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
...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- ...glance Location: Remote Department: Ascension Care Management Insurance - Utilization Review Schedule: Day Shift | PRN until 12/31/26 #LI-... ...clinical criteria and reimbursement policies. Complex Case Navigation: Provide high-level case management and...SuggestedReliefLocal areaRemote workDay shift
- ...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...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$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 payDaily paidFull timePart timeImmediate start$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 payDaily paidFull timePart timeWork experience placement$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... ...and procedures utilizing community resources as... ...clinical record/utilization review of medical records and...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work- ...benefits of peripherally inserted central lines and promote utilization. Monitor staff performance improvement measures for IV changes... ...patient selection, emergency and non-emergency complication management, sterile insertion technique, quality assurance management and...
$20 per hour
...of affordable housing compliance. Since 1994, property managers, owners, syndicators, housing authorities, and state agencies... ...have partnered with Zeffert for accuracy and speed on utility allowances, tenant file reviews, building accessibility, and training. Headquartered in...Full timeWork experience placementLocal areaRemote workMonday to FridayFlexible hours- 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
$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- ...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 timeSummer holidayFlexible hours
$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 Nursing with a Schedule That Works for...Daily paidFull timePart timeReliefSummer holidayMonday to FridayFlexible hoursWeekend work- ...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...
$15.25 - $16.25 per hour
...Vast array 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....Hourly payMinimum wageFull timePart timeWeekend workAfternoon shift- ...Home Health - Weekend Registered Nurse (RN) Compensation: Guaranteed base, uncapped... ...to establish and oversee all aspects of case-managing patient's care. Case management involves... ...conferences with other clinicians by reviewing services, clinical documentation, and discussing...Full timeTemporary workLocal areaShift workWeekend work
- ...Mercy! Job Profile Summary 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?...
- ...Find your calling at Mercy! The Care Management model provides effective transition... ...hospital setting, preferredCare Management or Utilization Management experience,... ...within 90 days of hireCertification in Case Management, PreferredOther Skills & Knowledge...
- ...based on business need. Assist the Site Manager with the ongoing leasing and administrative... ...agreements, income changes, interim reviews, housing assistance payment adjustments,... ...clerical office setting. This role routinely utilizes standard office equipment such as...Interim roleWork at officeLocal areaFlexible hours
- ...Overview Junior Helpdesk Specialist St. Louis, MO Are you... ...ticket in the approved incident management system for all support calls... ...appropriate IT Help Desk. Utilize Attempt First Call Resolution... ...research, we suggest you review the following links:...Agency workWork at officeWork from homeHome office
- ...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...
$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$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$69.68k - $100.42k
...daily operations of Occupational Health, managing the Workers' Compensation program, and coordinating... ...services to employees. Responsible for case management oversight and coordination for... ...Licenses & Certifications ~ RN Preferred Requirements Education...Full timeMonday to FridayFlexible hoursWeekend work- ...of Conduct and policies. Inform manager of work, site difficulties, and... ...proficiency. Comfortable utilizing phones, fax machine, printers,... ...from 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
$92k - $138k
...Clinical Specialist Provide clinical expertise and customer education programs, materials... ...with the Medline salesforce Review account and product/service information... ...practice recommendations. Conduct clinical and utilization reviews to identify waste, standardization...Minimum wageWork experience placementWork at officeLocal areaWorldwideShift workWeekend work$16.75 - $26 per hour
...Release Of Information Specialist - Him - Ft Days Maryville, IL 6... ...supervision of the Health Information Manager, assists in leading... ...information or who makes requests to review and/or have copies of their... ...of the applicable laws. # Utilizes various software and programs...Hourly payFull timeFlexible hoursShift work$35 - $55 per hour
...Description Operating Room Registered Nurse (OR RN) Full-Time | Monday-Friday | 8-Hour... ...smooth workflow and efficient surgical case management Ensuring accurate documentation and... ...are determined through our compensation review process to ensure fairness, internal...Full timeMonday to FridayShift workDay shiftWeekday work$27.92 - $37.29 per hour
...HVAC Controls Specialist III The HVAC Controls Specialist III is... ...team including: construction management, facilities management, engineers... ...site surveys, documentation review, and due diligence activities... ...process. Actively utilize the CxAlloy software to document...Work at officeRemote work
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