider is utilized. Schedules and keeps member appointments...Full timeTemporary workPart timePrivate practiceLocal areaMonday to FridayShift workWeekend work$63.94k - $106.41k
...timely manner. Appropriately manages staff and disciplines staff members... ...standards of patient care are utilized and delegates responsibilities... .... From resident assessment, reviews and revises the care plan... ...Qualifications Current RN license in the state you will...Daily paidFull timePart timeShift work- ...Advanced RN PeriOp/PACU Specialist Join a dedicated healthcare team in the heart of the Midwest region, providing exceptional perioperative and post-anesthesia care. This role involves delivering direct patient care through the nursing process, demonstrating clinical...
- ...Estimate Reviewer Specialist At CCA Global Partners, we're dedicated to building a better world by uniting family-owned businesses across... .... Provide clear, technical review notes and corrections. Manage assigned queue of estimates to ensure timely reviews in alignment...For contractorsWork at officeRemote workMonday to Friday
$27.3 per hour
...Job Title FEMA - Program Delivery Specialist Employment Type Temporary Job Site Location United... ...Collects, coordinates and/or reviews applicant data to determine eligibility... ...through FEMA’s Consolidated Resource Centers utilizing a web-based tool, schedules site inspections...Contract workTemporary workFor contractorsH1bFlexible hours- ...Title - SCADA Process Control Specialist Location- St. Louis, MO... ..., engineering, and management to ensure regulatory compliance... ...user access controls, account reviews, logging, backup validation,... ...SCADA platforms used in water utilities (iFIX Preferred). • PLC programming...Contract workRemote work
- ...Product Security Compliance Specialist, you will support Hubbell's product... ...internal assessments, manage evidence collection, and track... ...remediation status for leadership review. Compliance Operations... ...high quality electrical and utility solutions enabling customers...
$19 - $24.31 per hour
...over their own lives through self-directed recovery; including utilizing recovery language in all applicable documentation. Promote... ...school diploma or equivalent and be a Certified Recovery Support Specialist (CRSS) or Certified Peer Recovery Specialist (CPRS) in good...Hourly payFull timePart timeReliefLocal areaShift workNight shiftWeekend workDay shiftAfternoon shift- ...team and contribute to the maintenance and management of aquatic environments. As an Aquatic... .... California residents click here to review your privacy rights. It is unlawful... ...Workday, Loop, and HireVue. These systems utilize text messages to communicate with you...Full timePart timeLocal areaImmediate startFlexible hoursAfternoon shift
$27.92 - $37.29 per hour
...Technical Services Building Systems Specialist III (BSA III) is highly... ...team including: construction management, facilities management,... ...site surveys, documentation review, and due diligence activities... ...commissioning process. Actively utilize the CxAlloy software to document...Work at officeRemote work- ...Specialist, Warranty & Acquisitions Date: Apr 21, 2026 Location... ...and equipment warranty management, building key vendors relationships... ...warranty for maximum warranty utilization through OEM processes Periodically review internal repairs for warranty claims...Work experience placementWork at officeLocal areaFlexible hours
$20.51 - $28.18 per hour
...flexible post-licensure programs, such as the RN to BSN option, Master of Science in... ...support students by providing a thorough review of program and expectations throughout their... .... Addresses student concerns by utilizing interpersonal and problem solving skills....Work at officeWorldwideFlexible hoursAfternoon shift- ...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... ...insurance companies and manage utilization review activities, requests and...Contract workWork at office
$75.2k - $128.8k
...guidance to HR Liaisons and department managers. Will be expected to contribute to the development... ...for new or revised job descriptions utilizing compensation evaluation software tool.... ...development and department/system-wide reviews. May participate in analyses for the...Work experience placementWork at officeLocal areaRemote work$44.4k - $50.58k
...time Behavioral Health Juvenile Justice Specialist to provide vital support to juveniles... ...this role, you will deliver compassionate case management and community support services, helping... ..., and complete all required training. Utilize available resources to meet the needs...Full timeLocal areaTrial period- ...rating. Travel and Event Management (TEM) supports the firm by overseeing... ...are sent out independent of review by a leader in the... ...and advises other Reporting Specialists on decisions made. Works... ...+ years business experience utilizing report writing software or programming...Contract workTemporary workWork experience placementWork at officeWork from homeHome officeFlexible hours3 days per week
- ...Summary Junior Help Desk Specialist (Overnight) St. Louis, MO... ...ticket in the approved incident management system for all support calls... ...appropriate IT Help Desk. Utilize Attempt First Call Resolution... ...your research, we suggest you review the following links: Chenega...Agency workWork at officeWork from homeHome officeNight shiftWeekend work
- ...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
- ...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
- ...seeking a Mobile SAF-IS Regional Program Specialist to support the Service to Armed Forces... ...division. WHAT YOU NEED TO KNOW: Manage and administer the delivery of American... ...opportunities with local Armed Forces Network, utilization of social media platforms, and...Temporary workLocal areaRemote workWorldwideOverseasRelocation packageFlexible hoursShift work
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