• Nurse Reviewer I

    Elevance Health (St. Louis, MO)
    …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
    Elevance Health (01/03/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - RN-Referral Liaison,…

    SSM Health (Fenton, MO)
    …**Worker Type:** Regular **Job Highlights:** **SSM is looking for an experienced nurse with Hospice/Liaison or Case Management experience** **that has a dynamic ... departments, such as branch departments, business development etc. * Eligibility/Chart Review to determine appropriateness for continuum of care services **The… more
    SSM Health (12/07/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - RN Behavioral Health

    SSM Health (Wentzville, MO)
    …notify physician of changes in condition. + Participates in the development, review and evaluation of multidisciplinary treatment plans as per policies and ... described in the department's Scope of Service. + As an SSM Health nurse , I will demonstrate the professional nursing standards defined in the professional practice… more
    SSM Health (10/18/24)
    - Save Job - Related Jobs - Block Source
  • Nurse Practitioner

    ChenMed (St. Louis, MO)
    nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization, provide family education and identify ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...in-depth documentation through written progress notes and summaries. The Nurse Practitioner must demonstrate the ability to function both… more
    ChenMed (10/09/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Private Duty LPN/RN Nurse

    Phoenix Home Care and Hospice (Eureka, MO)
    …supports you through training and guidance. Why? Because your happiness as a valued nurse ensures quality care for our clients. Benefits: + Nurse Referral ... employment + Internal Awards and Recognition Program Responsibilities + Assists in development, review and revision of the plan of care. + Provides nursing care in… more
    Phoenix Home Care and Hospice (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Private Duty LPN/RN Nurse

    Phoenix Home Care and Hospice (Pacific, MO)
    …supports you through training and guidance. Why? Because your happiness as a valued nurse ensures quality care for our clients. Benefits: + Nurse Referral ... employment + Internal Awards and Recognition Program Responsibilities + Assists in development, review and revision of the plan of care. + Provides nursing care in… more
    Phoenix Home Care and Hospice (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Private Duty LPN/RN Nurse

    Phoenix Home Care and Hospice (Wildwood, MO)
    …it most. Why do we prioritize your happiness? Well, because when you, our valued nurse , are genuinely happy, you are able to provide the highest quality care to our ... valued clients. Benefits: + Nurse Referral Bonus!! + Weekly Pay + Annual Stay...Awards and Recognition Program Responsibilities + Assists in development, review and revision of the plan of care. +… more
    Phoenix Home Care and Hospice (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Private Duty LPN/RN Nurse

    Phoenix Home Care and Hospice (Oakville, MO)
    …and uplifting you when you need it most. Why? Because if you, as our valued nurse , are happy you are providing quality care to our valued clients. Benefits: + ... Nurse Referral Bonus!! + Weekly Pay + Annual Stay...Awards and Recognition Program Responsibilities + Assists in development, review and revision of the plan of care. +… more
    Phoenix Home Care and Hospice (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Nurse (LPN/RN) Private…

    Phoenix Home Care and Hospice (High Ridge, MO)
    …supports you through training and guidance. Why? Because your happiness as a valued nurse ensures quality care for our clients. Benefits: + Nurse Referral ... Awards and Recognition Program Responsibilities + Assist in development, review , and revision of the plan of care. +...activities, and staff meetings. Requirements + Active Licensed Practical Nurse or Registered Nurse License + Problem… more
    Phoenix Home Care and Hospice (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Private Duty LPN/RN Nurse

    Phoenix Home Care and Hospice (Lemay, MO)
    …outstanding training, guidance, and uplifting support when you need it most. Benefits: + Nurse Referral Bonus!! + Weekly Pay + Annual Stay Bonus for both full-time ... employment + Internal Awards and Recognition Program Responsibilities + Assists in development, review and revision of the plan of care. + Provides nursing care in… more
    Phoenix Home Care and Hospice (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Private Duty LPN/RN Nurse

    Phoenix Home Care and Hospice (Maryland Heights, MO)
    …are fulfilled, you can provide exceptional care to our cherished clients. Benefits: + Nurse Referral Bonus!! + Weekly Pay + Annual Stay Bonus for both full-time and ... employment + Internal Awards and Recognition Program Responsibilities + Assists in development, review and revision of the plan of care. + Provides nursing care in… more
    Phoenix Home Care and Hospice (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Med Mgmt Nurse

    Elevance Health (St. Louis, MO)
    …position: Mon - Friday 8am - 5pm CST or 8am - 5pm EST** The Med Mgmt Nurse is responsible for review of the most complex or challenging cases that require ... Director on particularly peculiar or complex cases as the nurse deems appropriate. May make recommendations on alternate types,...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
    Elevance Health (12/20/24)
    - Save Job - Related Jobs - Block Source
  • Home Health Licensed Practical Nurse - Full…

    Phoenix Home Care and Hospice (St. Louis, MO)
    Home Health Licensed Practical Nurse - LPN + Full Time: Monday - Friday 8am to 5pm, with occasional weekend rotation + St. Louis, MO and surrounding areas Phoenix ... and Supportive Home Health Team. Responsibilities: + Assists in review and revision of the plan of care. +...treatment. + Participates in education programs, quality assessment activities, nurse 's meetings and other staff meetings as required. +… more
    Phoenix Home Care and Hospice (01/07/25)
    - Save Job - Related Jobs - Block Source
  • Nurse Practitioner - OB/GYN (Women's…

    Peoples Health Centers Family of Companies (St. Louis, MO)
    …outreach, school-linked services and prevention health services. Summary: The Obstetrical/Gynecological Nurse Practitioner is registered nurse functioning in an ... plan. Submits health care plan and goals of individual patients for periodic review and evaluation by Physician. Prescribes or recommends drugs or other forms of… more
    Peoples Health Centers Family of Companies (01/04/25)
    - Save Job - Related Jobs - Block Source
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (St. Louis, MO)
    **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
    Elevance Health (01/01/25)
    - Save Job - Related Jobs - Block Source
  • Nurse and CPC - Clinical Fraud Investigator…

    Elevance Health (St. Louis, MO)
    ** Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
    Elevance Health (12/31/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse PreOp PACU II - Mercy…

    Surgery Care Affiliates (St. Louis, MO)
    …career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
    Surgery Care Affiliates (12/07/24)
    - Save Job - Related Jobs - Block Source
  • Nurse Practitioner, Healthy House Calls

    Lumeris (St. Louis, MO)
    …in the process. Additionally, we can easily send pertinent documents to you for your review . Once you create the account, you may apply to any position you feel is ... re-enter information. Thank you for your interest in Lumeris. **Position:** Nurse Practitioner, Healthy House Calls **Position Summary:** Responsible for providing… more
    Lumeris (11/09/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Endoscopy II - Mercy…

    Surgery Care Affiliates (St. Louis, MO)
    …opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) Endoscopy. + Develop an individualized perioperative patient plan of care ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...team in planning patient care. + Participate in quality review and performance improvement projects. + Participate in the… more
    Surgery Care Affiliates (10/09/24)
    - Save Job - Related Jobs - Block Source
  • Outpatient Registered Nurse - RN

    Fresenius Medical Center (University City, MO)
    …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. + Performs additional duties as assigned.… more
    Fresenius Medical Center (12/31/24)
    - Save Job - Related Jobs - Block Source