• Utilization Review Registered

    BJC HealthCare (St. Louis, MO)
    …of RN experience providing care for hospitalized patients - 2 years of Utilization Review experience reviewing hospital admissions for medical necessity - Must ... quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization more
    BJC HealthCare (05/14/25)
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  • Acute Nurse Case Manager (RN)

    ChenMed (St. Louis, MO)
    … and discharge planning. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Utilization Review (UR) and discharge planning + Strong interpersonal and ... a related clinical field preferred + A valid, active Registered Nurse (RN) license in State of...experience required + A minimum of 1 year of utilization review and/or case management, home health,… more
    ChenMed (03/25/25)
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  • RN Clinical Manager, Home Health

    CenterWell (St. Louis, MO)
    review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (05/09/25)
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