Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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 3 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Review Specialist - Case Management in Granite City, IL vacancy
  • $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... 
    Suggested
    Full time

    Gateway Regional Medical Center

    Granite City, IL
    3 days ago
  • $32 - $48 per hour

     ...Utilization Review Specialist RNFull-Time | Case Management | Gateway Regional Medical Center | Granite City, IllinoisGateway Regional Medical Center is hiring a Utilization Review Specialist Registered Nurse (RN) to join our Case Management team.This role is ideal for... 
    Suggested
    Full time
    Weekend work
    Weekday work

    Gateway Regional Medical Center

    Granite City, IL
    6 days ago
  • $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... 
    Suggested
    Full time
    Weekend work
    Weekday work

    Gateway Regional Medical Center

    Granite City, IL
    4 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... 
    Suggested
    Hourly pay
    Full time

    Gateway Regional Medical Center, Inc.

    Granite City, IL
    4 days ago
  •  ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerSt. Louis, Missouri, United StatesPosition status: OpenAssignment type: travelShift: DaysLength (weeks): 12Openings: 1Start date: 2026-11-30T00:00:00.000Z$2,387.54/week (estimated advertised... 
    Suggested
    Weekly pay
    Contract work
    Local area
    Shift work
    Day shift

    American Traveler

    Saint Louis, MO
    4 days ago
  •  ...American Traveler, LLC. is hiring an RN Case Manager for a 12-week acute hospital assignment in Missouri. Requires 1–2 years of case management...  ...role focuses on care coordination, discharge planning, and utilization management, with a Mon–Fri day shift and occasional... 
    Day shift

    American Traveler

    Saint Louis, MO
    3 days ago
  •  ...Description Subject Matter Expert (SME) - Energized Line Maintenance & Utility Safety Assessment Overview We are seeking an...  ...subject matter expert supporting the assessment team and will: Review current energized work practices against OSHA 1910.269, IEEE... 
    Remote work

    Veterans Sourcing Group

    Saint Louis, MO
    26 days ago
  •  ...Find your calling at Mercy! Overview Utilization Management for the assigned inpatient Care Management population...  ...Preferred Experience: Care Management or Utilization Review experience. Preferred Certifications: Case Management or Utilization Review. Why Mercy... 
    Remote work

    Mercy

    Saint Louis, MO
    3 hours ago
  • $45 - $53 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 pay
    Daily paid
    Full time
    Part time
    Immediate start

    Bethesda Health

    Saint Louis, MO
    more than 2 months ago
  • $29.39 - $48.2 per hour

     ...up comprehensive assessments, drug regimen reviews and reconciliation. Works with the patient...  ...agency's Nurse on-call schedule, weekly case conference meetings, and the Quality Assurance...  ...or Master's degree preferred Current RN Missouri license in good standing... 
    Hourly pay
    Daily paid
    Full time
    Part time
    Work experience placement

    Bethesda Health

    Saint Louis, MO
    a month ago
  • $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... 
    Hourly pay
    Daily paid
    Full time
    Part time
    Immediate start

    Bethesda Health

    Saint Louis, MO
    more than 2 months ago
  •  ...Vascular Access Specialist Rn - Vascular Access - Pt VariesMaryville, IL 62062OverviewSalary...  ...inserted central lines and promote utilization. Monitor staff performance improvement...  ...emergency and non-emergency complication management, sterile insertion technique, quality... 
    Hourly pay
    Part time

    Anderson Hospital

    Maryville, IL
    4 days ago
  •  ...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... 
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    3 days ago
  • 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 paid
    Full time
    Part time

    Bethesda Health

    Saint Louis, MO
    more than 2 months ago
  • $33 - $36 per hour

     ...as a Registered Nurse (RN), where you'll bring comfort...  ...and participate in case conferencesBe a trusted...  ...physicianProvides case management to an assigned group of...  ...and procedures utilizing community resources as...  ...clinical record/utilization review of medical records and... 
    Weekly pay
    Daily paid
    Full time
    Part time
    Relief
    Flexible hours
    Night shift
    Weekend work
    Weekday work

    Team Select Home Care

    Saint Louis, MO
    5 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 and... 
    Daily paid
    Full time
    Summer holiday
    Monday to Friday
    Flexible hours

    Mercy

    Saint Louis, MO
    13 days ago
  • $80k

     ...Meaningful Difference as a Hospice RN Case Manager in Collinsville, IL Bring...  .... Healthcare Recruiting Specialists is seeking a dedicated...  ...align with care management, utilization management, and clinical operations...  ...experience in utilization review, managed care, utilization... 
    Full time

    Healthcare Recruiting Specialists

    Collinsville, IL
    4 days ago
  • $2,322.19 per week

     ...Case Management RN Contract Position Stability HealthCare is looking for a Case Management RN contract position in Saint Louis, Missouri...  ...to keep patients healthy and out of the hospital by treating at optimal times. Also known as: Utilization Review Stability HealthCare
    Weekly pay
    Contract work
    Shift work

    Stability HealthCare

    Saint Louis, MO
    1 day ago
  • $16k

     ...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 Care RN or LPN Nursing with a Schedule That Works... 
    Daily paid
    Full time
    Part time
    Relief
    Summer holiday
    Monday to Friday
    Flexible hours
    Weekend work

    Mercy

    Saint Louis, MO
    more than 2 months ago
  • $46.92k

     ...Responsibilities include: Providing daily supervision and mentorship Managing household routines and student schedules Administering...  ...per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and... 
    Full time
    Work from home
    Relocation package
    Flexible hours
    Weekday work

    Milton Hershey School

    Granite City, IL
    18 hours ago
  •  ...Summary:The Nurse Care Manager is responsible for helping...  ...needs.Perform case management following the...  ...achieve 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 placement
    Work at office
    Remote work

    ArchWell Health

    Saint Louis, MO
    3 days ago
  •  ...calling at Mercy! The Care Management model provides effective transition...  ...preferred Care Management or Utilization Management experience,...  ...days of hire Certification in Case Management, Preferred Other Skills...  ...with us. keyword(s): RN Care Manager RN Care... 
    Full time

    Mercy

    Saint Louis, MO
    6 days ago
  •  ...Find your calling at Mercy! The Care Manager, as part of the interdisciplinary team, assess...  ...experience, safety, and quality of care utilizing performance metrics and adoption of best...  ...90 days of hire • Certification in Case Management, Preferred Why Mercy?... 
    Full time

    Mercy

    Saint Louis, MO
    6 days ago
  • $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 pay
    Remote work

    Intermountain Health

    Saint Louis, MO
    5 days ago
  •  ...Environmental Health & Safety) Senior Specialist to serve as subject matter...  ...and Industrial Hygiene to management members, gain commitment, and...  ...and local requirements. Utilize internal resources, corporate...  ...and policy development/ review. Conduct evaluation, selection... 
    Contract work
    For contractors
    Local area

    HUVEPHARMA, INC

    Saint Louis, MO
    4 days ago
  •  ...Role involves assessments, care planning, and collaboration with an interprofessional team to deliver high-quality, safe care. Requires RN license; nursing diploma/associate's is minimum; Bachelor's preferred. Night shifts, full-time with three 12-hour shifts, benefit... 
    Full time
    Shift work
    Night shift

    Barnes-Jewish Hospital

    Saint Louis, MO
    5 days ago
  • $15.25 - $16.25 per hour

     ...of voluntary benefits. Position Overview: The Front End Specialist assists customers and helps to maintain the store appearance....  ...pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-... 
    Hourly pay
    Minimum wage
    Full time
    Part time
    Shift work
    Weekend work
    Afternoon shift

    Ollie

    Granite City, IL
    4 days ago
  • $17 - $20 per hour

    Chestnut Health Systems is seeking an Employment Specialist to join our team. The role supports consumers in pursuing employment and recovery, delivering case management mental health services and promoting the recovery model of treatment. Starting pay ranges between $... 
    Hourly pay

    Chestnut Health Systems

    Granite City, IL
    5 days ago
  •  ...Asset Protection Specialist | Home DepotPosition Purpose...  ...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... 

    Home Depot

    Ferguson, MO
    1 day ago
  •  ...Summary Junior Helpdesk Specialist St. Louis, MO Are you ready...  ...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 work
    Work at office
    Work from home
    Home office

    Chenega MIOS

    Saint Louis, MO
    2 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!