Trabajos utilization management en Saint Louis, Missouri (MO) State

It's more than a career, it's a calling MO-SSM Health St. Mary's Hospital - St. Louis Worker Type: Regular Job Highlights: Department:  Care Coordination Patient Population or Ratio: Inpatient Schedule: Full-time, Monday-Friday, 8:00am-4:30pm Shift Differentials:  N/A Location:  SSM Healt...

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Department:  Care Coordination Patient Population or Ratio: Inpatient Schedule:  Full-time, Monday-Friday, 8:00am-5:00pm Shift Differentials:  N/A Location:  SSM Heal...

... and utilization of services, equipment, and supplies through activities such as random patient ... Enters infections and incidents/occurrences into the online Risk Management Incident Reporting ...

Responsibilities and Essential Functions * Responsible for development of clinical policy, clinical review decisions, appeals, audits, and other clinical functions, supported by program clinical leaders, and implement corrective actions when required * Oversee the company's qu...

Lead efforts with Growth/Account Management and Client Management leadership in analyzing the market to make strategic recommendations on the solution set. The role will also be responsible for focus on management of complementary capabilities such as Network Ops and Claims that deliver better va...

Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and...

The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. Responsible for URAC, NCQA, state departments of insurance, and similar accreditors/regulators for the performance of all utilization management (UM) program...

Lead efforts with Growth/Account Management and Client Management leadership in analyzing the market to make strategic recommendations on the solution set. The role will also be responsible for focus on management of complementary capabilities such as Network Ops and Claims that deliver better va...

LocumJobsOnline is working with CompHealth to find a qualified Anesthesiology CRNA in St.Please ask for David Siegel at 954.Come to America's Heartland and explore this exciting, midwestern city and all it has to offer! Visit the Gateway Arch or take a tram ride to the Mississippi River.From mus...

TotalMed Case Management Staffing is seeking a travel nurse RN Home Health for a travel nursing job in St. TotalMed Case Management Staffing Job ID #1517455. About TotalMed Case Management Staffing. ...

Safe Practice/Quality Care/Regulations • Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes • Demonstrates accountability for nursing research and quality improvement activities • Provides evidence-based nursing care • Communicate...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered...

BenefitsRegistered Nurse (RN) hourly pay range: $46-$56 (25% higher than average)Choose the facilities and shifts you prefer (such as per diem, overnight, etc. Get paid an hourly rate of up to $56 as a Registered Nurse (RN) in Granite City, IL (and the wider region), while enjoying both W2 benefi...

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONSState of Work Location: Illinois+ Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)State of Work Location: Missouri+ Registered Nurse (RN) Issued by Compact State+ Or+ Regist...

RN Home Health Case Manager* Full Time: Monday - Friday, Days* St. As a Home Health Case Manager, you will play a vital role in delivering hands-on patient care right in the comfort of their own homes. We are committed to supporting you throughout your journey, assisting you in overcoming the dai...

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONSState of Work Location: Illinois+ Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)State of Work Location: Missouri+ Registered Nurse (RN) Issued by Compact State+ Or+ Regist...

TotalMed Case Management Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Saint Louis, Missouri. TotalMed Case Management Staffing Job ID #1542758. About TotalMed Case Management Staffing. ...

Client in MO seeking Home Health RN to work days. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. You can earn our Club CoreMed vacation by working contracts and referring other travel profession...

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONSState of Work Location: Illinois+ Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)State of Work Location: Missouri+ Registered Nurse (RN) Issued by Compact State+ Or+ Regist...

Gifted Healthcare believes in the power one person has to make a difference in a patient's care, inspiring Gifted's mission to help nurses thrive and advance their careers by providing. MedSurg RNs provide bedside care for a variety of patients and execute individualized patient assessments to cr...

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONSState of Work Location: Illinois+ Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)+ And+ Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)+ ...

Works collaboratively with physicians and interdisciplinary staff, internal and external to the organization, to identify and resolve issues. The Case Management Department provides services through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates opt...

Additional Information About the RoleHospital or Insurance Registered Nurses with Utilization Review Experience!Are you looking for a stable work-from-home opportunity? We have a fantastic opening for a remote local RN position. Ensure appropriate utilization, which includes the evaluation of pot...