Top 40 Utilization review case Jobs in O'fallon, Il

Director of Quality Management - Inpatient Rehab
SSM Health Rehabilitation Hospital —St. Louis, MO
- Part-time
- Nursing
- RN License
- Hospital
- Dental insurance
- Paid time off
Quick Apply
Reassessor
Center for Human Services —St. Louis, MO
- $22.36 an hour
- Full-time
- Hybrid work
- Experience working with individuals with disabilities
- Mid-level
- Driver's License
Quick Apply
MDS Coordinator RN $5,000 Sign On Bonus
EverVella of Swansea —Swansea, IL
- $90,000 - $100,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
5d
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
Quick Apply
Lead Transportation Assistant
US Veterans Health Administration —St. Louis, MO
- $51,740 - $67,264 a year
- Online Application
- Background check
- Psychiatry
- Writing skills
4d
Correctional Case Worker
City of St. Louis —St. Louis, MO
- $38,974 - $58,500 a year
- Full-time
- Addiction Medicine
- Basic math
- Mid-level
Foster Care Case Manager
EPWORTH CHILDREN & FAMILY SERVICES INC —St. Louis, MO
- $42,000 - $45,000 a year
- Microsoft Word
- Mid-level
- Driver's License
Clinical Social Worker
BJC HealthCare —Alton, IL
- $63,024.00 - $102,627.20 a year
- Full-time
- Acute care
- Master of Social Work
- Licensed Clinical Social Worker
- Disability insurance
- Health insurance
MDS Coordinator
Evercare at University —Edwardsville, IL
- $80,000 - $90,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Physical & Rehabilitation Medicine
Quick Apply
1d
Global Clinical Program Strategy Senior Advisor - Cigna Healthcare - Hybrid
The Cigna Group —St. Louis, MO
- $116,200 - $193,600 a year
- Online Application
- Nursing
- 5 years
- Bachelor's degree
- Paid holidays
- Health insurance
UR Coordinator
Arch Vista —St. Louis, MO
- $15 - $22 an hour
- Psychiatry
- Adults
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
2d
Global Clinical Program Strategy Director - Cigna Healthcare - Hybrid
The Cigna Group —St. Louis, MO
- $141,500 - $235,900 a year
- Online Application
- 8 years
- Case management
- Fair chance
- Paid holidays
- Health insurance
Community Based Therapist
Hoyleton Youth and Family Services —Fairview Heights, IL
- $52,624 - $65,780 a year
- Full-time
- Licensed Clinical Social Worker
- Adults
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Registered Nurse - Accreditation Coordinator
US Veterans Health Administration —Jefferson Barracks, MO
- $75,487 - $153,842 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
5d
Generations Director
Edward Jones —St. Louis, MO
- $144,000 - $245,100 a year
- Full-time
- Hybrid work
- 11+ years
- Office
- Analysis skills
- Profit sharing
- Health savings account
15h
Direct Support Professional
Black Jack, MO
- Overtime
- 18 years or older
- Computer literacy
- Mid-level
- Flexible schedule
Home Health Clinical Field Manager
Apollo Medical —Belleville, IL
- Full-time
- RN License
- Mid-level
- Office
- Mileage reimbursement
- Paid holidays
Quick Apply
School Based Support Specialist Supervisor
Burrell Behavioral Health —St. Louis, MO
- Weekends as needed
- Basic math
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
9d
Registered Nurse- Chief Nursing Informatics Officer
US Veterans Health Administration —Jefferson Barracks, MO
- $155,783 - $207,186 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
8d
GI Scheduling/Capacity Manager-RN
BJC HealthCare —St. Louis, MO
- $76,252.80 - $124,155.20 a year
- Full-time
- Nursing
- Mid-level
- Operating room
- Disability insurance
- Health insurance
4d

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utilization review case jobs near o'fallon, il

Director of Quality Management - Inpatient Rehab

SSM Health Rehabilitation Hospital -
St. Louis, MO

Quick Apply

Job Details

Part-time | Full-time

Benefits

Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Paid sick time

Qualifications

RN License

Full Job Description

Overview:

SSM Health Rehabilitation Hosptial
A joint venture with Select Medical
Position: Director of Quality Management
Location: Bridgeton, MO

Bonus incentives
Extensive onboarding and training program
Customizable health insurance packages

Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas.

We support your career growth and personal well-being:

Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part time employees.
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Who We Are

Responsibilities:

Coordinates the Medical Quality Management and Performance Improvement activities to measurably enhance the quality, process and cost effectiveness of patient and customer services rendered. Coordinates the Performance Improvement and Patient Safety programs in accordance with the guidelines and regulatory requirements of Federal and State regulations on a hospital-wide basis. Oversees operations of the Infection Control and Employee Health Programs. Develops and Reviews policies and procedures to ensure compliance with all regulatory and accrediting standards. Collects data to monitor compliance and/or trends.

Institutes and monitors the Hospital’s CQI Processes, utilizing data analysis measuring tools. Oversight/coordination of operations of the Infection Control & Employee Health Program based upon hospital size and configuration.
Assists with the design and compliance of quality processes/activities in the areas of clinical/medical staff PI for all applicable clinical/medical TJC /CARF/DOH standards. Assists with all assigned activities to assure that the hospital maintains accreditation, certification and licensure. Assumes leadership with the Joint Commission and DOH as well as other regulatory agencies with regard to CQI activities.
Serves as a resource for all departments within the facility to provide guidance on designing, implementing, analyzing and reporting on Quality Improvement.
Assists clinical areas in developing criteria, monitoring and reporting mechanisms and action documentation related to the hospital’s CQI program.
Performs basic chart review activities with appropriate staff for outcome utilization, infection control and medical CQI indicators. Analyzes results of chart review activities with appropriate staff and confers with department staff on any case requiring special attention.
Prepares analysis of significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators.

Qualifications:

Minimum Qualifications

Registered Nurse with valid state license. Legacy employees may exist with other clinical licensure.
Requires experience in at least one of the core areas of responsibility: Quality, Survey Readiness, Risk Management, Infection Control, Employee Health and Education
Demonstrates familiarity with accrediting standards, including TJC and CARF preferred.

Preferred Experience

Previous experience in Quality Improvement, with Statistical Process Control experience and computer skills preferred.
Demonstrates familiarity with accrediting standards, including JCAHO and CARF preferred.
Certified Professional in Healthcare Quality (CPHQ) preferred

Additional Data:

Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Equal Opportunity Employer, including Disabled/Veterans

Quick Apply

Refine Your Search

utilization review case jobs in o'fallon, il

Director of Quality Management - Inpatient Rehab

Reassessor

MDS Coordinator RN $5,000 Sign On Bonus

RN Utilization Review Case Manager

Lead Transportation Assistant

Correctional Case Worker

Foster Care Case Manager

Clinical Social Worker

MDS Coordinator

Global Clinical Program Strategy Senior Advisor - Cigna Healthcare - Hybrid

UR Coordinator

Global Clinical Program Strategy Director - Cigna Healthcare - Hybrid

Community Based Therapist

Registered Nurse - Accreditation Coordinator

Generations Director

Direct Support Professional

Home Health Clinical Field Manager

School Based Support Specialist Supervisor

Registered Nurse- Chief Nursing Informatics Officer

GI Scheduling/Capacity Manager-RN

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