Utilization Review Nurse jobs in St. Louis, MO

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Registered Nurse
Memorial Health System of Springfield, Illinois - Missouri
Participates in nurse peer review process. Clinical Nurse II:. 426, 433, 434, 474 CLINICAL STAFF NURSE LEVEL I-IV*....
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Clinical Improvement Documentation Manager - Full Time
BJC HealthCare - 98 reviews - St. Louis, MO
Works collaboratively with the CDI team to facilitate documentation within the medical record that supports patients severity of illness and risk of mortality...
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Director Case Management
Bileddo Associates - Granite City, IL
Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation....
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Utilization Review Nurse

Mercy - 158 reviews - Chesterfield, MO
Role of Utilization Review Nurses. Utilization Review Nurses coordinate and perform precertification, out of network precertification, inpatient concurrent...

Initial Clinical Reviewer RN

Magellan Health - 63 reviews - Maryland Heights, MO 63043
Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process....

Initial Clinical Review RN

Magellan Health - 63 reviews - Maryland Heights, MO 63043
Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process.ESSENTIAL FUNCTIONS:....

Part-Time Initial Clinical Reviewer RN

Magellan Health - 63 reviews - Maryland Heights, MO 63043
Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process....

Utilization Review Nurse

Pharmaceutical Strategies - 17 reviews - St. Louis, MO
Looking for individuals with utilization review / utilization management experience which could also look like senior level reimbursement....
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Case Manager - RN

Esse Health - St. Louis, MO
1.Concurrent review of inpatient hospitalizations. 8.Documents utilization management processes and decision support....

Initial Clinical Reviewer RN - Per Diem - Sunday hours

Magellan Health - 63 reviews - Maryland Heights, MO 63043
Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process....

ASSISTANT NURSE MANAGER

St. Luke's Hospital - Missouri - Chesterfield, MO
Nephrology Nurse Certification preferred. Ensures proper utilization of supplies. Current licensure as a Registered Professional Nurse in the State of Missouri....

Case Manager-RN

SSM Health - 135 reviews - St. Louis, MO 63117
Evaluates insurance coverage while managing the utilization review process from admission to discharge....

Certification Manager

St. Anthony's Medical Center - 225 reviews - St. Louis, MO
The CM reviews. Licensed Registered Nurse in the State of Missouri. Certification Manager (CM) reviews for medical necessity utilizing evidence-based criteria....
Telephonic Case Manager RN - Future
UnitedHealth Group - 4,141 reviews - Maryland Heights, MO
Experience in utilization review, concurrent review and / or risk management. Case Manager, RN, Registered Nurse, CCM, certified case manager, Care Coordinator,...
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Clinical Manager of Case Management - Chronic Kidney Disease
UnitedHealth Group - 4,141 reviews - Maryland Heights, MO
Experience in utilization review, concurrent review and / or risk management. RN, nurse, case manager, CCM, supervisor, manager, complex medical, renal, care...
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