PRN - 1 shift required every 2 weeks * MO/KS RN license required * Case Management experience ... The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient ...
New
PRN - 1 shift required every 2 weeks * MO/KS RN license required * Case Management experience ... The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient ...
New
PRN - 1 shift required every 2 weeks * MO/KS RN license required * Case Management experience ... The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient ...
New
PRN - 1 shift required every 2 weeks * MO/KS RN license required * Case Management experience ... The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient ...
PRN - 1 shift required every 2 weeks * MO/KS RN license required * Case Management experience ... The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient ...
PRN (as needed) This position does not have a set weekly schedule. You'll be called in to work when ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
PRN (as needed) This position does not have a set weekly schedule. You'll be called in to work when ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Tucson, AZ · On-site
PRN (as needed) This position does not have a set weekly schedule. You'll be called in to work when ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Tucson, AZ · On-site
PRN (as needed) This position does not have a set weekly schedule. You'll be called in to work when ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
... utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers. This role is PRN and requires ...
... utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers. This role is PRN and requires ...
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Watertown, SD · On-site
$28.09 - $44.81/hr
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Watertown, SD · On-site
$28.09 - $44.81/hr
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Kankakee, IL · On-site
$41.31/hr
The Utilization Review Nurse will play a crucial role in ensuring that patients receive appropriate and effective care while optimizing resource utilization. This position involves reviewing patient ...
Kankakee, IL · On-site
$41.31/hr
The Utilization Review Nurse will play a crucial role in ensuring that patients receive appropriate and effective care while optimizing resource utilization. This position involves reviewing patient ...
New Lenox, IL · On-site +1
$43/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...
New Lenox, IL · On-site +1
$43/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Bakersfield, CA · On-site
$27.07 - $33.37/hr
ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
Quick apply
Bakersfield, CA · On-site
$27.07 - $33.37/hr
ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT). Minimum [number] years of experience in [specialty]. BLS/CPR certification (ACLS, PALS, or others as required by specialty)
Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT). Minimum [number] years of experience in [specialty]. BLS/CPR certification (ACLS, PALS, or others as required by specialty)
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
Part-time
Posted 3 days ago
New
7.1
Based on 109 frontline employees who took The Breakroom Quiz
374th of 886 rated healthcare providers
Schedule: Day Shift
Status: PRN - 1 shift required every 2 weeks
MO/KS RN license required
Case Management experience preferred
Min of 2 years bedside experience preferred
Remote position; will cover all campuses
The Opportunity:
The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review and management. This position includes monitoring patient charts and utilization of health care services. Collaborates and communicates with physicians, Care Coordinators, Social Workers and other members of the multidisciplinary and revenue cycle teams.
Completes initial and concurrent reviews; identifies appropriate level of service and length of stay, using clinical guidelines (InterQual).
Complies with CMS regulation regarding utilization review/management.
Obtains and manages insurance authorizations and proactively works denials to help mitigate financial impact.
Submits referrals for secondary level review as appropriate and follows through on process.
Documents communication and work in electronic medical record.
Works with physicians and members of the multidisciplinary and revenue cycle teams to ensure appropriate level of service, level of care and billing.
Why Saint Luke's?
We believe in work/life balance.
We are dedicated to innovation and always looking for ways to improve.
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
Applicable Experience:
Less than 1 yearRegistered Nurse - VariousAssociate DegreeJob DetailsPRNDay (United States of America)The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
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Hospitals
10,000+ Employees
Kansas City, MO, US
1882