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
...Job Description Job Description Utilization Review Specialist RNFull-Time | Case Management | Gateway Regional Medical Center | Granite City, IllinoisGateway... ...a Utilization Review Specialist Registered Nurse (RN) to join our Case Management team.This role is ideal...SuggestedWeekend workWeekday work$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 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$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... ...accredited school of nursing Current RN license in the state you will...SuggestedDaily paidFull timePart time$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- ...care 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 RN license... ...with benefits and resources to help you manage your physical, emotional, social, and...ReliefLocal areaRemote workMonday to FridayFlexible hoursShift work
$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 start$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 payDaily paidFull timePart timeImmediate start- 1866575BR Title: Photo Specialist Job Description: Job Summary... ...photo equipment and utilizes store systems and technology... ...completes e-Learnings requested by Manager or assigned by corporate.... ...remain open until filled. To review benefits, please click here jobs...Hourly payFull timeWork experience placementSeasonal workFlexible hoursAfternoon shift
- ...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... ...Position Details: Mercy – Home Health RN (Community-Based) Are you a skilled and...Daily paidFull timePart timeCurrently hiringFlexible hoursDay shift
- ...SpecialistBoise Cascade has an exciting opening for a Freight Specialist! Responsibilities include scheduling the inbound and/or... ...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 office
$44.4k - $50.58k
...seeking a compassionate and skilled Crisis Intervention Specialist to join our team on a full-time basis. This role is based... ...court-ordered assessments, group services (e.g., anger management, parenting), and case management.Use recovery-oriented language and practices...Full timeWork at officeLocal area- ...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...Contract workWork experience placementWork at officeFlexible hours
- ...Vascular Partners in St. Louis, MO, is seeking a Cardiac Device RN to work with clinicians in caring for patients with cardiac conditions... .... You will perform exams, monitor devices, educate patients, review transmissions, and support remote monitoring with attention to EMR...Local areaRemote work
$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- 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...
- 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....
- ...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... ...options Generous Paid-Time Off Annual Reviews and Development Plans Retirement Plan...Hourly payFull timeWork at officeLocal areaImmediate startRemote workNight shiftWeekend 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 timePart timeCurrently hiringFlexible hoursDay shift
- DescriptionThe Staff Public Involvement Specialist will perform a wide variety... ...is a plus. Electric or gas utility-focused public involvement... ...and deliver key messages and manage content (news, events, crises... ...ability to perform quality reviews.Job Field: Public...Work at officeLocal area
- ...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
- ...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?...
- ...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...
- ...Case Management Nurse Barnes-Jewish Hospital at Washington University... ...departments: Case Management, Utilization Management, and Social Work.... .... Conducts level of care reviews for admissions from the... ...Licenses & Certifications: RN Preferred Requirements...Full timeFlexible hours
$24.28 - $32.44 per hour
...Technical Services Building Systems Specialist II (BSS II)The Technical... ...team including: construction management, facilities management,... ...site surveys, documentation review, and due diligence activities... ...commissioning process.• Actively utilize the CxAlloy software to document...Full timeWork at officeRemote work- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental Account Receivable Specialists... ...managing accounts receivable, prioritizing account reviews and utilizing time management skills. Assists team members as...Full timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
- ...AI screening for keywords and minimum qualifications, and a virtual recruiter as part of the application process. A human recruiter reviews all results. Everforth CyberCoders will consider qualified applicants with criminal histories in a manner consistent with the...Local areaWork visa
- ...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...
$24.31 per hour
...patterns Operate overhead cranes / hoists safely as needed by management Load / unload the transit castings into and out of the blast... ..., age, or any other characteristic protected by law. To review our EEO Policies or to request assistance please go to and select...Hourly payContract workTemporary workLocal area
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