- BJC HealthCare (St. Louis, MO)
- …of RN experience performing care for hospitalized patients + 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity + ... quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization … more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based...+ One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon… more
- Veterans Affairs, Veterans Health Administration (MO)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- …nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Inpatient Staff Registered Nurse (RN) ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...The major duties and responsibilities of a Inpatient Staff Registered Nurse includes but are not limited… more
- Veterans Affairs, Veterans Health Administration (MO)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- … of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Registered Nurse - Med/ Surg position is located at the John Cochran ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Humana (Jefferson City, MO)
- …impact** **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state) with no disciplinary ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...in an acute care setting + Previous experience in utilization management/ utilization review for a… more
- HCA Healthcare (Kansas City, MO)
- …**Introduction** Do you want to join an organization that invests in you as a(an) Registered Nurse Asst Prof Masters? At Research College of Nursing, you come ... make a difference. We are looking for a dedicated Registered Nurse Asst Prof Masters like you...the College is teaching. 1. Teaching competence/excellence requires: 1. Utilization of standards of care 1. Integration of concepts… more
- Evolent (Jefferson City, MO)
- …**Qualifications Required and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors in Nursing (Must ... , you will be a key member of the utilization management team. We can offer you a meaningful way...be a Registered Nurse ) - **Required** + You must be… more
- Evolent (Jefferson City, MO)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more