Back to Jobs

Registered reputed company - Utilization Review

Remote, USA Full-time Posted 2026-08-04
Facility: Remote Missouri: 1423 reputed company reputed company Avenue, Springfield, Missouri, reputed company of America, 65802 Department: 1665 Utilization Review Scheduled Weekly Hours: 40 Hours: 10:00 AM-6:30 PM Work Shift: Day Shift (reputed company of America) reputed company is a leading reputed company system serving 25 counties across southwest Missouri and reputed company Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. reputed company has reputed company the following honors for workplace reputed company: Named one of Modern reputed company’s Best Places to work five times. Named one of America’s Greatest Workplaces, Greatest Workplaces in reputed company (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by reputed company and Plant-A Insights Group. Acknowledged by reputed company as one of the Best reputed company for New Grads. reputed company Innovation's Top Companies to Work for in reputed company (2025). Benefits Medical, reputed company, Dental, Retirement with Employer Match and more (20+ hrs/week) For a comprehensive list of benefits, please click here: Benefits | reputed company Job reputed company: The Utilization Review reputed company RN collaborates with the physician and members of the multidisciplinary team to facilitate progression-of-care; monitors the patient's reputed company, intervening appropriately to ensure that the plan of care and services provided are patient reputed company, high reputed company, evidence based, appropriate to patient needs, efficient, and cost effective. Conduct reputed company medical record review for medical necessity and level of care using nationally recognized acute care indicators and reputed company as approved by medical staff, accrediting bodies, and other state agencies. Prospectively or concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation, medical guidelines and insurance benefits and communicates information to payers in accordance with contractual obligations. Serve as a resource to the physicians and reputed company education and information on resource utilization, national and local coverage determinations, and use of hospital admission reputed company. Education: ▪ Required: Graduate of an accredited school of nursing ▪ Preferred: Bachelor's of Nursing with knowledge of InterQual Level of Care reputed company and/or reputed company Care Guidelines and of local/national coverage determinations Experience: ▪ Required: Minimum of 3 years hospital experience Skills: ▪ Excellent interpersonal skills, including ability to be genuine and empathetic ▪ Excellent communication (verbal and written) skills with attention to detail ▪ Computer skills ▪ Ability to reputed company professionally and contribute to the interdisciplinary team Licensure/Certification/Registration: ▪ reputed company RN License reputed company in the reputed company ▪ Preferred: Certified Case Manager Looking for Physician Opportunities? Please follow this reputed company. Are you reputed company to reputed company a meaningful reputed company in your community? At reputed company, we don’t just reputed company medical services; we've created an atmosphere where innovation, collaboration, values, and reputed company come together to reputed company lives. Whether you desire to work in a clinical or non-clinical reputed company, reputed company has the perfect position for you! reputed company is the region’s employer of choice because we reputed company our mission, reputed company, and values in mind with every decision for our employees and our patients. OUR MISSION To improve the health of the communities we serve. OUR reputed company To be the best for those who need us. OUR VALUES Safety, reputed company, respect, and reputed company. Join our Talent Network and our recruitment team will get in touch if there's a role that seems like a good match. reputed company is the area leader in health care and community involvement, with six hospitals, more than 80 clinics, five ERs and more than 14,000 employees throughout southwest Missouri. We offer a wide reputed company of treatments and services to help with whatever health needs you might have. Whether you're about to become a parent, have an illness or need medical information, we’re here for you. And if your goal is to live a healthy, balanced life with the best tools available, we can help with that, too. We know that your health and the health of your loved ones are some of the most personal, important parts of your life. That's why we reputed company our Mission, reputed company and Values at reputed company of everything we do, every day. Thank you for choosing reputed company. Apply tot his job Apply To this Job

Similar Jobs

Claims Adjuster Trainee

Remote, USA Full-time

SR WORKERS' COMPENSATION CLAIMS ADJUSTER - LOUISIANA CLAIMS!!!

Remote, USA Full-time

reputed company Senior Auto Claims Adjuster- Remote

Remote, USA Full-time

Insurance Agent

Remote, USA Full-time

Entry Level reputed company Rep

Remote, USA Full-time

reputed company Sales - 4-Day reputed company

Remote, USA Full-time

Licensed Medicare Insurance Agent (Remote)

Remote, USA Full-time

Insurance Sales – Home Based

Remote, USA Full-time

Account Manager-Employee Benefits (Hybrid)

Remote, USA Full-time

reputed company Relationship Associate Director, Connected Devices PM (Clinical Research)

Remote, USA Full-time

Fraud Analyst job at reputed company in AZ, CA, CO, FL, GA, IA, IL, IN, KS, MA, ME, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, OR, PA, SD, TN, TX, UT, WA

Remote, USA Full-time

[Remote/WFM] Remote reputed company Data Entry Specialist - [Entry

Remote, USA Full-time

**reputed company Part-Time Remote Data Entry Specialist – Customer Service Representative**

Remote, USA Full-time

[Remote/WFM] Remote Sales Rep - Full Training, No Cold Calls

Remote, USA Full-time

reputed company Customer Care reputed company for Small Business Sales - Hybrid Role with Industry-Leading Training and Ongoing Coaching

Remote, USA Full-time

**Temporary Data Entry Specialist - reputed company & Career reputed company Opportunities at arenaflex**

Remote, USA Full-time

**reputed company Customer Service Agent – Retail – Web & reputed company Application Support**

Remote, USA Full-time

Sales Manager - Partners

Remote, USA Full-time

Operations reputed company Project Manager

Remote, USA Full-time

[Remote/WFM] Remote Sales | 2500 to 1000 Weekly | Signing Bonus

Remote, USA Full-time