Utilization Review Nurse jobs in St. Louis, MO

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Med Documentation Spec - Pool
Mercy 109 reviews - Chesterfield, MO
Completes initial review, follow up reviews, mortaility reviews, and secondary reviews of patient records within specified time for a specified patient...
Sponsored by Mercy
Medical Management Consultant
Midwest Employers Casualty Company - Chesterfield, MO
Experience in disability management, utilization review or pharmaceutical management is highly desirable. Reviews medical referrals in a timely fashion and...
Sponsored by Midwest Employers Casualty Company
Registered Nurse, Case Manager (Relocation to Sedalia, MO)
Bothwell Regional Health Center - Missouri
Two years recent clinical experience or utilization review, utilizationmanagement, or case management. Responsible for implementing the Utilization Management...
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Sponsored by Bothwell Regional Health Center

UBC-Nurse Clinician RN (Telephonic)

UBC 20 reviews - St. Louis, MO
Previous clinical criteria review experience preferred; The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers,...

Registered Nurse - Hematology/Oncology Treatment Room

U.S. Department of State 143 reviews - St. Louis, MO
$64,744 - $107,075 a year
Knowledge of disease management and utilization review and takes leadership. VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available at....

Registered Nurse (RN) - Utilization Management Clinical Cons...

Aetna 550 reviews - St. Louis, MO
Managed care/utilization review experience preferred. Click here to review the benefits associated with this position....

Senior Clinical Practice Consultant - Telecommuter - Missour...

UnitedHealth Group 2,184 reviews - St. Louis, MO
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies, operational, Missouri, St....

Registered Nurse - OR

U.S. Department of State 143 reviews - St. Louis, MO
$56,719 - $89,976 a year
Registered Nurse - OR. Practice, ethics and resource utilization; Circulating and Scrub Nurse experience required....

Medical Only Claim Specialist

The Travelers Companies, Inc. 4 reviews - St. Louis, MO
Engage/refer to nurse resource for utilization review when appropriate and or on CM Plus accounts. Identify the need for a Utilization Review (UR) referral....

Clinical Support Specialist - St Louis, MO

Getinge Group 4 reviews - St. Louis, MO
Physicians, nurses and other hospital personnel. Performs clinical and library research and participates in case reviews and clinical observation by working...
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Certification Manager

St. Anthony's Medical Center 191 reviews - St. Louis, MO
Prefer certification in case management or utilization review by a professional organization. Licensed Registered Nurse in the State of Missouri....

Inpatient Care Nurse - RN

WellCare 130 reviews - St. Louis, MO
Required 2 years of experience in a clinical setting with general nursing exposure in utilization management to include pre-authorization, utilization review,...

Case Manager - RN

WellCare 130 reviews - St. Louis, MO
Required Licensed Registered Nurse (RN). Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret...
Senior Clinical Practice Consultant - Telecommuter - Missour...
UnitedHealth Group 2,184 reviews - St. Louis, MO
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies, operational, Missouri, St....
Sponsored by UnitedHealth Group
Case Manager
Mercy 109 reviews - Chesterfield, MO
Refers cases for Medical Director review as outlined by Utilization Management plan and Mercy Care Management policies and procedures....
Sponsored by Mercy

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