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Evening Remote Rn Chart Review Jobs in Missouri (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Columbia, MO · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Saint Louis, MO · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Kansas City, MO · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Scribe-X

Remote Medical Scribe

Saint Louis, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Perform chart preparation per clinic protocol * Accompany the provider in all scheduled patient ...

Scribe-X

Remote Medical Scribe

Springfield, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Perform chart preparation per clinic protocol * Accompany the provider in all scheduled patient ...

Scribe-X

Remote Medical Scribe

Kansas City, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Perform chart preparation per clinic protocol * Accompany the provider in all scheduled patient ...

Americare

Regional Nurse Consultant (RN)

Saint Louis, MO · On-site +1

$85K - $100K/yr

Support resident-at-risk reviews, discharges, and transfers as needed Training & Support * Deliver ... Current Registered Nurse (RN) license required Experience & Knowledge * Five (5) years of long-term ...

Mosaic Life Care

Remote - Inpatient Coder II

Saint Joseph, MO · On-site +1

$21 - $25.25/hr

Reviews and appeals coding denials. * Educates/Communicates with providers, querying providers to ... Registered Health Information Administrator (RHIA) - Preferred Upon Hire Or * Registered Health ...

Manulife

Suitability Review Specialist

Louisiana, MO · Remote

$73K - $122K/yr

The Specialist serves as a trusted resource to registered representatives, field agents, and ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

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Showing results 21-40

All JobsEvening Rn Chart Review JobsEvening Remote Rn Chart Review JobsEvening Remote Rn Chart Review Jobs in Missouri

Evening Remote Rn Chart Review information

What is the difference between Evening Remote Rn Chart Review vs Evening Remote Rn Case Management?

AspectEvening Remote Rn Chart ReviewEvening Remote Rn Case Management
Primary FocusReviewing patient charts for accuracy and complianceCoordinating patient care and discharge planning
CertificationsRN license, possibly CCRN or similarRN license, case management certification preferred
Work EnvironmentRemote, primarily administrativeRemote, involves communication with patients and providers
Industry UsageHospitals, insurance companies, healthcare agenciesHospitals, insurance companies, healthcare agencies

While both roles require RN licensure and are performed remotely, Evening Remote Rn Chart Review focuses on analyzing patient records for accuracy, whereas Evening Remote Rn Case Management involves active patient coordination and discharge planning. Understanding these differences helps professionals choose the role that best fits their skills and career goals.

What are the most commonly searched types of Remote Rn Chart Review jobs in Missouri? The most popular types of Remote Rn Chart Review jobs in Missouri are:
What cities in Missouri are hiring for Evening Remote Rn Chart Review jobs? Cities in Missouri with the most Evening Remote Rn Chart Review job openings:
Evening Remote Rn Chart Review jobs near you

Supervisor, Utilization Management (RN)

Centene

Kansas City, MO • On-site, Remote

$75K - $135K/yr

Full-time, Part-time

Medical, Retirement, PTO

Posted 19 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 401 frontline employees who took The Breakroom Quiz

24th of 887 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.
  • Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
  • Collaborates with utilization management team to resolve complex care member issues
  • Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management
  • Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management
  • Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers
  • Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures
  • Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
  • Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones
  • Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
  • Assists with onboarding, hiring, and training utilization management team members
  • Leads and champions change within scope of responsibility
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.
Knowledge of utilization management principles preferred.
License/Certification:

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • CA RN LICENSE REQUIRED
Pay Range: $75,300.00 - $135,400.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Powered by SonicJobs (an advertiser on Veritone). By applying, you consent to share your data with SonicJobs and the employer. Veritone or SonicJobs does not store or use your application data beyond facilitating the application.
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PandoLogic. Keywords: Utilization Review Supervisor, Location: Kansas City, MO - 64106

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