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  • Travel RN - Stepdown Travel Nurse Job in Saint Louis, MO, Nights (3x12), $2,349 Wk

    Advantis Medical Staffing

    Utilization review nurse job in Saint Louis, MO

    Stepdown travel nurse job in Saint Louis, MO - earn $2,349/week on a 13 week, Nights shift at a travel-friendly hospital with Advantis Medical. Looking for Stepdown travel nursing jobs near you? This contract follows a (3×12) schedule and offers high pay, clinical experience, and the full support of the #1 rated travel nurse agency. Whether you're planning your next assignment in Missouri or searching for "Stepdown travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near Saint Louis, MO. Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel Stepdown nurse jobs near you. Job Details Facility: Kindred Hospital - St Louis South Location: Saint Louis, MO 63128 Explore the area! See our local guide and an interactive map further down this page. Contract Length: 13 Weeks Shift: Nights (3×12) Travel Nursing Requirements: 2+ years of recent Stepdown nursing experience. Active Missouri RN License or Compact License (if applicable) Benefits Day One Benefits - Medical, Dental, Vision & 401(k) Relocation and Travel Reimbursement Dedicated team to help with travel & housing accommodations Weekly Direct Deposit $500 Referral Bonuses Near Saint Louis, MO Saint Louis, Missouri (MO), a hidden gem nestled in the heart of the Midwest, offers a captivating mix of history, vibrant culture, and incredible opportunities for travel nurses and allied health professionals. Immerse yourself in the city's unique culture, whether exploring the iconic Gateway Arch or indulging in the delectable cuisine at renowned eateries. With vibrant neighborhoods like The Grove and Cherokee Street, there's always something new to discover. Enjoy the city's moderate climate, perfect for outdoor enthusiasts to take advantage of the nearby parks and recreational activities. Proximity to major cities like Chicago and Nashville ensures endless excitement and adventure. Join Advantis Medical in Saint Louis, where your career will flourish amidst excitement and an inviting atmosphere. Travel Nursing Jobs With Advantis Medical - The Gold Standard At Advantis Medical Staffing, we take great pride in our commitment to caring for travel nurses. We are dedicated to connecting nurses with the best travel nursing jobs nationwide, while providing exceptional service that fosters a trusted partnership for life. Our mission is to deliver the "Gold Standard" in service -not only by securing your first assignment but by advocating for your long-term career goals and well-being. Experience our gold standard level of service as we create a stress-free and rewarding journey for you. View Similar Stepdown Jobs ⟶ Travel Nursing Job in Saint Louis, MO Weekly Pay: $2,349 This pay combines taxable wages and tax-free stipends. For a full, transparent breakdown, submit the "I'm Interested" form, & a recruiter will send you the details. × Location: Saint Louis, MO 63128 Explore the area! See our local guide and an interactive map further down this page. × Facility: Kindred Hospital - St Louis South Specialty: Stepdown Duration: 13 weeks Shift: Nights (3x12) I'm Interested Have a question? Call us at 214-305-6445
    $2.3k weekly 1d ago
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  • Ambulatory Nurse (N)

    BJC 4.6company rating

    Utilization review nurse job in Saint Louis, MO

    Additional Information About the Role 40 hours per week Dayshift Monday-Friday 7:30am-4:00pm No weekends or holidays! Overview BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region. Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we serve. BJC Medical Group at the Highlands is an experienced, well-respected group of internal medicine providers. We strive to provide primary care that is personal and evidence-based. Our physicians are on-staff at one of the top-ranked hospitals in the nation, Barnes-Jewish Hospital, and located conveniently at the outpatient building in The Highlands, across from Forest Park 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 d24ad0b8-823f-4e68-a892-2986ccdf7392
    $28k-53k yearly est. 1d ago
  • Travel Labor & Delivery Nurse - $2,250 per week

    Host Healthcare 3.7company rating

    Utilization review nurse job in Maryville, IL

    This position is for a registered nurse specializing in labor and delivery on a 13-week travel assignment in Maryville, Illinois, working 36 hours per week with 12-hour night shifts. The employer, Host Healthcare, offers comprehensive benefits including housing support, medical coverage, and reimbursement programs to ensure a comfortable travel nursing experience. The role supports healthcare facilities by providing skilled nursing care during labor and delivery while facilitating nurse mobility across locations. Host Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Maryville, Illinois. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Host Healthcare Job ID #a1fVJ000007hppdYAA. 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: RN - Labor and Delivery About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don't have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what's important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment. Travel comfortably with Host Healthcare. Benefits Referral bonus School loan reimbursement Vision benefits Wellness and fitness programs Company provided housing options License and certification reimbursement Life insurance Medical benefits Mileage reimbursement Pet insurance Discount program Employee assistance programs Guaranteed Hours Health savings account Holiday Pay 401k retirement plan Continuing Education Dental benefits Keywords: travel nurse, labor and delivery nurse, registered nurse, RN travel job, nursing assignment, healthcare travel, travel nursing benefits, hospital nursing, night shift nurse, 13-week nursing contract
    $63k-125k yearly est. 1d ago
  • Dialysis Nurse

    U.S. Renal Care 4.7company rating

    Utilization review nurse job in Creve Coeur, MO

    How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care! Benefits * Medical * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO * Sundays off
    $47k-55k yearly est. 1d ago
  • Travel Labor and Delivery Nurse - $2,466 per week

    Premier Medical Staffing Services 3.8company rating

    Utilization review nurse job in Maryville, IL

    Premier Medical Staffing Services is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Maryville, Illinois. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Premier Medical Staffing Job ID #607006. 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: L&D RN About Premier Medical Staffing Services Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.
    $74k-132k yearly est. 1d ago
  • Mercy Hospital Washington - Nursing Opportunities

    Mercy 4.5company rating

    Utilization review nurse job in Washington, MO

    Find your calling at Mercy! Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Make Your Next Career Move to Mercy Hospital Washington! Looking for a place where your career truly matters-and where you're supported, valued, and inspired every day? Welcome to Mercy Hospital Washington... Nestled along the stunning Missouri River and just 45 minutes west of St. Louis, Washington, MO offers the perfect mix of small‐town charm, natural beauty, and big‐city convenience. With a thriving healthcare community and a rapidly growing region, this is the ideal place to launch, grow, and elevate your nursing career. At the heart of this community is Mercy Hospital Washington, a 172‐bed, high‐performing hospital powered by more than 1,700 dedicated team members-all committed to delivering exceptional, compassionate care. Why Choose Mercy? Mercy is more than a workplace-it's a mission-driven, faith-based community where you're supported by leaders, colleagues, and a culture built on compassion. Here, you'll find: A team that lifts each other up Leaders who invest in your growth Opportunities to develop and advance Benefits that start day one And a work environment where you can truly do more of what you love Work Options Available Full Time • Part Time • PRN • Weekend Option #BeAMercyNurse What We Offer (And Why You'll Love Working Here!) Sign-On Bonuses Up to $20,000 for RNs Up to $15,000 for Graduate Nurses Up to $6,000 for LPNs Up to $4,000 for LPN Graduate Nurses Supportive Training & Development Robust orientation Ongoing education Professional growth pathways Premium Pay Opportunities Stay Premium Pay: Earn up to +$8/hr Weekend Option Bonus: Earn +$20/hr (RNs) Shift Differentials Education & Loan Support Up to $20,000 Loan Forgiveness for new graduate RNs Up to $370/month paid directly toward your loans Must start within 12 months of graduation Tuition support & reimbursement programs Benefits That Start Day One Medical, dental, and vision coverage Extended Sick Bank (ESB) PTO + vacation time Employer‐matched retirement plan Free parking Qualifications We welcome: New Graduates & Experienced Nurses RN or LPN license (Missouri) Nursing degree from an accredited program BLS certification from the American Heart Association Let's Connect! Hi! I'm Jamie Blair, Nurse Recruiter at Mercy Hospital Washington, and I would love to share more about our opportunities and what makes Mercy such a special place to work. Call/Text: ************ Email: ********************* Prefer to start online? Complete the application link and I'll reach out to you personally. Know someone else who would be a great fit? Please feel free to share this message or my contact information! 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.
    $8-20 hourly 1d ago
  • Travel Labor & Delivery Nurse - $2,318 per week

    Source Medical Staffing 3.8company rating

    Utilization review nurse job in Maryville, IL

    Source Medical Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Maryville, Illinois. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN 36 hours per week Shift: 12 hours, nights Employment Type: Travel Source Medical Staffing Job ID #. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About Source Medical Staffing We come to work every day...to make a difference... to solve a problem... to work for you. Making a difference matters. We believe we can add value to healthcare staffing. In fact, we're obsessively compassionate about it. Medical facilities need staff; we want to be part of the solution. Medical professionals have goals; we want to help them reach their goals. Think of us as an extension of your team or your lifeline while on contract; use our experience to produce results everyone is proud of. Benefits Weekly pay Guaranteed Hours Holiday Pay 401k retirement plan Mileage reimbursement Referral bonus Medical benefits Dental benefits Vision benefits License and certification reimbursement Life insurance
    $75k-122k yearly est. 1d ago
  • Formulary Strategy & Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Utilization review nurse job in Saint Louis, MO

    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
    $53k-62k yearly est. 60d+ ago
  • Telephonic Nurse Case Manager II

    Carebridge 3.8company rating

    Utilization review nurse job in Saint Louis, MO

    $3000 Sign-On Bonus Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Monday - Friday 8:30 - 5 pm CST or MST. * This position will service members in different states; therefore, Multi-State Licensure will be required. The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. * Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum 2 years' experience in acute care setting is preferred. * Managed Care experience is preferred. * Ability to talk and type at the same time is preferred. * Demonstrate critical thinking skills when interacting with members is preferred. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly is preferred. * Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $80,608 to $120,912. Locations: Colorado. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $80.6k-120.9k yearly Auto-Apply 60d+ ago
  • Community Nurse Case Manager (RN)

    Chenmed

    Utilization review nurse job in Saint Louis, MO

    We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. Job Profile Summary The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. The Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team. They will assess, evaluate, and coordinate the team's efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care. This person will perform assessments and design comprehensive plans of care, and drive the actions needed to keep the most complex patients safely at home. This professional will also provide clinical supervision to other team members in delivering the plan of care and in other tasks necessary to meet their needs and engage them in care. As a clinical leader for the team, this person will also be deeply involved in prioritizing team efforts and may also become the direct supervisor for some team members. The Intensive Community Manager works in partnership with the PCPs to draft personalized care plans that address patient's immediate needs that cause a risk for unnecessary hospital arrivals. This position adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: * Provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent and admission or readmission to the ER/hospital . * Provides home visits to perform initial assessment of patient and the development of care plan as they perform the follow up patient visits, once patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient. * Conducts supervisory visits with License Practical Nurse (LPN) and patient to provide any additional education patient may need and to oversee appropriate patient discharge from case management. * Performs clinical and Social determination of Heath screening (SdoH) assessments to include disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient in home setting. Coordinate the Plan of Care: * Provides oversight for the License Practical Nurse (LPN) with clear plan of care and education which is mandatory during all LPN visits. * Conducts/coordinates initial case management assessment of patients to determine outpatient needs. * Ensures individual plan of care reflects patient needs and services available in the community or review of their benefits. * Completes individual plan of cares with patients, family/care giver and care team members. * Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly. * Assesses the environment of care, e.g., safety and security. * Assesses the caregiver capacity and willingness to provide care. * Assesses patient and caregiver educational needs. * Coordinates, reports, documents and follows-up on multidisciplinary team meetings. * Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks. * Coordinates the delivery of services to effectively address patient needs. * Facilitates and coaches' patients in using natural supports and mainstream community resources to address supportive needs. * Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients. * Establishes a supportive and motivational relationship with patients that support patient self-management * Monitors the quality, frequency, and appropriateness of HHA visits and other outpatient services. * Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate. * Home visit under the direction of the patient's primary care physician to meet urgent patient needed. * Performs other duties as assigned and modified at manager's discretion. PAY RANGE: $36.9 - $52.70 Hourly The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions. EMPLOYEE BENEFITS ****************************************************** We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply #LI-Onsite
    $36.9-52.7 hourly 60d+ ago
  • Utility Coordinator

    Jarbo Employment Group

    Utilization review nurse job in Fenton, MO

    Title: Utility Coordinator Assigned to: TREKK Design Group Reports to: JARBO Recruiter and Supervisor at Assigned Company FLSA Status: Non-exempt Prepared By: JARBO Employment Group Summary: Primary responsibilities will consist of utility coordination and locating. Secondary responsibilities will involve performing field inspections/observations of sanitary sewer and storm water collection systems. As a contracted employee of JARBO Employment Group, we expect you to have a positive attitude, to lead by example, demonstrate sound decision-making skills, encourage great teamwork, inspire those around you, and demonstrate a good stress tolerance. We want to see you embrace and immerse yourself in the host employer's culture. Responsibilities: Duties include searching for, identifying and labeling underground public mains, electrical wires, conduits and fiber optic cables Locate underground utilities in the field, identify and mark service lines, complete necessary paperwork. Utilize utility line detection equipment; utilize maps and plats to locate utility mains and other facilities. Contact contractors, and/or private service line owners to clarify requests. Perform engineering field inspections including, but not limited to: manhole inspections, smoke testing, flow monitoring, GPS locates, and water dye testing. Inspect manholes manually or with telemonitoring equipment Operate and maintain instruments and equipment. Accurately document inspections in a timely manner with detailed field notes. Obtain and maintain all required safety training and certifications which include, but are not limited to: confined space entry, CPR/First Aid, defensive driving, and spotter's training certifications. Adhere to all the safety requirements of the position while assisting team members to do the same. All other duties as assigned.
    $42k-58k yearly est. 60d+ ago
  • Nurse Case Manager I

    Elevance Health

    Utilization review nurse job in Saint Louis, MO

    **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. _Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Work Schedule: Monday - Friday 8:00a - 5:00p CST** The Nurse Case Manager I will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically such as at hospitals for discharge planning. **How you will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and family's needs and a specific care management plan to address objectives and goals as identified during assessment. + Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. + Coordinates internal and external resources to meet identified needs. + Monitors and evaluates effectiveness of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required if this individual is providing services in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Experience in Obstetrics and Pediatrics nursing or Maternal Child and Women's Health is strongly preferred. + Managed Care Organization (MCO)experience is preferred. + Certification as a Case Manager is preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $51k-70k yearly est. 5d ago
  • Referral Nurse - Days Monday through Friday

    Chestnut Health Systems 4.2company rating

    Utilization review nurse job in Granite City, IL

    Are you a nurse looking for better work-life balance? Chestnut has openings for RNs and LPNs that will have you working weekdays, enjoying ten paid days off work in your first year, AND earning sign-on and retention bonuses in addition to other benefits! Chestnut is seeking nurses to drive integrated care across various programs. This candidate will be based in our Granite City Health Center but may very occasionally support Maryville, or Belleville. Responsibilities Carry out health care plans designed by practitioners. Administer treatments, medications, and medical tests. Gather patient health histories. Assess patients for acute physical issues. Act as a liaison among prescribers, patients, laboratories, PCPs, other providers, pharmacies, and staff to ensure continuity of care. Provide health teaching as well as support and guidance for patients in maintaining a therapeutic environment. Managing referrals to specialists or facilities by assessing needs. Ensuring smooth communication between patients, providers, and payers. Promote the recovery model of treatment including trauma-informed care, hope, respect, empowerment, health/wellness, and spirituality/connectedness. Qualifications High school diploma or equivalent; practical nurse licensed in Illinois OR registered nurse licensed in Illinois. Requires basic computer skills and experience to include MS Word, email, videoconferencing, e-prescribing, and entry into an electronic medical record (EMR). Must complete required substance-use training within first week of employment, in order to be assigned to detoxification services. Are you intrigued by this job but don't meet every single requirement? Research shows that women and people of color are less likely to apply for jobs when that's the case. Chestnut is committed to building a diverse, inclusive, and authentic workplace. If you're excited about any of our posted positions but your experience doesn't line up perfectly, please apply anyway ! You might be just the right candidate for another role. We'd love to explore the possibilities with you! EOE - Minorities/Females/Veterans/Disabled. Chestnut welcomes applications from qualified individuals with recovery experience. The anticipated starting pay for new hires for this position is between $19.85 - $40.84 per hour. There are several factors taken into consideration in determining base pay, including but not limited to: job-related qualifications, skills, education, experience, local market conditions, and internal equity. Check out additional benefits here!
    $19.9-40.8 hourly Auto-Apply 28d ago
  • Temporary Flight Nurse

    Air Methods 4.7company rating

    Utilization review nurse job in Granite City, IL

    Join us in the enchanting town of Granite City, for an extraordinary career as a Flight Nurse with Air Methods. Nestled amidst the majestic landscapes of Granite City, IL offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic Illinois landscape, enhancing the experience of your daily work. Join us in Granite City, where every flight underscores our commitment to excellence and safety in medical transport. Experience the thrill of flight while making a significant impact on the well-being of those in need in this dynamic and culturally rich community. Responsibilities Job Summary Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities include the following: • Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. • Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. • Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests. • Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed. • Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). • Participates in patient and referring institution follow-up and in planned outreach marketing and education activities • Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives. • Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities). • Other Duties as assigned. • This opening is temporary in nature and intended to last a minimum of 6 months, with intent to hire into fulltime position at the soonest opportunity Additional Job Requirements • Regularly scheduled attendance • Indicate the percentage of time spent traveling: 5% •Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities •This position has no supervisory responsibilities. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions. Education & Experience • Graduate of an accredited School of Nursing • Bachelor's degree in a health-related field preferred but not required • Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations • Pre-hospital experience preferred • Flight experience is not required but is a plus! Operation and Safety Requirements: · As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards • Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels • Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task • Ability to work a flexible schedule, including overtime and 24/7 on-call rotation • Dependable and self-motivated while working in a frequently changing environment • Excellent communication and presentation skills, both written and verbal Computer Skills • Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations • Current RN license(s) for states of practice • EMS or MICN certification/licensure as required by state regulations • Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required) • If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation Other certification requirements: • Specialty certification (CFRN or CEN) are required within 24 months of hire • Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training • NRP certification before completion of the third-rider orientation • NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training Minimum pay USD $32.70/Hr. Maximum Pay USD $36.34/Hr. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $32.7-36.3 hourly Auto-Apply 57d ago
  • Travel RN - MedSurg/Tele Travel Nurse Job in St. Louis, MO, Nights (3x12), $2,079 Wk

    Advantis Medical Staffing

    Utilization review nurse job in Saint Louis, MO

    MedSurg/Tele travel nurse job in St. Louis, MO - earn $2,079/week on a 14 week, Nights shift at a travel-friendly hospital with Advantis Medical. Looking for MedSurg/Tele travel nursing jobs near you? This contract follows a (3×12) schedule and offers high pay, clinical experience, and the full support of the #1 rated travel nurse agency. Whether you're planning your next assignment in Missouri or searching for "MedSurg/Tele travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near St. Louis, MO. Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel MedSurg/Tele nurse jobs near you. Job Details Facility: Mercy Hospital - St. Louis Location: St. Louis, MO 63141 Explore the area! See our local guide and an interactive map further down this page. Contract Length: 14 Weeks Shift: Nights (3×12) Travel Nursing Requirements: 2+ years of recent MedSurg/Tele nursing experience. Active Missouri RN License or Compact License (if applicable) Benefits Day One Benefits - Medical, Dental, Vision & 401(k) Relocation and Travel Reimbursement Dedicated team to help with travel & housing accommodations Weekly Direct Deposit $500 Referral Bonuses Near St. Louis, MO St. Louis, MO For nurses looking for travel RN jobs near me, St. Louis, MO offers openings across units in a stable regional market. MetroLink light rail simplifies cross-town trips, and Forest Park provides museums and green space between shifts. Many travelers live in Clayton, University City, and Maplewood, close to central campuses. Views of the Gateway Arch make quick resets memorable while travel nursing jobs stay consistent. With predictability and big-city amenities, St. Louis, Missouri remains a dependable hub for contracts. FAQs - MedSurg/Tele Travel Nurse Jobs Near St. Louis, MO Expand All Are there MedSurg/Tele travel nursing jobs near St. Louis, Missouri? Yes! Advantis Medical frequently staffs MedSurg/Tele travel RN jobs in St. Louis and nearby areas like Springfield (65806), Columbia (65201) and Kansas City (64106). This assignment offers $2,079 per week and is one of our top current opportunities. Is St. Louis a good location for MedSurg/Tele travel nursing jobs? Yes. With competitive pay, career-boosting clinical environments, and great local lifestyle perks, St. Louis is a top destination for MedSurg/Tele travel nurse jobs in Missouri. What are the certification requirements for this Med Surg/Tele travel nurse job? Most Med Surg/Tele travel nurse jobs require Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS). Click "I'm Interested" to connect with a recruiter who can confirm exactly what's needed for this role. Can I work as a travel nurse in Missouri with a compact nursing license? Missouri Board of Nursing Contact information Website: https://www.pr.mo.gov/nursing.asp Phone: 573.751.0681 Fees License by Exam: $45 (+$200 exam fee) License by Endorsement: $55 Renewal: $60 Background Check/Fingerprinting: $44.80 Timing Processing Time: 1 - 2 weeks Valid for: 6 months (temp); 2 years (perm) Renewal Schedule: April 30th of odd years General Information Nurse Licensure Compact: Yes Nursys: Yes CEU Requirements: CEU Requirements: none Helpful Links Apply Now Check Status Verify License Travel Nursing Jobs With Advantis Medical - The Gold Standard At Advantis Medical Staffing, we take great pride in our commitment to caring for travel nurses. We are dedicated to connecting nurses with the best travel nursing jobs nationwide, while providing exceptional service that fosters a trusted partnership for life. Our mission is to deliver the "Gold Standard" in service -not only by securing your first assignment but by advocating for your long-term career goals and well-being. Experience our gold standard level of service as we create a stress-free and rewarding journey for you. View Similar Med Surg/Tele Jobs ⟶ Travel Nursing Job in St. Louis, MO Weekly Pay: $2,079 This pay combines taxable wages and tax-free stipends. For a full, transparent breakdown, submit the "I'm Interested" form, & a recruiter will send you the details. × Location: St. Louis, MO 63141 Explore the area! See our local guide and an interactive map further down this page. × Facility: Mercy Hospital - St. Louis Specialty: MedSurg/Tele Duration: 14 weeks Shift: Nights (3x12) I'm Interested Have a question? Call us at 214-305-6445
    $2.1k monthly 1d ago
  • Nurse - PCU - full time, Nights - Mercy Jefferson

    Mercy 4.5company rating

    Utilization review nurse job in Festus, MO

    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 Respective State 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 Cardiac Med Intermediate RN 24 hours per week, Nights Mercy Hospital Jefferson Festus, MO 63028 We are also known as the Progressive Care Unit or PCU. Our unit is an intermediate unit that is a step down from our intensive care but a step above med/surg as far as patient acuity Cardiac, Respiratory distress, Septic. No vents. - Mainly serve cardiac patients, also acute respiratory (no vents/but high flow ) 02 needs/new bipap, etc. then mix of any other disease process in which the physicians determine patient is too sick for floor; but not yet ICU level of care. Fast paced unit combining aspects of ED and ICU into one department busyness of ED & critical care aspect of ICU. Requires and builds strong assessment skills and teamwork 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): Critical care Step down Cardiac Progressive care unit PCU Acute respiratory care RN nurse patient care nursing registered nurse patients full time sign on bonus Part time graduate nurse GN nights
    $27k-50k yearly est. 8h ago
  • Nurse Case Manager I

    Elevance Health

    Utilization review nurse job in Saint Louis, MO

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday - Friday 8:00a - 5:00p CST The Nurse Case Manager I will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically such as at hospitals for discharge planning. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and family's needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. Minimum Requirements: * Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities, and Experiences: * Experience in Obstetrics and Pediatrics nursing or Maternal Child and Women's Health is strongly preferred. * Managed Care Organization (MCO)experience is preferred. * Certification as a Case Manager is preferred. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $51k-70k yearly est. 5d ago
  • Referral Nurse - Days Monday through Friday

    Chestnut Health Systems 4.2company rating

    Utilization review nurse job in Granite City, IL

    Are you a nurse looking for better work-life balance? Chestnut has openings for RNs and LPNs that will have you working weekdays, enjoying ten paid days off work in your first year, AND earning sign-on and retention bonuses in addition to other benefits! Shift differentials are also available for nurses opting for evening and overnight shifts. Chestnut is seeking nurses to drive integrated care across various programs. An ideal candidate is available to work shifts at any location in our Health Centers at Granite City, Maryville, and Belleville. Must be available to work a minimum of two shifts per month, if hired as PRN (as needed). Responsibilities Carry out health care plans designed by practitioners. Administer treatments, medications, and medical tests. Gather patient health histories. Assess patients for acute physical issues. Act as a liaison among prescribers, patients, laboratories, PCPs, other providers, pharmacies, and staff to ensure continuity of care. Provide health teaching as well as support and guidance for patients in maintaining a therapeutic environment. Promote the recovery model of treatment including trauma-informed care, hope, respect, empowerment, health/wellness, and spirituality/connectedness. Qualifications High school diploma or equivalent; practical nurse licensed in Illinois OR registered nurse licensed in Illinois. Requires basic computer skills and experience to include MS Word, email, videoconferencing, e-prescribing, and entry into an electronic medical record (EMR). Must complete required substance-use training within first week of employment, in order to be assigned to detoxification services. Are you intrigued by this job but don't meet every single requirement? Research shows that women and people of color are less likely to apply for jobs when that's the case. Chestnut is committed to building a diverse, inclusive, and authentic workplace. If you're excited about any of our posted positions but your experience doesn't line up perfectly, please apply anyway! You might be just the right candidate for another role. We'd love to explore the possibilities with you! EOE - Minorities/Females/Veterans/Disabled. Chestnut welcomes applications from qualified individuals with recovery experience. The anticipated starting pay for new hires for this position is between $19.85 - $40.84 per hour. There are several factors taken into consideration in determining base pay, including but not limited to: job-related qualifications, skills, education, experience, local market conditions, and internal equity. Check out additional benefits here!
    $19.9-40.8 hourly Auto-Apply 11d ago
  • Flight Nurse

    Air Methods 4.7company rating

    Utilization review nurse job in Sparta, IL

    Join us in the enchanting town of Sparta, for an extraordinary career as a Flight Nurse with Air Methods. Nestled amidst the majestic landscapes of Sparta, IL offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic Illinois landscape, enhancing the experience of your daily work. Join us in Sparta, where every flight underscores our commitment to excellence and safety in medical transport. Experience the thrill of flight while making a significant impact on the well-being of those in need in this dynamic and culturally rich community. Responsibilities Job Summary Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities include the following: • Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. • Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. • Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests. • Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed. • Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). • Participates in patient and referring institution follow-up and in planned outreach marketing and education activities • Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives. • Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities). • Other Duties as assigned. Additional Job Requirements • Regularly scheduled attendance • Indicate the percentage of time spent traveling: 5% •Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities •This position has no supervisory responsibilities. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions. Education & Experience • Graduate of an accredited School of Nursing • Bachelor's degree in a health-related field preferred but not required • Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations • Pre-hospital experience preferred • Flight experience is not required but is a plus! Operation and Safety Requirements: · As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards • Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels • Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task • Ability to work a flexible schedule, including overtime and 24/7 on-call rotation • Dependable and self-motivated while working in a frequently changing environment • Excellent communication and presentation skills, both written and verbal Computer Skills • Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations • Current RN license(s) for states of practice • EMS or MICN certification/licensure as required by state regulations • Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required) • If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation Other certification requirements: • Specialty certification (CFRN or CEN) are required within 24 months of hire • Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training • NRP certification before completion of the third-rider orientation • NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training Benefits Air Methods is proud to offer a comprehensive benefits package created with the diverse needs of our teammates in mind: · Health, Dental and Vision · Competitive 401(k) Retirement Plan · Flexible Spending Account Benefit Plans · Tuition Reimbursement · Full Company-Paid Life Insurance · AD&D Insurance · Short-Term and Long-Term Disability Insurance · Business Travel Accident Insurance · Voluntary Legal · Relocation Assistance · Employee Assistance and Benefit Concierge Service Programs Minimum pay USD $77,750.40/Yr. Maximum Pay USD $95,022.72/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $77.8k-95k yearly Auto-Apply 13d ago
  • Graduate Nurse (Neuro) - Full time, Nights - Mercy Jefferson

    Mercy 4.5company rating

    Utilization review nurse job in Festus, MO

    Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. 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 Neuro RN/GN 36 hours per week, Nights Mercy Hospital Jefferson Festus, MO 63028 The Neuro/ Pulmonary Stroke Unit: The most common pulmonary diagnoses we see are COPD, respiratory failure, asthma, and pneumonia. Our pulmonary patients may be on high flow oxygen, BiPAP, or have tracheostomies or chest tubes. These patients require complex assessment, aggressive therapies and interventions, and continuous nursing vigilance. We work closely with the Stroke Coordinator to care for Acute Stroke and TIA patients. We do utilize tele-neuro services at times. Neuro patients require frequent assessments to assess for subtle changes in condition. Stroke education is provided. 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): Neurology COPD Pulmonary stroke unit TIA patients Stroke patients RN nurse patient care nursing registered nurse patients full time sign on bonus Part time graduate nurse GN nights
    $27k-50k yearly est. 8h ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Saint Louis, MO?

The average utilization review nurse in Saint Louis, MO earns between $44,000 and $74,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Saint Louis, MO

$57,000

What are the biggest employers of Utilization Review Nurses in Saint Louis, MO?

The biggest employers of Utilization Review Nurses in Saint Louis, MO are:
  1. BJC HealthCare
  2. Pharmacy
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