Clinical Review Nurse - St. Louis

Clinical Review Nurse · Job Description · Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program operates in eight states and may expand further i ...

Job Title: Registered Nurse (RN) - Utilization ManagementJob Description · Join our dynamic team as a Registered Nurse in a brand new duals program for 2026, where you will manage both Medicare and Medicaid requirements. This program is currently active in eight states and may ex ...

Job Title: Registered Nurse (RN) - Utilization Management · Job Description · Join our dynamic team as a Registered Nurse in a brand new duals program for 2026, where you will manage both Medicare and Medicaid requirements. This program is currently active in eight states and may ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

Job Title: Registered Nurse - Duals Program Utilization Management · Job Description · Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program oper ...

Clinical Review Nurse · Job Description · Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program operates in eight states and may expand further i ...

Clinical Review Nurse · Job Description · Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program operates in eight states and may expand further i ...

Clinical Review Nurse · Job Description · Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program operates in eight states and may expand further i ...

This is a great opportunity for a local remote position. Ensure that the administration of hospital resources are appropriate, efficient and fall within the parameters of the patient's payment structure while providing safe and quality care. · Uses clinical and analytical skills ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

Additional Information About The Role · This is a great opportunity for a local remote position · Benefits eligible · Monday - Friday; days; 6:30am-3:00pm · 40 hours per week · Saturday rotation (approximately 4 per year) · No nights, no holidays, no call · Onsite Orientation/tra ...

+This is a great opportunity for a local remote position at St. Louis Children's Hospital. · +Uses clinical and analytical skills to review and interpret diagnostic test results to determine appropriateness of patient's level of care. · +Comprehensive medical, dental, vison, life ...

Job Title: Registered Nurse (RN) - Utilization ManagementJob Description · Join our dynamic team as a Registered Nurse in a brand new duals program for 2026, where you will manage both Medicare and Medicaid requirements. This program is currently active in eight states and may ex ...

GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland. · Job Description & Requirements · Specialty: · Utilization Review · Discipline: · RN · Duration: · 13 weeks · 40 hours per week · Shift: · 8 hours, days · Employment T ...

This role ensures appropriate utilization of hospital resources while providing safe and quality care. · Evaluate the cost and quality of medical services provided by the medical team. · ...

This is a great opportunity for a local remote position with no communication with patients. The position will support the Medicare team. · ...

GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland. · Job Description & RequirementsSpecialty:Utilization Review · Discipline:RN · Duration:13 weeks · 40 hours per week · Shift:8 hours, days · Employment Type:TravelShift ...

Find your calling at Mercy. Utilization Management for the assigned inpatient Care Management population. · ...

Find your calling at Mercy Utilization Management for the assigned inpatient Care Management population. · Facilitate an effective process of the Mercy Care Management model; supporting quality patient care safety and financial components; · ...