Utilization Review Nurse jobs in St. Louis, MO

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RN - Registered Nurse - Utilization Review
Core Medical Group 24 reviews - St. Louis, MO
As a travel allied professional or a traveling nurse with Core. Medical Group has hundreds of exciting and rewarding travel assignments throughout the country...
Sponsored by NurseJobsNationwide.com - 28 days ago
Utilization Management Nurse RN, Onsite
United Health Group 1,992 reviews - St. Louis, MO
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...
Sponsored by NurseJobsNationwide.com - 10 days ago
Registered Nurse
MTC Medical 5 reviews - United States
Review medical files to determine all provided services are documented. Practice basic cost containment and utilization management for patient care and...
Sponsored by NurseJobsNationwide.com - 11 days ago

Utilization Management Rep II

Anthem, Inc. 583 reviews - St. Louis, MO
Refers cases requiring clinical review to a nurse reviewer; Utilization Management Rep II - 102376. Processes incoming requests, collection of information...

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 488 reviews - St. Louis, MO
Utilization Management (UM)/Utilization Review (UR) is preferred. Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with...

Utilization Management Nurse RN, Onsite - St. Louis, MO

UnitedHealth Group 1,992 reviews - St. Louis, MO
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...

Registered Nurse (RN)

Sono Bello 12 reviews - Creve Coeur, MO
RN is responsible to review two random charts per month per QA/QI peer review protocol. There will be two (2) random peer case reviews performed monthly per...

Population Health Management Nurse RN - St. Louis, MO

Humana 919 reviews - Des Peres, MO
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Medical Case Manager (Work from Home with some local travel)

Broadspire 25 reviews - St. Louis, MO
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

Case Manager RN - Case Manager Registered Nurse - Travel Nur...

MedPro Healthcare Staffing 26 reviews - St. Louis, MO
RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN....
Easily apply

Admission Care Manager/Care Coordinator

Anderson Hospital - Maryville, IL
Meets all guidelines related to admission/continued stay review including timely case review, coordination with third party payors and the patient care team....
Easily apply

Complex Care Manager

Magellan Health Services 142 reviews - Maryland Heights, MO 63043
3-5 years experience post degree in psychiatric and/ or substance abuse health care setting, including utilization review....

UTILIZATION REVIEW MANAGER- Part Time

BJC HealthCare 65 reviews - St. Louis, MO 63108 (Central West End area)
By the American Nurses Credentialing Center. Ensure appropriate utilization, which includes the evaluation of potential under and over-utilization according to...
Behavioral Health Care Advocate
United Health Group 1,992 reviews - St. Louis, MO
Administer benefits and review treatment plans. As a Behavioral/Mental Health Care Advocate you will be responsible for case management and utilization review...
Sponsored by NurseJobsNationwide.com - 28 days ago
Nurse, RN, Ambulatory - Hematology / Oncology, RELOCATION AS...
Nemours 53 reviews - St. Louis, MO
Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children,...
Sponsored by Nurse.com - 10 days ago

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