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Hospital or Insurance Registered Nurses with Utilization Review Experience! Are you looking for a stable work-from-home opportunity? We have a fantastic opening for a remote local RN position. Join our team and enjoy a fulfilling remote role. 2 years of utilization review (UR) experience in a hospital or insurance company and EPIC experience are highly preferred.Details of the position:Schedule: 80 hours per pay period, Monday-Friday 8 a.m. - 4:30 p.m., with one Sunday weekend shift per monthLocation: Must reside within one hour of the BJC Learning Institute in St. LouisNo patient communications involved
OverviewBJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
Preferred QualificationsRole Purpose
Ensure that the administration of hospital resources are appropriate, efficient and fall within the parameters of the patient's payment structure while providing safe and quality care. Evaluate the cost and quality of medical services provided by the medical team. Ensure appropriate utilization, which includes the evaluation of potential under and over-utilization according to patient's presentation and documentation. Education of medical providers and other health care professionals on the appropriate and cost-effective use of health care resources.
Responsibilities
Minimum Requirements
Education
Experience
Supervisor Experience
Licenses & Certifications
Preferred Requirements
Education
BJC Total Rewards
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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
Full Time
Wholesale
$69k-86k (estimate)
06/23/2024
06/19/2025
bjc.co.th
New York, NY
25 - 50
Wholesale
The job skills required for RN Utilization Review Nurse include Long Term Care, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Utilization Review Nurse. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN Utilization Review Nurse. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for RN Utilization Review Nurse positions, which can be used as a reference in future career path planning. As a RN Utilization Review Nurse, it can be promoted into senior positions as a Head Nurse - CCU that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary RN Utilization Review Nurse. You can explore the career advancement for a RN Utilization Review Nurse below and select your interested title to get hiring information.