Top 24 Utilization review nurse Jobs in Arnold, Mo

Registered Nurse $10,000 Bonus
Optum —Creve Coeur, MO
- $75,450 - $113,174 a year
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Case Manager
SSM Health Rehabilitation Hospital —St. Louis, MO
- $77,000 - $105,000 a year
- 8 hour shift
- RN License
- Hospital
- Inpatient
- Dental insurance
- Paid time off
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Case Manager - Hospital Social Work
SSM Health Rehabilitation Hospital —St. Louis, MO
- $77,000 - $105,000 a year
- 8 hour shift
- RN License
- Hospital
- Inpatient
- Dental insurance
- Paid time off
Quick Apply
14d
RN Case Manager - PRN, Mindful Living Institute at Christian Hospital
BJC HealthCare —St. Louis, MO
- $33.60 - $51.40 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
3d
RN Case Manager, PRN - Barnes Jewish West County Hospital
BJC HealthCare —St. Louis, MO
- $33.60 - $51.40 an hour
- Weekends as needed
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
9d
RN Utilization Review Case Manager
Gateway Regional Medical Center —Granite City, IL
- $32 - $48 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Paid holidays
- Health insurance
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RN Case Manager - Barnes-Jewish Hospital
BJC HealthCare —St. Louis, MO
- $33.60 - $51.40 an hour
- 8 hour shift
- Nursing
- RN License
- Inpatient
- Disability insurance
- Health insurance
Registered Nurse - Case Manager
SSM Health —St. Louis, MO
- Full-time
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Health insurance
RN Case Manager - Barnes-Jewish Hospital (Friday - Monday)
BJC HealthCare —St. Louis, MO
- $33.60 - $51.39 an hour
- Full-time
- Nursing
- RN License
- Inpatient
- Disability insurance
- Health insurance
Senior Clinical Solutions Specialist
Medline Industries —St. Louis, MO
- $92,000 - $138,000 a year
- Full-time
- Microsoft Excel
- RN License
- Hospital
- Health insurance
- 401(k)
RN MDS Coordinator
Nexus Pavilion at Belleville —Belleville, IL
- $90,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Paid holidays
- Disability insurance
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Registered Nurse ( RN ), Home Health - Part Time
AW Health Care —Arnold, MO
- $75,000 - $90,000 a year
- 8 hour shift
- Nursing
- Heavy lifting
- RN License
- AD&D insurance
- Disability insurance
Quick Apply
Registered Nurse- Case Manager
SSM Health —Fenton, MO
- Full-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Health insurance
Registered Nurse ( RN ), Home Health
AW Health Care —Arnold, MO
- $75,000 - $90,000 a year
- Weekends as needed
- Nursing
- Heavy lifting
- RN License
- AD&D insurance
- Disability insurance
Quick Apply
Hospice Clinical Team Manager (RN Required)
VITAS Healthcare —St. Louis, MO
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge Group —United States
- $65,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Paid holidays
- Disability insurance

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Registered Nurse $10,000 Bonus
Optum —Creve Coeur, MO
Current and unrestricted RN licensure in state of practice. Supervises care provided by home health aides and licensed practical/vocational nurses, provides…
$75,450 - $113,174 a year
Quick Apply
Utilization Management Behavioral Health Professional
Humana —Missouri
Bachelor's degree in nursing OR a master's degree in a Human Services field with a professional individual or compact licensure in the state of Kentucky without…
$65,000 - $88,600 a year
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MDS Nurse Transition Leader
Otterbein SeniorLife —Columbus, OH
Licensure/Certification: Current OH RN license; RN license in IN a plus. Tuition Reimbursement up to $5,250 per year for ANY field of study.
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11d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
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Registered Nurse $10,000 Bonus

Optum -
Creve Coeur, MO

Quick Apply

Job Details

Full-time
$75,450 - $113,174 a year

Qualifications

CPR Certification
Home health care assistance
RN License
BLS Certification
In-home healthcare experience
Driver's License
Home health agency experience

Full Job Description

$10,000 Sign On Bonus

Explore opportunities with Elite Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.

Primary Responsibilities:

Clinical Competence
- Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals
- Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations
- Provides required supervisory visits
Documentation and Care Delivery
- Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members
- Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely
- Documents patient visits per policy and payer requirements, and syncs timely per LHC policy
Quality
- Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation
- Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians
- Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence
Teamwork
- Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning
- Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students
- Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes
- Participates in on-call and weekend rotation as needed to meet patient needs
- Adheres to and participates in the agency's utilization management model

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted RN licensure in state of practice
1+ years of Home Health experience
Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
Current CPR Certification
Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

Preferred Qualifications:

Ability to work independently
Solid communication, writing, and organizational skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The annual salary is $75,450 - $113,174 based on full-time employment. We comply with all minimum wage laws as applicable

#LHCJobs

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Refine Your Search

utilization review nurse jobs in arnold, mo

Registered Nurse $10,000 Bonus

Case Manager

Case Manager - Hospital Social Work

RN Case Manager - PRN, Mindful Living Institute at Christian Hospital

RN Case Manager, PRN - Barnes Jewish West County Hospital

RN Utilization Review Case Manager

RN Case Manager - Barnes-Jewish Hospital

Registered Nurse - Case Manager

RN Case Manager - Barnes-Jewish Hospital (Friday - Monday)

Senior Clinical Solutions Specialist

RN MDS Coordinator

Registered Nurse ( RN ), Home Health - Part Time

Registered Nurse- Case Manager

Registered Nurse ( RN ), Home Health

Hospice Clinical Team Manager (RN Required)

Medicaid Medical Review RN (Medical Reviewer III)

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