Clinical Review Nurse

4 weeks ago


St Louis, Missouri, United States Spectraforce Technologies Full time
Job Title: Clinical Review Nurse - Prior Authorization Specialist

Job Location: Remote

Job Duration: 6 Months (Potential to extend)

Responsibilities:

Review clinical documentation and perform utilization management reviews for prior authorizations

When completely trained, complete 20-22 authorizations per day at minimum

Internal/External Groups with which the Candidate will interface:

Required Skills/Experience:

Critical thinking skills

Quick to learn new computer programs

Education Requirement:

Completion of an accredited Nursing program

Education Preferred:

Associates degree in Nursing/ Bachelors degree in Nursing

Software Skills Required:

Microsoft and any clinical documentation system

Required Certifications:

Nursing license
  • Nurse Reviewer

    4 weeks ago


    St Louis, Missouri, United States Zelis Healthcare Full time

    Job Overview: Zelis Healthcare is seeking a skilled Nurse Reviewer to join our team. As a Nurse Reviewer, you will be responsible for conducting in-depth claim reviews based on accepted medical guidelines and clinical criteria. This role requires a strong understanding of audit techniques, identification of revenue opportunities, and financial negotiation...


  • St Louis, Missouri, United States Elevance Health Full time

    Job SummaryThis is a remote position, but you must reside within 50 miles/1 hour commute of an eligible Elevance Health PulsePoint location. The Licensed Utilization Review Nurse II is responsible for working primarily with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information...


  • St Louis, Missouri, United States Saint Louis University Full time

    At Saint Louis University, we are seeking a highly skilled Clinical Research Nurse I to join our team.The successful candidate will be responsible for carrying out delegated tasks related to complex protocols testing investigational drugs, devices, or research interventions.As a member of our team, the Clinical Research Nurse I will act as a liaison between...


  • St Louis, Missouri, United States Saint Louis University Full time

    At Saint Louis University, we are seeking a skilled Clinical Research Nurse I to join our team.The successful candidate will be responsible for carrying out delegated tasks related to complex protocols testing investigational drugs, devices, or research interventions.As a member of our team, the Clinical Research Nurse I will act as a liaison between the SLU...


  • St Louis, Missouri, United States Saint Louis University Full time

    Job SummaryUnder the direction of the Principal Investigator or designee, the Clinical Research Nurse I is responsible for carrying out all delegated tasks related to complex protocols testing investigational drugs, devices, or research interventions. The Clinical Research Nurse I is a member of the team and resource for study protocol conduct, acting as a...


  • St Louis, Missouri, United States BJC Full time

    Job SummaryWe are seeking a skilled Clinical Liaison Nurse to join our team at BJC. As a Clinical Liaison Nurse, you will be responsible for maintaining accurate and current information to serve as a resource advocate for patients, families, and visitors.Key ResponsibilitiesInvestigate situations involving patients, families, visitors, or personnel and take...


  • St Louis, Missouri, United States Saint Louis University Full time

    About the RoleThe Clinical Research Nurse I will be responsible for carrying out all delegated tasks related to complex protocols testing investigational drugs, devices, or research interventions under the direction of the Principal Investigator or designee.Main ResponsibilitiesAbstract medical record information to ensure proper adherence to randomization...

  • Clinical Nurse

    4 weeks ago


    St Louis, Missouri, United States BJC Full time

    Job SummaryWe are seeking a skilled Clinical Nurse to join our Psychiatry Clinic team. As a Clinical Nurse, you will provide direct patient care activities, including assessment, diagnosis, planning, implementation, and evaluation within the guidelines of the standards of nursing care.ResponsibilitiesProvide patient-centered care, promoting a healing...

  • Clinical Nurse

    1 month ago


    St Louis, Missouri, United States BJC Full time

    Job Title: Clinical NurseChristian Hospital is seeking a skilled Clinical Nurse to join our team. As a Clinical Nurse, you will provide direct patient care activities, including assessment, diagnosis, planning, implementation, and evaluation within the guidelines of the standards of nursing care.Responsibilities:Provide patient-centered care in a healing...


  • St Louis, Missouri, United States Affinia Healthcare Inc Full time

    As a Clinical Care Coordinator at Affinia Healthcare Inc, you will play a vital role in providing safe and efficient care to patients under the supervision of the Assistant VP of Health Center Operations.Key responsibilities include functioning as a member of the healthcare team, providing assistance in planning and implementation of patient-based care, and...

  • Clinical Nurse

    4 weeks ago


    St Louis, Missouri, United States BJC Full time

    Job SummaryWe are seeking a skilled Clinical Nurse to join our team at BJC. As a Clinical Nurse, you will be responsible for providing direct patient care activities, including assessment, diagnosis, planning, implementation, and evaluation within the guidelines of the standards of nursing care.ResponsibilitiesPromote patient and family-centered care in a...

  • Clinical Nurse

    1 month ago


    St Louis, Missouri, United States BJC Full time

    Job SummaryWe are seeking a highly skilled and compassionate Clinical Nurse to join our Psychiatry Clinic team at Barnes-Jewish Hospital. As a key member of our interprofessional team, you will provide direct patient care, education, and support to patients and families affected by serious mental illness.ResponsibilitiesAssess and evaluate patients'...


  • St Louis, Missouri, United States Focus Staff Full time

    Job Description:Travel Clinical Registered Nurse - Clinic RNJob Summary:We are seeking a highly motivated and energetic Clinical Registered Nurse to join our team as a Travel Clinical Registered Nurse - Clinic RN. As a Clinical RN, you will provide patient care in medical clinics, working closely with doctors, specialists, and other care providers to deliver...


  • St Louis, Missouri, United States BJC Full time

    Job Title: Clinical NurseJoin BJC Healthcare as a Clinical Nurse and be part of a team that is dedicated to providing exceptional patient care. As a Clinical Nurse, you will have the opportunity to work in a fast-paced environment and make a meaningful difference in the lives of our patients.About the RoleThe Clinical Nurse will be responsible for providing...


  • St Louis, Missouri, United States BJC Full time

    Job Title: Clinical Nurse PositionWe are seeking a skilled Clinical Nurse to join our team at Barnes-Jewish Hospital. As a Clinical Nurse, you will be responsible for providing direct patient care activities, including assessment, diagnosis, planning, implementation, and evaluation within the guidelines of the standards of nursing...


  • St Louis, Missouri, United States BJC Full time

    Job Title: Clinical NurseJob Summary:Barnes-Jewish Hospital is seeking a Clinical Nurse to join our Neuro Medicine Unit. As a Clinical Nurse, you will provide direct patient care activities, including assessment, diagnosis, planning, implementation, and evaluation within the guidelines of the standards of nursing care.Responsibilities:Promote patient and...


  • St Louis, Missouri, United States BJC Full time

    Job Title: Clinical Nurse CoordinatorAt BJC Medical Group, we are seeking a highly skilled and dedicated Clinical Nurse Coordinator to join our team. As a key member of our healthcare team, you will be responsible for providing direct patient care to identified patients in collaboration with providers and care teams.Responsibilities:Collaborate with PCPs and...


  • St Louis, Missouri, United States BJC Full time

    Job Summary:The Clinical Nurse Position at Barnes-Jewish Hospital offers a unique opportunity for clinical nurses to improve and gain critical thinking skills, assessment skills, problem-solving skills, and time management skills.The Neuro Medicine floor provides care to a diverse population with a specialty in neuro-medicine and epilepsy monitoring unit. In...


  • St Louis, Missouri, United States BJC Full time

    Job Title: Clinical NurseAt BJC, we're committed to providing exceptional patient care and fostering a collaborative environment for our nursing professionals. As a Clinical Nurse, you'll play a vital role in delivering high-quality care to patients with complex neurological conditions.Job SummaryThe Clinical Nurse position at Barnes-Jewish Hospital's Neuro...


  • St Louis, Missouri, United States BJC Full time

    Job SummaryWe are seeking a skilled Clinical Nurse Coordinator to join our team at BJC Medical Group in Cardiology. As a key member of our healthcare team, you will provide direct patient care to identified patients in collaboration with providers and care teams to assess, develop, and implement a plan of care to deliver clinically appropriate, high-quality,...