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Utilization review nurse jobs in Illinois - 513 jobs

  • Experienced Nurse Navigator - Spine and Pain Setting

    Mercy 4.5company rating

    Utilization review nurse job in East Saint Louis, IL

    Find your calling at Mercy!Are you an experienced nurse with a dynamic personality and a passion for patient care? Mercy is looking for a Spine & Pain Nurse Navigator who will be the trusted guide for patients throughout their spine and pain care journey. This is more than care coordination-it's about building relationships, providing education, and advocating for patients to ensure they receive seamless, personalized treatment.Position Details: Nurse Navigator - Mercy Clinics South - Spine & Pain Location: Mercy Southfork, 12700 Southfork Rd, Saint Louis, Missouri 63128 Schedule: Full-Time | 40 hours/week | Day Shift What You'll Do: Be the patient's go-to resource from start to finish, offering guidance and support every step of the way. Break down barriers by connecting patients with the right services and specialists. Ensure timely, safe, and effective care while creating an exceptional patient experience. Educate and empower patients to make informed decisions about their treatment. Treat every patient and family with dignity, compassion, and respect. What We're Looking For: Registered Nurse (RN) with relevant clinical experience. Strong communication skills and a dynamic, engaging personality. Ability to work collaboratively across multiple disciplines. Passion for patient advocacy and education. Qualifications: • Experience: 2-3 years' experience required. • Preferred Experience: 3 years of Spine/Pain • Required Education: Graduate from approved school of Current RN (Registered Nurse) license in state of practice • Preferred Education: Bachelor's Degree • Certifications: BLS (Basic Life Support) and ACLS (Advanced Cardiac Life Support) required within 90 days of hire/transfer. • Preferred Certification: Pain Management Nurse Certification • Preferred Skills: Biopsychosocial assessment skills, time management skills; effectively utilize resources to meet patient needs • Preferred Other: Public speaking skills, easily understands and integrates new information, experienced with evidence based best practice and protocol development/improvement. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you‘ll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you‘ll grow with us. keyword(s): nurse navigator, spine and pain management, RN By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at about/legal-notices/ and Privacy Policy at about/legal-notices/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions
    $34k-62k yearly est. 1d ago
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  • Travel Labor & Delivery/Postpartum Nurse - $2,776 per week

    American Traveler 3.5company rating

    Utilization review nurse job in Macomb, IL

    American Traveler is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Macomb, Illinois. & Requirements Specialty: Labor and Delivery Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, rotating Employment Type: Travel Job Description American Traveler is seeking an experienced RN for a Labor & Delivery, Postpartum, and Mother-Baby position requiring IL licensure, Cerner EMR familiarity, and the ability to care for laboring and postpartum patients. Responsibilities Work in an acute care Obstetrics unit managing Labor & Delivery, Postpartum, and Mother-Baby patients Unit features 3 L&D rooms, 1 OB-specific OR, 4 triage beds, and 7 postpartum beds Supports approximately 300 births per year and uses AWHONN staffing guidelines 12-hour rotating day and night shifts, with heavier nights and scheduling flexibility Required to work two weekends per month and cover holiday shifts No on-call responsibilities for travelers Floating may be required to assist other departments Cerner EMR and EFM system used for documentation and fetal strip reading Unit-specific onboarding is provided Team consists of RN staff, a charge nurse, and house supervisor support No 24/7 in-house OB or neonatologist coverage Scrubs are provided and must be worn with black shoes, black pants, and a purple top Respiratory equipment such as ventilators, CPAP, and BiPAP is available for use Holiday shift coverage is required First-time travelers are eligible for consideration Requirements Active IL RN license required Minimum of 2 years recent Labor & Delivery, newborn nursery, and postpartum nursing experience Current BLS and NRP certifications required Experience with titrating magnesium sulfate and Pitocin Ability to care for patients with diagnoses such as preeclampsia, gestational hypertension, gestational diabetes, fetal growth restriction, and large-for-gestational-age Ability to read fetal monitoring strips using Cerner Benefits High Pay and Bonuses Medical, Dental and Vision Insurance with Day 1 Options 401(k) Plan Weekly Payroll Deposit Free Online CEUs Generous Housing Allowance Travel and Licensure Reimbursements Non-taxed Per Diem and Subsidy Traveler Rewards and Discounts American Traveler Job ID #P-658353. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Labor & Delivery - Obstetrics About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements. American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment. With our team behind you, you can relax and enjoy a rewarding travel career.
    $70k-134k yearly est. 1d ago
  • Experienced Nurse Navigator - Spine and Pain Setting

    Mercy 4.5company rating

    Utilization review nurse job in Belleville, IL

    Find your calling at Mercy!Are you an experienced nurse with a dynamic personality and a passion for patient care? Mercy is looking for a Spine & Pain Nurse Navigator who will be the trusted guide for patients throughout their spine and pain care journey. This is more than care coordination-it's about building relationships, providing education, and advocating for patients to ensure they receive seamless, personalized treatment.Position Details: Nurse Navigator - Mercy Clinics South - Spine & Pain Location: Mercy Southfork, 12700 Southfork Rd, Saint Louis, Missouri 63128 Schedule: Full-Time | 40 hours/week | Day Shift What You'll Do: Be the patient's go-to resource from start to finish, offering guidance and support every step of the way. Break down barriers by connecting patients with the right services and specialists. Ensure timely, safe, and effective care while creating an exceptional patient experience. Educate and empower patients to make informed decisions about their treatment. Treat every patient and family with dignity, compassion, and respect. What We're Looking For: Registered Nurse (RN) with relevant clinical experience. Strong communication skills and a dynamic, engaging personality. Ability to work collaboratively across multiple disciplines. Passion for patient advocacy and education. Qualifications: • Experience: 2-3 years' experience required. • Preferred Experience: 3 years of Spine/Pain • Required Education: Graduate from approved school of Current RN (Registered Nurse) license in state of practice • Preferred Education: Bachelor's Degree • Certifications: BLS (Basic Life Support) and ACLS (Advanced Cardiac Life Support) required within 90 days of hire/transfer. • Preferred Certification: Pain Management Nurse Certification • Preferred Skills: Biopsychosocial assessment skills, time management skills; effectively utilize resources to meet patient needs • Preferred Other: Public speaking skills, easily understands and integrates new information, experienced with evidence based best practice and protocol development/improvement. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you‘ll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you‘ll grow with us. keyword(s): nurse navigator, spine and pain management, RN By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at about/legal-notices/ and Privacy Policy at about/legal-notices/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions
    $34k-62k yearly est. 2d ago
  • Travel Cardiac Pre-Op Nurse - $2,337 per week

    Anders Group 4.2company rating

    Utilization review nurse job in Decatur, IL

    Anders Group is seeking a travel nurse RN Preoperative for a travel nursing job in Decatur, Georgia. Job Description & Requirements Specialty: Preoperative Discipline: RN 40 hours per week Shift: 10 hours, days Employment Type: Travel Anders Group Job ID #972357. Pay package is based on 10 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: DEC-COA/ARU RN Pre-Op About Anders Group WHY ANDERS? Anders Group is a Joint Commission accredited staffing agency and stands out from other agencies by our commitment to making sure our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates! Anders Group offers rewarding assignments and competitive compensation packages, nationwide! We offer the following benefits from day one: Health Insurance, Including a Buy-up Option Dental Insurance Vision Insurance Life Insurance 401(k) Licensure Reimbursement Premium Pay Packages CEU Reimbursements Daily Per Diems Travel Reimbursements Rental Car Allowances Continuing Education Resources Referral Bonus And Many More! THE ANDERS DIFFERENCE You're committed to providing exceptional healthcare. We're committed to you. Anders Group was founded by a team of healthcare recruiters who had built strong relationships with healthcare facilities and professionals nationwide. As staffing firms shifted their focus to numbers and margins, these recruiters saw a need for a company to take a different approach to staffing. Anders Group was founded in 2010 to do just that. We focus on individual and facility goals to make quality placements. Great people working with great facilities make for the best placements. Through our focus on providing the best experience to Allied and Nursing health care professionals, Anders Group has grown to be a top staffing firm in Healthcare. We look forward to working with you! Benefits Medical benefits Dental benefits Vision benefits Life insurance 401k retirement plan License and certification reimbursement Continuing Education Referral bonus
    $66k-124k yearly est. 1d ago
  • Regional Nurse Consultant

    Bria 3.6company rating

    Utilization review nurse job in Skokie, IL

    Join us at the Nexus of care and compassion. Regional Nurse Consultant Benefits: Employee rewards program BCBS healthcare coverage 401k PTO package and paid holidays Team-oriented work environment Regional Nurse Consultant Responsibilities: As a Regional Nurse Consultant, you will responsible for regulatory requirements, programs, processes, and outcomes in your facilities. You will develop and implement nursing policies, standards, and practices. You will responsible for nursing strategic planning. You will oversee proper nursing department budgeting across facilities. You will review facility level master schedules. You will oversee survey management. Requirements: Regional Nurse Consultant Qualifications: Registered Nurse in the State of Illinois in good standing Master's degree in nursing, preferred 5 years of nursing leadership experience at the corporate level Minimum of 10 years as a Registered Nurse Experience overseeing large nursing teams At least 5 years in LTC and knowledge of LTC regulations keywords: chief of nursing services, skilled nursing finance, registered nurse, rn Compensation details: 140000-150000 Yearly Salary PIc13bb1380c28-37***********8
    $58k-72k yearly est. 1d ago
  • NP or PA-Skin Cancer Screenings

    Tandym Group

    Utilization review nurse job in Springfield, IL

    We are seeking a dedicated provider in Springfield, IL for a position focusing on skin cancer screenings. This role requires strong clinical knowledge and excellent interpersonal skills to ensure a positive patient experience. About the Opportunity: Shift: January 21, 8:00 AM - 4:00 PM; January 22, 8:00 AM - 9:30 AM and 1:00 PM - 4:00 PM Schedule: Wednesday and Thursday Hours: 8:00 AM to 4:00 PM Setting: On-site at the Illinois State Fairgrounds Responsibilities: Conducting visual skin exams Identifying sun damage or suspicious moles Providing sun-protection guidance Documenting findings in EMR Ensuring a positive and caring patient experience Qualifications: Experience in skin cancer screenings Relevant healthcare degree EMR documentation proficiency Ability to provide sun-protection guidance Strong interpersonal skills Excellent bedside manner Professionalism Attention to detail Desired Skills: Local to Springfield, IL Specialization in dermatology or a related field Certification in dermatology care (if applicable) Strong communication skills Empathy and patience with patients
    $45k-71k yearly est. 20h ago
  • Infusion Nurse

    Silver Cross Hospital 4.4company rating

    Utilization review nurse job in New Lenox, IL

    Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated. Summary: Provides professional nursing skills in assessing, planning, implementing, and evaluating the nursing care for assigned patients. The Registered Nurse provides care consistent with the standards of professional nursing. Provides leadership and supervision to CNA/SNA and other healthcare workers as assigned. Requirements: Currently licensed as a Registered Nurse in the state of Illinois CPR certified OCN/ONS certified 1+ year infusion experience strongly preferred *Sign-on Bonus* Work Shift Details: Days, variable start times of 7:30a-8:30a M-F, no holidays or weekends Benefits for You At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members. Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes: · Medical, Dental and Vision plans · Life Insurance · Flexible Spending Account · Other voluntary benefit plans · PTO and Sick time · 401(k) plan with a match · Wellness program · Tuition Reimbursement The expected pay for this position is listed below: $28.17 - $35.21 The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
    $56k-69k yearly est. 1d ago
  • Ambulatory Nurse

    BJC 4.6company rating

    Utilization review nurse job in Alton, IL

    Additional Information About the Role 40 hours per week Dayshift Monday-Friday 7:30am-4:00pm No weekends or holidays! BJC Medical Group is the multi-specialty physician organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with the top-ranked hospitals in the area. Since 1994, BJC Medical Group has provided access to the world's best medicine through caring people and integrated systems. The providers are nationally recognized for excellent patient satisfaction and quality health care. BJC Medical Group physicians are trained and certified in over 25 medical specialties and serve patients in more than 125 locations in the greater St. Louis, mid-Missouri and southern Illinois areas. Aton and Riedel specialize in Internal Medicine and Gastroenterology and is located in Alton, Illinois. Preferred Qualifications Role Purpose Provides direct patient care to identified patients in collaboration with providers and care team to assess, develop and implement a plan of care to deliver clinically appropriate, high-quality, cost-effective care. The ambulatory RN offers oversight/guidance to clinical staff working in the clinic and helps to support providers with daily patient management. Responsibilities Collaborate with PCPs and Specialists to develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. Uses critical nursing skills to assess and evaluate patient's physical, psychosocial and emotional needs. Assures that clinical protocols and patient assessment guidelines are followed in accordance with standard operating procedures and compliance guidelines. Supports providers in appropriately documenting patient assessment and treatment protocols in accordance with compliance standards. Provides patient education and support, including verbal and written instructions; uses the appropriate tools and techniques to assess the patient's and/or family's ability to receive education; takes initiative to problem solve and demonstrates critical thinking skills. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience 2-5 years Supervisor Experience No Experience Licenses & Certifications Basic Life Support (BLS) RN Preferred Requirements Education Bachelor's Degree - Nursing Experience 5-10 years Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
    $35k-66k yearly est. 7d ago
  • vICU Nurse (Non-Exempt)

    Mercy Health 4.4company rating

    Utilization review nurse job in Alton, IL

    Find your calling at Mercy!Provides TeleICU (eICU) nursing care to a diverse population of critically ill ICU patients across multiple hospitals. Collects data and provides tele-nursing care. Assesses, and collaborates with other TeleICU personnel and the bedside team via audio/video connections during patients ICU stay to achieve optimal patient outcomes. Discusses patient care issues with physicians and other health care team members. Maintains professional accountability for provision of patient care for the assigned patients. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent our mission, values and Mercy Service Standards.Position Details: Minimum Qualifications: Education: Must have either a current RN Temporary Permit/RN license in the state of practice Licensure: State Licensure in state of practice & Multi-state licensure required within 6 months of hire. Experience: Minimum 2 years recent ICU nursing experience Certifications: CPR required ACLS required. Preferred Qualifications Education: BSN. Experience: Charge nurse experience. Knowledge, Skills, and Abilities: - Requires excellent communication skills and able to collaborate effectively within a team environment. - Must have the ability to independently practice and prioritize demands in an ever-changing, dynamic environment. - Must demonstrate understanding of pathophysiology and common problems and solutions associated with adult ICU patients. Physical Requirements: - The physical demands described here are the representative of the minimums that must be met by an employee to perform all essential functions of the job. Most physical demands are below, plus: - Minimal: push/pull < 10 lbs. force; grip; pinch grip, Frequent: hand coordination Continuous: data entry Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. By applying, you consent to your information being transmitted by JobFlow to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
    $31k-64k yearly est. 6d ago
  • Utilization Review Registered Nurse

    Hines 4.3company rating

    Utilization review nurse job in Elgin, IL

    Requirements QUALIFICATIONS: Registered Nurse with valid, unrestricted, current nursing license in the state or territory of the United States where employed. For mental health/substance abuse, licensed medical professional with an unrestricted license in the state or in a state that has licensure reciprocation with the state of the office location the employee is working in may perform first level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. Successful completion of UR nurse orientation program. Minimum of 3 years recent acute clinical practice required, 5 years preferred. Managed care, disability or workers compensation experience helpful but not mandatory. Customer service oriented. *Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.* Salary Description $57,244 - $62,180 per year
    $57.2k-62.2k yearly 12d ago
  • Utilization Review Nurse

    Us Tech Solutions 4.4company rating

    Utilization review nurse job in Chicago, IL

    + Participates in the development and ongoing implementation of QM Work Plan activities. + Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet QM objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation. + Data gathering requires navigation through multiple system applications. + Staff may be required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. + Works Potential Quality of Care cases across all lines of business (Commercial and Medicare). + Independently coordinates the clinical resolution with internal/external clinician support as required. + Processes and evaluates complex data and information sets -Converts the results of data analysis into meaningful business information and reaches conclusions about the data + Prepares and completes QM documents based on interpretation and application of business requirements + Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements + Assists in the development and implementation of QM projects and activities + Accountable for completing and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior authorization utilization experience + Experience with Medcompass **Skills:** + MUST HAVE MEDCOMPASS or ASSURECARE exp. + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + Active and unrestricted RN licensure in state of residence **Questionnaire:** + Do you have experience with Medcompass? + Do you have experience with Prior Authorization? + Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** (********************************** . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $62k-76k yearly est. 60d+ ago
  • Formulary Strategy & Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Utilization review nurse job in Chicago, IL

    Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus
    $61k-71k yearly est. 60d+ ago
  • Immunization Nurse Consultant - 20013627

    Highland County Joint Township 4.1company rating

    Utilization review nurse job in Ohio, IL

    What You'll Do: The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. This position will monitor & evaluate implementation of Get Vaccinated subgrants including review of local grant applications. Additional job duties may include: * Write & assure accomplishment of CDC grant objectives related to immunization education interventions. * Participate in immunization program phone duty responding to calls from providers & general public on immunizations, vaccine-preventable diseases, Vaccine for Children (VFC) issues & storage & handling guidelines. * Ensure adherence to all applicable state & federal rules, regulations, laws, agency policies, procedures & protocols for immunization & vaccine preventable disease control educational program. * Collaborate with other state &/or local agencies, educational institutions & advocacy organizations to develop & present coordinated educational activities, programs for health professionals & the general public. * Research & identify ODH resources (e.g., ODH publications, employees with expertise on vaccine- preventable disease prevention & control) available to assist agencies in dealing with vaccine- preventable diseases. Training and development required to remain in the classification after employment: Biennial renewal of license to practice as registered nurse. Unusual working conditions: Travels overnight; exposed to unpredictable patient behavior. Normal working hours are Monday through Friday, 8:00am to 5:00pm. This is an hourly position, with a pay range of 12 on the Ohio Health Care SEIU/1199 Pay Range Schedule. Current & valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Revised Code AND 6 mos. trg. or 6 mos. exp. in nursing; must be able to provide own transportation. OR Equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the education & experience required, but not for the mandated licensure. Job Skills: Nursing Technical Skills: Learning and Development, Public Relations, Training Professional Skills: Adaptability, Managing Meetings, Verbal Communication * Applications of those who meet the minimum qualifications will be further evaluated against the following criteria: * Bachelor's or advanced degree in nursing. * 12 months experience working as a nurse in a clinical setting, public health or community health setting. * Experience working with vaccinations or in the vaccine field. * Experience with computer software (e.g., Word, Excel, PowerPoint, TEAMS). * Experience presenting, training, and/or public speaking. * Experience in writing and implementing grants. * Experience working on a committee or facilitating a group. * Experience in analyzing health related data to produce reports. * Experience working with healthcare providers and local health departments. * Experience collecting health related data and information from studies, investigations, or reports. All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, active disciplinary record, and work record.
    $63k-77k yearly est. 28d ago
  • Experienced Nurse Navigator - Spine and Pain Setting

    Mercy 4.5company rating

    Utilization review nurse job in Chicago, IL

    Find your calling at Mercy! Are you an experienced nurse with a dynamic personality and a passion for patient care? Mercy is looking for a Spine & Pain Nurse Navigator who will be the trusted guide for patients throughout their spine and pain care journey. This is more than care coordination-it's about building relationships, providing education, and advocating for patients to ensure they receive seamless, personalized treatment. Position Details: Nurse Navigator - Mercy Clinics South - Spine & Pain Location: Mercy Southfork, 12700 Southfork Rd, Saint Louis, Missouri 63128 Schedule: Full-Time | 40 hours/week | Day Shift What You'll Do: Be the patient's go-to resource from start to finish, offering guidance and support every step of the way. Break down barriers by connecting patients with the right services and specialists. Ensure timely, safe, and effective care while creating an exceptional patient experience. Educate and empower patients to make informed decisions about their treatment. Treat every patient and family with dignity, compassion, and respect . What We're Looking For: Registered Nurse (RN) with relevant clinical experience. Strong communication skills and a dynamic, engaging personality . Ability to work collaboratively across multiple disciplines. Passion for patient advocacy and education. Qualifications: • Experience: 2-3 years' experience required. • Preferred Experience: 3 years of Spine/Pain • Required Education: Graduate from approved school of Current RN (Registered Nurse) license in state of practice • Preferred Education: Bachelor's Degree • Certifications: BLS (Basic Life Support) and ACLS (Advanced Cardiac Life Support) required within 90 days of hire/transfer. • Preferred Certification: Pain Management Nurse Certification • Preferred Skills: Biopsychosocial assessment skills, time management skills; effectively utilize resources to meet patient needs • Preferred Other: Public speaking skills, easily understands and integrates new information, experienced with evidence based best practice and protocol development/improvement. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you‘ll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you‘ll grow with us. keyword(s): nurse navigator, spine and pain management, RN By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at about/legal-notices/ and Privacy Policy at about/legal-notices/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions
    $32k-59k yearly est. 1d ago
  • Travel Cardiac Cath Lab Nurse - $2,944 per week

    American Traveler 3.5company rating

    Utilization review nurse job in Decatur, IL

    This position is for a Travel Registered Nurse specializing in Cardiac Cath Lab procedures, requiring at least 18 months of recent experience and an active RN license valid in Georgia or compact states. The role involves providing specialized care in a cardiovascular lab setting, working 10-hour day shifts for a 13-week travel assignment. Benefits include high pay, insurance coverage from day one, housing allowance, and travel reimbursements. American Traveler is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Decatur, Georgia. & Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel Job Description American Traveler is seeking an experienced RN for a Cardiac Cath Lab position requiring a GA or compact RN license and at least 18 months of recent specialized experience. Responsibilities Position is based in a hospital cardiovascular lab setting Cardiac Cath Lab unit with responsibilities related to cardiac and vascular procedures Day shift schedule with 10-hour shifts No on-call requirements Handles endovascular and cardiac cases involving strong procedural skills Provide specialized care for patients undergoing cardiac catheterization and endovascular procedures Must request no more than 5 days of time off unless RTO falls on or near a holiday, in which case a maximum of 3 days is allowed Only one holiday request for time off is permitted, and multiple consecutive RTOs during holidays will not be approved Requirements Active GA or compact RN license in hand required Minimum of 18 months of recent full-time experience in Cardiac Cath Lab or similar cardiovascular unit within the last 3 years Demonstrated competency in advanced cardiac and vascular procedures with strong endovascular experience Must meet the 50-mile radius rule-local candidates are not accepted Previous permanent employees of the health system must have separated for at least 1 year, and 18 months if returning to the same facility Benefits High Pay and Bonuses Medical, Dental and Vision Insurance with Day 1 Options 401(k) Plan Weekly Payroll Deposit Free Online CEUs Generous Housing Allowance Travel and Licensure Reimbursements Non-taxed Per Diem and Subsidy Traveler Rewards and Discounts American Traveler Job ID #P. Pay package is based on 10 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Cardiac Cath Lab About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements. American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment. With our team behind you, you can relax and enjoy a rewarding travel career. Keywords: travel nurse, cardiac cath lab nurse, RN cardiac cath, travel nursing jobs, cardiovascular nursing, endovascular procedures, travel RN, hospital nursing, specialized nursing care, licensed nurse Georgia
    $70k-136k yearly est. 2d ago
  • New Graduate Nurse at Memorial Hospital Belleville - Shiloh - 2026

    BJC 4.6company rating

    Utilization review nurse job in Belleville, IL

    Additional Information About the Role The BJC HealthCare New Graduate Nurse position is available for all student nurses - regardless of graduation date - and will connect students directly to our Graduate Nurse recruitment team, who is committed to helping new graduates navigate the Staff Nurse application process. Qualified students who apply to this position are eligible to receive career opportunities at Memorial Hospital Belleville - Shiloh and across all BJC HealthCare hospitals and nursing specialties. These include: BJC HealthCare Hospital: Alton Memorial Hospital Barnes-Jewish Hospital Barnes-Jewish St. Peters Hospital Barnes-Jewish West County Hospital Christian Hospital Memorial Hospital Belleville Memorial Hospital Shiloh Missouri Baptist Medical Center Missouri Baptist Sullivan Hospital Parkland Health Center Progress West Hospital St. Louis Children's Hospital Nursing Specialties with Memorial Belleville / Memorial Shiloh: Critical Care Emergency Labor & Delivery/Women's Health High Risk Cardiac Cardiac Telemetry Medical Telemetry Med/Surg with Medical Stabilization Program General Medicine Inpatient Surgical Orthopedics Operating Room Med/Surg/Cardiac Available Benefits: BSN Differential Benefits Eligible Student-Loan Repayment Eligible at Memorial Belleville/Memorial Shiloh Tuition Assistance Nurse Residency Program Available at Memorial Belleville/Memorial Shiloh Scrub Purchase Assistance Do you have questions about your options as a student nurse? Connect with our Campus + University Relations Team by emailing us at: ...@bjc.org Not sure if you're ready to apply but want to stay connected? Submit your contact information here: Stay Connected - BJC Health System Overview Memorial Hospital Belleville is a 222-bed acute care Magnet designated hospital offering emergency and critical care services as well as medical and surgical services along with a full complement of diagnostic and treatment modalities. Also located on the Belleville campus, The Orthopedic and Neurosciences Center offers a comprehensive rehabilitation program that includes physical, occupational, speech and hand therapy. Memorial Hospital Shiloh is a 97-all private bed Magnet designated hospital located in Shiloh, Illinois. Memorial Shiloh offers a 24/7 emergency department, medical, surgical and diagnostic services including cardiac catheterization, imaging and laboratory. The Family Care Birthing Center features 18 spacious LDRP suites, two dedicated c-section rooms, OB Emergency Department, 24/7 OB hospitalist and neonatology coverage. The Shiloh campus also has the only Illinois Siteman Cancer Center location. Preferred Qualifications Role Purpose The Graduate Nurse provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care after completing a nursing program and before licensure. Will be required to obtain licensure within 90 days of graduation from an accredited school of nursing to remain employed in a HSO in the state of Missouri. Responsibilities Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Uses critical thinking skills to assess and evaluate patient's physical, psychosocial and emotional needs. Develops and implements individual plans of care in collaboration with other members of the healthcare team in accordance with the established guidelines and standards of nursing care. Promotes patient and family centered care in a healing environment. Evaluates patient's response and modifies plan of care accordingly throughout the patient's stay. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Nursing Diploma/Associate's - Nursing Preferred Requirements Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
    $35k-66k yearly est. 7d ago
  • Utilization Review Registered Nurse

    Hines 4.3company rating

    Utilization review nurse job in Rockford, IL

    Requirements QUALIFICATIONS: Registered Nurse with valid, unrestricted, current nursing license in the state or territory of the United States where employed. For mental health/substance abuse, licensed medical professional with an unrestricted license in the state or in a state that has licensure reciprocation with the state of the office location the employee is working in may perform first level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. Successful completion of UR nurse orientation program. Minimum of 3 years recent acute clinical practice required, 5 years preferred. Managed care, disability or workers compensation experience helpful but not mandatory. Customer service oriented. *Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.* Salary Description $57,244 - $62,180 per year
    $57.2k-62.2k yearly 5d ago
  • Experienced Nurse Navigator - Spine and Pain Setting

    Mercy Health 4.4company rating

    Utilization review nurse job in East Saint Louis, IL

    Find your calling at Mercy! Are you an experienced nurse with a dynamic personality and a passion for patient care? Mercy is looking for a Spine & Pain Nurse Navigator who will be the trusted guide for patients throughout their spine and pain care journey. This is more than care coordination-it's about building relationships, providing education, and advocating for patients to ensure they receive seamless, personalized treatment. Position Details: Nurse Navigator - Mercy Clinics South - Spine & Pain Location: Mercy Southfork, 12700 Southfork Rd, Saint Louis, Missouri 63128 Schedule: Full-Time | 40 hours/week | Day Shift What You'll Do: Be the patient's go-to resource from start to finish, offering guidance and support every step of the way. Break down barriers by connecting patients with the right services and specialists. Ensure timely, safe, and effective care while creating an exceptional patient experience. Educate and empower patients to make informed decisions about their treatment. Treat every patient and family with dignity, compassion, and respect . What We're Looking For: Registered Nurse (RN) with relevant clinical experience. Strong communication skills and a dynamic, engaging personality . Ability to work collaboratively across multiple disciplines. Passion for patient advocacy and education. Qualifications: • Experience: 2-3 years' experience required. • Preferred Experience: 3 years of Spine/Pain • Required Education: Graduate from approved school of Current RN (Registered Nurse) license in state of practice • Preferred Education: Bachelor's Degree • Certifications: BLS (Basic Life Support) and ACLS (Advanced Cardiac Life Support) required within 90 days of hire/transfer. • Preferred Certification: Pain Management Nurse Certification • Preferred Skills: Biopsychosocial assessment skills, time management skills; effectively utilize resources to meet patient needs • Preferred Other: Public speaking skills, easily understands and integrates new information, experienced with evidence based best practice and protocol development/improvement. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. keyword(s): nurse navigator, spine and pain management, RN By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at about/legal-notices/ and Privacy Policy at about/legal-notices/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions
    $31k-63k yearly est. 13h ago
  • Ambulatory Nurse (N)

    BJC 4.6company rating

    Utilization review nurse job in Belleville, IL

    Additional Information About the Role 40 hours per week Dayshift Monday-Friday 8:00am-4:30pm No weekends or holidays! BJC Medical Group is the multi-specialty physician organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with the top-ranked hospitals in the area. Since 1994, BJC Medical Group has provided access to the world's best medicine through caring people and integrated systems. The providers are nationally recognized for excellent patient satisfaction and quality health care. BJC Medical Group physicians are trained and certified in over 25 medical specialties and serve patients in more than 125 locations in the greater St. Louis, mid-Missouri and southern Illinois areas. Preferred Qualifications Role Purpose Provides direct patient care to identified patients in collaboration with providers and care team to assess, develop and implement a plan of care to deliver clinically appropriate, high-quality, cost-effective care. The ambulatory RN offers oversight/guidance to clinical staff working in the clinic and helps to support providers with daily patient management. Responsibilities Collaborate with PCPs and Specialists to develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. Uses critical nursing skills to assess and evaluate patient's physical, psychosocial and emotional needs. Assures that clinical protocols and patient assessment guidelines are followed in accordance with standard operating procedures and compliance guidelines. Supports providers in appropriately documenting patient assessment and treatment protocols in accordance with compliance standards. Provides patient education and support, including verbal and written instructions; uses the appropriate tools and techniques to assess the patient's and/or family's ability to receive education; takes initiative to problem solve and demonstrates critical thinking skills. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience 2-5 years Supervisor Experience No Experience Licenses & Certifications Basic Life Support (BLS) RN Preferred Requirements Education Bachelor's Degree - Nursing Experience 5-10 years Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
    $35k-66k yearly est. 7d ago
  • Graduate Nurse - Full time, Nights

    Mercy Health 4.4company rating

    Utilization review nurse job in Columbia, IL

    Find your calling at Mercy! Performs direct patient care activities for all age groups to include assessment, planning, implementation, and evaluation. Monitors and coordinates patient care activities with ancillary departments to optimize patient care and comfort. Functions within the scope of nursing preparation and consistent with the established guidelines of nursing practice, the goals of Mercy Health System, the Philosophy of the Sisters of Mercy, the Arkansas Nurse Practice Act, the Code of Professional and Business Ethics and the Co-Worker Code of Conduct. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Premium Night Shift Sign On Bonus: Graduate Nurse $10,000 Experienced Nurse $13,000 Medical A RN 36 hours per week, Nights Mercy Hospital Jefferson Festus, MO 63028 The Medical A floor at Mercy Jefferson is a fast-paced 30-bed unit that cares for patients of all ages. Many of the patients are chronically ill and require multidiscipline treatment plans and goals. As part of the health care team, you will help educate patients on a wide variety of topics ranging from procedural/surgical expectations to what medications patients will be taking once discharged. Potential health care workers who are compassionate, team-orientated, hard-working, flexible, enjoy caring for people from all walks of life, will find working on this unit very rewarding while expanding their clinical knowledge base and enhancing their skills. Qualifications: Education: Graduated from a school of nursing (Associate's Degree, Diploma, or BSN). Licensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements. Certifications: - Basic Life Support certification through the American Heart Association or successful completion of course within 30 days of hire. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. keyword(s): Patient caremed surgmedical Amultidiscipline treatment plans RNnursepatient carenursingregistered nursepatientsfull timesign on bonus Part timegraduate nurse GNnights By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employer's data processor SonicJobs. See Mercy Terms & Conditions at about/legal-notices/ and Privacy Policy at about/legal-notices/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions
    $31k-63k yearly est. 13h ago

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  1. Hines

  2. Elevance Health

  3. Integrated Resources

  4. Pharmacy

  5. Memorial Health Systems Corporation

  6. Memorial Health

  7. CVS Health

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  9. US Tech Solutions

  10. Hireops Staffing, LLC

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