- Cognizant (Jefferson City, MO)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Jefferson City, MO)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Humana (Jefferson City, MO)
- …a part of our caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Communities is good for the Soul. Join Us!** The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- Fresenius Medical Center (Creve Coeur, MO)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Normandy, MO)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- Summary The Research Registered Nurse is located in the Clinical Trials Unit, Research & Education Service, VA St. Louis Health Care System (VASTLHCS), St. ... study participants in implementing study procedures. Responsibilities The Research Registered Nurse is located in the Clinical Trials Unit, Research &… more
- CVS Health (Jefferson City, MO)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Registered Nurse - Emergency Department position in Nursing Operations ... education, orientation, competencies and providing quality improvement and outcomes utilization . Provides urgent and emergent care to patients with...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- AdventHealth (Kansas City, MO)
- …Douglas and Miami Counties in Kansas. **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who ... requiring the use of advanced assessment, teaching and decision-making skills. The nurse is responsible for ensuring that appropriate referrals to other services are… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Saint Luke's (Lees Summit, MO)
- …Experience: 1 year Basic Life Support - American Heart Association or Red Cross, Registered Nurse - Various Bachelor's Degree - Science in Nursing **Job ... Description** **Saint Luke's East Hospita** l in **Lee's Summit, MO** is seeking a ** Nurse Care Coordinator** to join our team. Full Time : Monday - Friday 8-4:30… more
- Children's Mercy Kansas City (Kansas City, MO)
- …in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + One of the following: ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including...Licensed RN - Kansas, Registered Nurse Multistate License Kansas required upon… more
- Saint Luke's (Kansas City, MO)
- …of care and billing. **Job Requirements** Applicable Experience: Less than 1 year Registered Nurse - Various Associate Degree **Job Details** PRN Day (United ... **Job Description** The Utilization Review RN is responsible for assuring the...appropriate level of service and length of stay, using clinical guidelines (InterQual). + Complies with CMS regulation regarding… more
- BJC HealthCare (St. Louis, MO)
- …Nurses Credentialing Center. To provide the hospital with an additional source of Registered Nurses for use by all patient care areas within Barnes-Jewish Hospital. ... other staffing options are not available. To assist in the cost effective utilization of nursing personnel to promote the delivery of quality patient care.… more
- Lincoln Financial (Jefferson City, MO)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- Community Health Systems (Poplar Bluff, MO)
- …for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... huddles. + Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient rounding to evaluate… more
- SSM Health (St. Charles, MO)
- …Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered ... in standard work. + May also be responsible for: utilization management process, ED case management process, admission process,...of Professional Registration State of Work Location: Oklahoma + Registered Nurse (RN) Issued by Compact State… more
- SSM Health (St. Louis, MO)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse (RN) - Missouri Division of Professional Registration + Or + ... care and prevention program in order to achieve exceptional clinical outcomes. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES +... Registered Nurse (RN) Issued by Compact State… more
- Children's Mercy Kansas City (Kansas City, MO)
- …software program are all preferred. + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + One of the ... with physicians to do the following: monitor and report utilization of inpatient services and outpatient observation services including...following: Licensed RN - Kansas, Registered Nurse Multistate License Kansas required upon… more
- HCA Healthcare (Independence, MO)
- …and appropriate resource utilization . **What qualifications you will need:** + (RN) Registered Nurse + Bachelor's Degree, Registered Nurse Diploma, ... dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for promoting patient-centered… more