Job Title RN, Utilization Case Manager The RN, Utilization Case Manager will coordinate care ... Review chart notes and perform utilization management on patient/drug specific case basis.
Job Title RN, Utilization Case Manager The RN, Utilization Case Manager will coordinate care ... Review chart notes and perform utilization management on patient/drug specific case basis.
Utilization Review RN II, Care Coordination, Full-Time, Days
California, MO · On-site
$66.03 - $99.04/hr
## Utilization Review RN II, Care Coordination, Full-Time, DaysApplylocations: Greenbrae, CAtime type ... Denials submitted to the case management department from Patient Financial Services will be ...
Utilization Review RN II, Care Coordination, Full-Time, Days
California, MO · On-site
$66.03 - $99.04/hr
## Utilization Review RN II, Care Coordination, Full-Time, DaysApplylocations: Greenbrae, CAtime type ... Denials submitted to the case management department from Patient Financial Services will be ...
... RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies ... Review chart notes and perform utilization management on patient/drug specific case basis.
... RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies ... Review chart notes and perform utilization management on patient/drug specific case basis.
Review chart notes and perform utilization management on patient/drug specific case basis ... Current, active Registered Nurse (RN) license in good standing with the applicable State Board of ...
Review chart notes and perform utilization management on patient/drug specific case basis ... Current, active Registered Nurse (RN) license in good standing with the applicable State Board of ...
Review chart notes and perform utilization management on patient/drug specific case basis ... Current, active Registered Nurse (RN) license in good standing with the applicable State Board of ...
Review chart notes and perform utilization management on patient/drug specific case basis ... Current, active Registered Nurse (RN) license in good standing with the applicable State Board of ...
Review chart notes and perform utilization management on patient/drug specific case basis ... Current, active Registered Nurse (RN) license in good standing with the applicable State Board of ...
Review chart notes and perform utilization management on patient/drug specific case basis ... Current, active Registered Nurse (RN) license in good standing with the applicable State Board of ...
... review, and regulatory compliance initiatives, helping ensure patients receive the right care at ... Extensive Utilization Management experience or Case Management experience. * Strong understanding ...
... review, and regulatory compliance initiatives, helping ensure patients receive the right care at ... Extensive Utilization Management experience or Case Management experience. * Strong understanding ...
Utilization Review RN
Warrensburg, MO · On-site
... of data for case management metrics per the UM Plan. * Support the Medical Center quality ... Review patient's medical record for over, under and inappropriate utilization. Reviews for ...
Utilization Review RN
Warrensburg, MO · On-site
... of data for case management metrics per the UM Plan. * Support the Medical Center quality ... Review patient's medical record for over, under and inappropriate utilization. Reviews for ...
Current Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in the state of Missouri ... Certification in Case Management preferred * Strong verbal and written communication and ...
New
Current Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in the state of Missouri ... Certification in Case Management preferred * Strong verbal and written communication and ...
New
... or Registered Nurse (RN) license in the state of Missouri required - 3 - 5 years healthcare ... Case Management preferred - Strong verbal and written communication and facilitation skills ...
... or Registered Nurse (RN) license in the state of Missouri required - 3 - 5 years healthcare ... Case Management preferred - Strong verbal and written communication and facilitation skills ...
Nurse Manager of Case Management and Discharge Planning
California, MO · On-site
$250K/yr
... utilization review, discharge planning, regulatory compliance, team development, and complex ... registered nurses, social workers, physicians, therapists, pharmacists, and a diverse team of ...
New
Nurse Manager of Case Management and Discharge Planning
California, MO · On-site
$250K/yr
... utilization review, discharge planning, regulatory compliance, team development, and complex ... registered nurses, social workers, physicians, therapists, pharmacists, and a diverse team of ...
New
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
This is an In Office Position from Monday - Friday from 9 AM - 5 PM CST MO Registered Nurse or ... Prior review experience in healthcare, insurance, utilization management, quality assurance, or ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
This is an In Office Position from Monday - Friday from 9 AM - 5 PM CST MO Registered Nurse or ... Prior review experience in healthcare, insurance, utilization management, quality assurance, or ...
RN Case Manager - Case Management - Part time - Day Shift - Marina del Rey Hospital
California, MO · On-site
A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... Documents appropriate reviews for assigned patients using utilization review tool. * Provides ...
RN Case Manager - Case Management - Part time - Day Shift - Marina del Rey Hospital
California, MO · On-site
A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... Documents appropriate reviews for assigned patients using utilization review tool. * Provides ...
Case Manager, Registered Nurse
Jefferson City, MO · On-site
$54K - $155K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ... Perform medical necessity reviews. Required Qualifications * 5+ years' experience as a Registered ...
New
Case Manager, Registered Nurse
Jefferson City, MO · On-site
$54K - $155K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ... Perform medical necessity reviews. Required Qualifications * 5+ years' experience as a Registered ...
New
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
This is an In Office Position from Monday - Friday from 9 AM - 5 PM CST MO Registered Nurse or ... Prior review experience in healthcare, insurance, utilization management, quality assurance, or ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
This is an In Office Position from Monday - Friday from 9 AM - 5 PM CST MO Registered Nurse or ... Prior review experience in healthcare, insurance, utilization management, quality assurance, or ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
This is an In Office Position from Monday - Friday from 9 AM - 5 PM CST MO Registered Nurse or ... Prior review experience in healthcare, insurance, utilization management, quality assurance, or ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
This is an In Office Position from Monday - Friday from 9 AM - 5 PM CST MO Registered Nurse or ... Prior review experience in healthcare, insurance, utilization management, quality assurance, or ...
Review the daily census, prioritize cases, request relevant clinical information, and document ... Active, unencumbered California RN licensure * A minimum of two years of direct clinical RN ...
Review the daily census, prioritize cases, request relevant clinical information, and document ... Active, unencumbered California RN licensure * A minimum of two years of direct clinical RN ...
Currently seeking a Telephonic Nurse Case Manager. The qualified individual will need to be located ... Prior Utilization Review/Case Management experience preferred. Excellent interpersonal skills and ...
Currently seeking a Telephonic Nurse Case Manager. The qualified individual will need to be located ... Prior Utilization Review/Case Management experience preferred. Excellent interpersonal skills and ...
Currently seeking a Telephonic Nurse Case Manager. The qualified individual will need to be located ... Prior Utilization Review/Case Management experience preferred. Excellent interpersonal skills and ...
Currently seeking a Telephonic Nurse Case Manager. The qualified individual will need to be located ... Prior Utilization Review/Case Management experience preferred. Excellent interpersonal skills and ...
The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process. Skills and Abilities ...
The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process. Skills and Abilities ...
Utilization Review Case Management Rn information
What cities in Missouri are hiring for Utilization Review Case Management Rn jobs?
Cities in Missouri with the most Utilization Review Case Management Rn job openings:
RN, Utilization Case Manager - Archimedes
Earth City, MO • On-site
Archimedes
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 12 days ago
Job description
Job Title
RN, Utilization Case Manager
Job DescriptionThe RN, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.
ResponsibilitiesHow do I make an impact on my team?
- Review chart notes and perform utilization management on patient/drug specific case basis.
- Coordinate facilitation of patients' specialty drug treatment, ensuring timely delivery to the appropriate site of care.
- Handle case assignments, review case progress, properly document case notes, and determine case closure.
- Follow established procedures, processes, and standards for production, productivity, quality, and customer service. Meet performance targets for speed, efficiency, and quality.
- Complete care management clinical escalations. Escalate to account management as appropriate.
- Ensure all external and internal customers receive the level of customer service required by Archimedes and serve as a representative of Archimedes to all external customers.
- Participate in, adhere to, and support compliance, people and culture, and learning programs.
- Perform other duties as assigned.
What our team expects from you?
- Education: Associate's degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred. Master of Science in Nursing (MSN) a plus.
- Certification/Licenses: Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required.
- Experience:
- Utilization and Case management experience required.
- Experience in an infusion setting, physician office or pharmacy required.
- Experience with managing specialty medications for patients with chronic illness is highly preferred.
- Expert at Microsoft Office Suite.
What can you expect from Archimedes?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
502 Earth City Expy STE 300, Earth City, MO 63045, US