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- ...health, inpatient, etc). Requirements: 2 years of staff nurse experience performing care for hospitalized patients. 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity. Must live within one hour of the BJC Learning Institute...SuggestedReliefLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift work
- ...SpecGx business. Many of the responsibilities below require peer review and approval amongst the Contracts team members. Job... ...Contracts team members. Agreement Preparation and Review Utilize the pricing analysis models to prepare standard and non-standard...SuggestedContract work
Par Health
Webster Groves, MOa month ago - ...regulations, policies, operational procedures, and objectives. Review operations to ensure a high level of quality consistent with... ...years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience. May be required to...SuggestedFull timePart timeLocal areaFlexible hoursNight shiftWeekend workDay shiftAfternoon shiftWeekday work
The Rehabilitation Institute of St. Louis - St. Peters, an a...
Webster Groves, MO1 day ago - ...development of team members to include coaching of KPI scorecard results. Conduct performance reviews and compensation evaluations for the office team. Exercise judgment and utilize tools to achieve revenue and EBITDA growth. Motivate team members by remaining positive...SuggestedFull timeWork at office
- ...Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple...Suggested
$58.8k - $105k
...than you've ever imagined. The Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient...SuggestedRemote jobMinimum wageFull timeWork experience placementLocal areaHome officeMonday to Friday$16 - $25 per hour
...reporting adverse reaction events per public health requirements + Reviewing and collecting patient information; tracking and documenting... ...communication to interact with patients and colleagues + Utilize active listening by giving full attention to what others are saying...SuggestedHourly payFull timePart timeLocal areaWork from homeFlexible hoursShift workNight shift- ...regulations, as well as by corporate, facility policy or procedures. Review medical information on patients to ensure medical stability and... ...behavioral disorders. Treat or direct treatment of patients, utilizing a variety of psychotherapeutic methods and medications. Review...SuggestedFull timeLocal area
- ...Provides expertise in product demonstrations and consultations utilizing tools such as the Skin Hydrometer and tablet. + Leads and delivers... ...of products and by modeling exceptional customer care. + Reviews beauty business on a regular basis to understand performance within...SuggestedHourly payFull timeWork at officeLocal areaFlexible hoursShift workAfternoon shift
$1,929 per week
Travel Nurse RN - Case Manager, Utilization Review - $1,929 per week at GQR Healthcare summary: This position is for a Travel Nurse Registered Nurse (RN) specializing in Case Management and Utilization Review. The role involves providing patient care, coordinating utilization...SuggestedContract workShift work- ...pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct. +... ...Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information,...SuggestedHourly payPart timeApprenticeshipWork experience placementWork at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift
$18 - $24.11 per hour
...records in the electronic medical record. Performs special procedures including the collection of urine, stool, and sputum. Reviews treatments/ADLs/hygiene with patients and families. Assists patients with feeding and attends Therapeutic Dining Group as indicated...SuggestedFull timePart timeFlexible hoursThe Rehabilitation Institute of St. Louis - St. Peters, an a...
Webster Groves, MO1 day ago- ...that values great service, strong client relationships, and an even stronger team culture! What You’ll Be Doing Preparing and reviewing individual, corporate, partnership, and trust tax returns. Managing client relationships and being a go-to resource for their tax...SuggestedLocal areaRemote workFlexible hours
- Position Overview: The Utility Analyst supports the organization’s affordable housing portfolio by monitoring, analyzing, and reporting... ...and coordinate corrections with vendors or property managers. Reviews funds balances and cost-revenue ratios and identifies existing...SuggestedContract workWork experience placementWork at office
- ...dynamic, culturally diverse group of employees, working in more than 100 countries, in a variety of challenging roles. The Plan Review Consultant I is a position for office engineering activities related to plan review of standard construction, equipment, occupancy,...SuggestedFor contractorsWork at officeFlexible hours
- ...Together, there\'s no stopping you! Job Title Loan Documentation Reviewer Essential Duties & Responsibilities Review LaserPro and Word... ...to ensure the documents meet the stated terms of the approval. Utilize an organized error tracking system during review to track quality...Work at officeLocal area
- ...Job Description Job Description This role is all about being a key part of the team. Our Utility/Support Assistants help keep things running smoothly by supporting the front and back of house. It’s fast-paced, hands-on, and a great fit for anyone who enjoys staying...Night shiftWeekend work
$16.31 - $26.81 per hour
Anticipated End Date: 2025-11-06 Position Title: Utilization Management Representative I Job Description: Utilization Management Representative... ...for coordinating precertification and prior authorization reviews in both governmental and commercial business sectors. How you...Full timeContract workTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift work1 day per week$52 - $77 per hour
...Seasonal Tax Reviewer CLA is a top 10 national professional services firm where our purpose is to create opportunities every day, for our clients, our people, and our communities through industry-focused wealth advisory, digital, audit, tax, consulting, and outsourcing...Casual workSeasonal work$16.31 - $26.81 per hour
...provides authorization for inpatient admission, outpatient precert, prior authorization, and post service requests. Refers cases clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with...Full timeContract workTemporary workWork at officeLocal areaMonday to FridayShift work$20.92 per hour
...Utility Technician Dreaming big is in our DNA. It's who we are as a company. It's our culture. It's our heritage. And more than ever, it's our future. A future where we're always looking forward. Always serving up new ways to meet life's moments. A future where we keep...Shift workNight shift- ...Job Description Job Description Looking for a strong, self motivated utility person with grill experience. We are a small start up restaurant with a tight knit team. We are looking for a candidate to join us from 11am to 2:30pm M-F. Duties includes helping on the grill...Weekend workAfternoon shift
$20 - $22 per hour
Document Review Specialist Our Client, a Global Financial Services firm, is seeking a Document Review Specialist in their St. Louis, Missouri location. Location: St. Louis, Missouri Pay: $20.00/hr - $22.00/hr ***SHORT-TERM PROJECT Key Responsibilities: Review and validate...Contract workTemporary work- ...Maintenance Utility About UniFirst: The fabric of UniFirst is woven from its very unique family culture where our Team Partners enjoy a small company feel while taking advantage of the resources and stability that come with being a 2 billion-dollar organization...Relocation
$30 - $35 per hour
...Job Description Job Description Job Title: Scientist II - Data Review Job Description The Scientist II, Data Review will oversee the review of testing documents generated by the Quality Control Analytical department. The role involves managing program support...Contract workTemporary workWork experience placementWork from homeMonday to FridayFlexible hoursShift workWeekend workDay shift- ...personally thriving! Join Bridge Senior Living – a certified Great Place to Work (2025-2026)! Now Hiring!! What you can expect as a Utility Worker with us: ~$1,000 Employee Referral Bonus ~ Tuition Reimbursement eligibility after three months of full-time...Full timeWork experience placementLocal areaImmediate start
- ...services and clients, you\'ll work on projects that matter as part of the Honkamp team. A Typical Day in the Life As a seasonal tax reviewer, you will review tax returns for a diverse client base. This position runs from approximately January through mid-April....Seasonal workWork at officeLocal area
- ...Havenwyck Hospital at (***) ***-****. POSITION SUMMARY: The Utilization Management Case Manager has a responsibility for organizing... ...to ): conducting timely admission and continues stay record reviews with external payers, utilizing approved criteria to make determinations...Local area
$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and...Minimum wageFull timeWork experience placementLocal areaRemote work- ...whole. Let’s talk about how you can find your place here at Stifel, where success meets success . What You'll Be Doing The Credit Risk Review (CRR) Manager plays a critical role in safeguarding the bank’s credit quality by leading independent evaluations of banks' loan...Work at office
