Healthcare Utilization Specialist
5 days ago
About Us
BJC HealthCare is a leading nonprofit healthcare organization in the United States, delivering high-quality services to residents across various communities. With over 30,000 employees and 14 hospitals, BJC serves patients through its comprehensive range of services including inpatient and outpatient care, primary care, community health, and more.
We are committed to providing exceptional patient care and ensuring that our services are accessible to all, regardless of their ability to pay. Our community benefits program provides significant financial assistance to patients, totaling millions annually.
Job Description
The Clinical Resource Facilitator RN will serve as a clinical resource and subject matter expert to the care coordination department. This role will focus on level of care/medical necessity, progression of care, and care transition processes. The successful candidate will work closely with department management to ensure the highest quality of care coordination.
Key Responsibilities
- Cover UM assignments when there are staffing gaps due to scheduled vacations or staff outages
- Help onboard and train new hires
- Assess learning opportunities among the staff and conduct individual and/or team education in meetings
Requirements
- Nursing Diploma/Associate's - Nursing
- Bachelor's Degree - Nursing
Benefits
At BJC HealthCare, we offer a comprehensive benefits package that includes medical, dental, vision, life insurance, and legal services. We also provide disability insurance, a pension plan, and flexible spending accounts for healthcare and dependent care.
-
Healthcare Research Specialist
2 days ago
St Louis, Missouri, United States BJC HealthCare Full timeJob PurposeThe Healthcare Research Specialist is responsible for developing the health services research program, facilitating and conducting academic/clinical research, and supporting research utilization in nursing/clinical practice. This role involves collaboration with interdisciplinary teams to identify research priorities, develop strategic plans, and...
-
Utilization Management RN
17 hours ago
St Louis, Missouri, United States BJC HealthCare Full timeCare Coordination Specialist: Job Description:This position serves as a clinical resource facilitator to the care coordination department with key focus areas that may include level of care/medical necessity, progression of care and care transition processes, outlier management and other responsibilities in care coordination or utilization...
-
Clinical Utilization Review Specialist
21 hours ago
St Louis, Missouri, United States BJC HealthCare Full timeJob OverviewBJC HealthCare is a leading nonprofit healthcare organization delivering services to residents in urban, suburban, and rural communities. As a key member of our team, you will play a vital role in ensuring seamless care coordination and utilization review processes.The ideal candidate will have excellent clinical knowledge, strong communication...
-
Medical Utilization Review Specialist
5 days ago
St Louis, Missouri, United States BJC HealthCare Full timeAbout the RoleBJC HealthCare is seeking a dedicated Registered Nurse to lead our Utilization Review team. As a key member of our nursing department, you will play a vital role in ensuring that our patients receive high-quality care.In this position, you will serve as a clinical resource facilitator to our care coordination department, providing expertise on...
-
Part-time Utility Specialist
3 days ago
St Louis, Missouri, United States Butler's Pantry Full timeWe're Butler's Pantry, a leading catering company passionate about creating memorable experiences. Our Utility / Dishwashing Team is looking for a skilled Part-time Utility Specialist to help us deliver exceptional results.Duties and ResponsibilitiesWash and sanitize dishes, utensils, and equipmentClean and maintain kitchen areas, including floors, walls,...
-
Dining Utility Specialist
17 hours ago
St Louis, Missouri, United States Compass Group Equity Partners Part timeCompass Group Equity Partners is seeking a skilled and detail-oriented Dining Utility Specialist to join our team.Job Summary:Maintain kitchen work areas, equipment, and utensils in a clean and orderly manner. Sweep and mop floors to comply with safety and sanitation standards. Perform various tasks to support the culinary team in providing exceptional...
-
Energy and Utilities Engineering Specialist
5 days ago
St Louis, Missouri, United States Farnsworth Group Full timeAbout the RoleWe are seeking a highly skilled Energy and Utilities Engineering Specialist to join our team. In this role, you will provide technical support as part of an engineering team on projects reporting directly to Farnsworth's project manager.Key Responsibilities:Provide project management on small to medium sized projects as a representative...
-
Nurse Utilization Review Lead
21 hours ago
St Louis, Missouri, United States BJC HealthCare Full timeJob DescriptionBJC HealthCare seeks a skilled Registered Nurse to lead utilization review efforts in our Saint Louis, Missouri location.This role serves as a clinical resource facilitator to the care coordination department, focusing on level of care/medical necessity, progression of care and care transition processes, outlier management, and other...
-
Kitchen Utility Lead
1 day ago
St Louis, Missouri, United States Marriott International Full timeJob DescriptionThis role manages the daily kitchen utility operations and staff. Key areas of responsibility include dish room operations, night cleaning, back dock cleaning and maintenance, banquet plating and food running. The Steward Banquets Specialist supervises kitchen employees not actively engaged in cooking (e.g., dishwashers, kitchen helpers,...
-
Utilization Review Nurse
2 days ago
St Louis, Missouri, United States BJC HealthCare Part timeJob DescriptionAdditional Information About the Role Attention Hospital or Insurance Registered Nurses with Utilization Review Experience 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...
-
Healthcare Support Specialist
6 days ago
St Louis, Missouri, United States BJC HealthCare Full timeJoin our Surgical Care Team: BJC HealthCare is seeking a dedicated Healthcare Support Specialist to join our surgical care team. This individual will provide essential support to patients undergoing surgery, ensuring their comfort and well-being throughout the process.Responsibilities:Provides direct patient care activities, including assessment, diagnosis,...
-
Healthcare Access Specialist
4 days ago
St Louis, Missouri, United States BJC HealthCare Full timeTaking on this role as a Patient Access Representative at BJC HealthCare means you will be joining a team dedicated to delivering exceptional patient care. Your responsibilities will include registering patients, scheduling appointments, and verifying insurance coverage.Job DescriptionAs a Patient Access Representative, you will be responsible for ensuring...
-
Pediatric Healthcare Specialist
4 days ago
St Louis, Missouri, United States BJC HealthCare Full timeJob SummaryThis Pediatric Healthcare Specialist role involves providing direct patient care activities, including assessment, diagnosis, planning, implementation, and evaluation within the guidelines of the standards of nursing care.The ideal candidate will have a strong commitment to child advocacy and wellness, and will be able to promote patient and...
-
End-of-Life Care Registered Nurse Specialist
4 days ago
St Louis, Missouri, United States BJC HealthCare Full timeHospice Care Specialist Role Summary:The RN Hospice Admissions Float position is a critical role in providing quality care to terminally ill patients in the field. As a clinical nurse specialist, you will utilize your expertise in patient assessment, IV therapy, and care coordination to deliver exceptional patient outcomes. This role requires strong...
-
Healthcare Specialist
4 days ago
St Louis, Missouri, United States BJC Full timeAbout the RoleWe are seeking an experienced Healthcare Specialist to join our team as an Academic Researcher. In this role, you will be responsible for conducting academic and clinical research, supporting research utilization in nursing and clinical practice, and developing an ongoing strategic plan for research.Key ResponsibilitiesDevelop and implement...
-
Pediatric Healthcare Specialist
1 week ago
St Louis, Missouri, United States BJC HealthCare Full timeAbout Us:BJC HealthCare is a leading nonprofit healthcare organization delivering services to residents in the greater St. Louis area. With a commitment to providing high-quality care, we serve patients and their families through our 14 hospitals and multiple community health locations.Job Description:We are seeking a skilled Nurse Practitioner to join our...
-
Healthcare Specialist for Pain Management
7 days ago
St Louis, Missouri, United States Nirvana Healthcare Full timeNirvana Healthcare seeks a healthcare specialist to join our team. As a medical professional, you will be responsible for providing care to patients with various conditions, focusing on pain management and neurological issues. This position is available in St. Louis, MO, and requires a commitment of 3-5 days a week. **Benefits and Opportunities:**Flexible...
-
Healthcare Van Operations Specialist
21 hours ago
St Louis, Missouri, United States BJC HealthCare Full timeJob OverviewAs a Mobile Health Van Specialist at BJC HealthCare, you will play a vital role in supporting the delivery of healthcare services to underserved communities. Your primary responsibility will be to operate and maintain the mobile health van, ensuring its safe and efficient use.This is an excellent opportunity for individuals who are passionate...
-
Healthcare Specialist
12 hours ago
St Louis, Missouri, United States BJC HealthCare Full timeBJC HealthCare is committed to delivering exceptional patient care and improving the lives of those we serve. As a Nurse at our facility, you will play a vital role in this mission.">We offer a dynamic work environment that fosters collaboration, innovation, and professional growth. Our team is dedicated to providing compassionate care and promoting a...
-
Nurse Specialist
3 days ago
St Louis, Missouri, United States BJC HealthCare Full timeBJC HealthCare is seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Nurse Specialist. As a key member of our healthcare team, you will provide high-quality patient care and work collaboratively with other medical professionals to ensure the best possible outcomes for our patients.About the RoleAs a Nurse Specialist at BJC...