Utilization Review * Discipline: RN * Duration: Ongoing * Employment Type: Staff Registered Nurse (RN) - Hiring Now! As a RN Coord Quality, your voice to influence patient care is valued and ...
Utilization Review * Discipline: RN * Duration: Ongoing * Employment Type: Staff Registered Nurse (RN) - Hiring Now! As a RN Coord Quality, your voice to influence patient care is valued and ...
Utilization Review * Discipline: RN * Duration: Ongoing * Employment Type: Staff RN Quality Coordinator As a RN Coord Quality, your voice to influence patient care is valued and empowered at every ...
Utilization Review * Discipline: RN * Duration: Ongoing * Employment Type: Staff RN Quality Coordinator As a RN Coord Quality, your voice to influence patient care is valued and empowered at every ...
Manager Utilization Review
Saint Louis, MO ยท On-site
Job Summary The Utilization Review department carries with it the responsibility of managing those ... physicians, nurses, and therapists to ensure timely, accurate and complete assessments are ...
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Manager Utilization Review
Saint Louis, MO ยท On-site
Job Summary The Utilization Review department carries with it the responsibility of managing those ... physicians, nurses, and therapists to ensure timely, accurate and complete assessments are ...
Supervisor, Utilization Management (RN)
Columbia, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Columbia, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Saint Louis, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Saint Louis, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Jefferson City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Jefferson City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Florissant, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Florissant, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Kansas City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Kansas City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Positive relationships with physicians, nursing supervisors and senior administration are required ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Positive relationships with physicians, nursing supervisors and senior administration are required ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Positive relationships with physicians, nursing supervisors and senior administration are required ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Positive relationships with physicians, nursing supervisors and senior administration are required ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Positive relationships with physicians, nursing supervisors and senior administration are required ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Positive relationships with physicians, nursing supervisors and senior administration are required ...
Job Title Reviews planned, in process, or completed health care services to ensure medical ... If not an RN, must hold Masters or Doctoral Degree. If other than RN, Masters level licensed ...
Job Title Reviews planned, in process, or completed health care services to ensure medical ... If not an RN, must hold Masters or Doctoral Degree. If other than RN, Masters level licensed ...
Supervisor, Utilization Management (RN)
Jefferson City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Jefferson City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Columbia, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Columbia, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Saint Louis, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Saint Louis, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Kansas City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Kansas City, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Florissant, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
Supervisor, Utilization Management (RN)
Florissant, MO ยท On-site +1
$75K - $135K/yr
Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ... Knowledge of utilization management principles preferred. License/Certification: * RN - Registered ...
RN MDS Coordinator $5000 Sign on Bonus
Kansas City, MO ยท On-site
$36.25 - $43.75/hr
The ideal candidate will be a RN with previous experience in utilization review and care plan management.Kingswood Senior Living offers:$5000 Sign on Bonus paid over a year with payments every ...
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RN MDS Coordinator $5000 Sign on Bonus
Kansas City, MO ยท On-site
$36.25 - $43.75/hr
The ideal candidate will be a RN with previous experience in utilization review and care plan management.Kingswood Senior Living offers:$5000 Sign on Bonus paid over a year with payments every ...
RN MDS Coordinator $5000 Sign on Bonus
Kansas City, MO ยท On-site
$36.25 - $43.75/hr
The ideal candidate will be a RN with previous experience in utilization review and care plan management. Kingswood Senior Living offers: * $5000 Sign on Bonus paid over a year with payments every ...
RN MDS Coordinator $5000 Sign on Bonus
Kansas City, MO ยท On-site
$36.25 - $43.75/hr
The ideal candidate will be a RN with previous experience in utilization review and care plan management. Kingswood Senior Living offers: * $5000 Sign on Bonus paid over a year with payments every ...
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 information
See Missouri salary details
$20.07 - $24.13
2% of jobs
$24.13 - $28.19
9% of jobs
$30.96 is the 25th percentile. Wages below this are outliers.
$28.19 - $32.24
21% of jobs
The median wage is $35.53 / hr.
$32.24 - $36.30
23% of jobs
$36.30 - $40.36
13% of jobs
$43.52 is the 75th percentile. Wages above this are outliers.
$40.36 - $44.42
10% of jobs
$44.42 - $48.48
8% of jobs
$48.48 - $52.54
5% of jobs
$52.54 - $56.60
5% of jobs
$56.60 - $60.65
2% of jobs
$60.65 - $64.71
2% of jobs
$20
$39
$64
How much do utilization review rn jobs pay per hour?
How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?
What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?
How to get into utilization review as a registered nurse?
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.
What is a utilization review RN?
- Remote Medical Review Nurse
- Independent Contractor Remote Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Evening Utilization Review Nurse
- Per Diem Utilization Review Nurse
- No Experience Utilization Review Nurse
- Home Based Utilization Review Nurse
- Part Time Utilization Review Nurse
- Utilization Review Nurse
- Evening Optum Health Utilization Review
- From Home Anthem Utilization Review Nurse
- Seasonal Remote Utilization Review
- Remote Insurance Utilization Review
- Volunteer Navihealth Utilization Review
- Therapy Utilization Review
- Lpn Utilization Review Nurse
- Temporary Aetna Utilization Review Nurse
- Remote Navihealth Utilization Review
- Utilization Review
- Optum Utilization Review Nurse

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 4 days ago
Job description
Perm Staff Jobs is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Independence, Missouri.
Job Description & Requirements- Specialty: Utilization Review
- Discipline: RN
- Duration: Ongoing
- Employment Type: Staff
As a RN Coord Quality, your voice to influence patient care is valued and empowered at every turn โwhether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.
Job Summary and Qualifications This is not a remote position. You would be working in the hospital.Performs medical record reviews to examine and assess provider documentation and to ensure patient severity of illness and health acuity is accurately reflected. This is accomplished by performing prospective, concurrent and retrospective review of various types of patient medical records from multiple settings. The Clinical Reviewer assessments also provide guidance for ongoing provider coaching, training and facilitation. Adheres to policies, procedures and regulations to ensure compliance and patient safety.
What qualifications you will need:
- (RN) Registered Nurse
- Associate Degree, or Bachelors Degree
- 2 years of quality or performance improvement experience is preferred
Centerpoint Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursingโs future."
Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC
Senior Vice President and Chief Nurse Executive
HCA Healthcare
Centerpoint Medical Center is a 285+ bed hospital featuring state-of-the-art equipment and technology. Our hospital offers some of the latest clinical services available to patients. We remain focused on providing compaยญssionate care and top-notch customer service for our patients. We offer many features for visitors, including sleeper chairs in patient rooms, comfortable waiting areas, and wireless internet access. We are a Level II Trauma Center with 24/7 emergency services and an accredited Chest Pain Center. Our Orthopedic Services include Total Joints and Sports Medicine. We are an accredited Cancer Program and Breast Center. We provide Womenโs Services, a Level III Neonatal Intensive Care Unit, and a Stroke Center. Our Outpatient Services include a Surgery Center, Advanced Wound Care Center, Pain Center, Sleep Disorder Center, Imaging, and Rehab. We are part of HCA Midwest Health, a network of hospitals in Kansas City and surrounding areas.
HCA Healthcare has been recognized as one of the Worldโs Most Ethical Companiesยฎ by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
If this opportunity is your next step in your career path, we encourage you to apply for our RN Coord Quality opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.