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Utilization Review Registered Nurse, RN job in St. Louis at BJC HealthCare

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Utilization Review Registered Nurse, RN at BJC HealthCare

Utilization Review Registered Nurse, RN

BJC HealthCare St. Louis, MO Full Time
Information About this Position

  • 40 Hours per Week
  • 8:00 a.m.-4:30 p.m
  • Monday through Friday
  • Partially Remote
  • Benefits Eligible

Company and Job Overview

Barnes-Jewish Hospital is the St. Louis region’s top adult hospital. Formed from the merger of the former Barnes and Jewish Hospitals to become Missouri’s largest hospital, it continues the traditions of its predecessors along with its partner, Washington University School of Medicine, in providing cutting-edge treatments, educating future medical professionals and working to make our community as healthy as it can be.


For over two decades Barnes-Jewish Hospital has been ranked on the U.S. News & World Report Best Hospitals Honor Roll. In 2021, Barnes-Jewish ranked 17th overall with 11 specialties being ranked. The hospital was also the first hospital in Missouri to be designated as a Magnet® hospital in 2003 by the American Nurses Credentialing Center for excellence in nursing and has been redesignated consistently since.


Barnes-Jewish Hospital is a teaching hospital staffed by more than 1,500 Washington University Physicians, the clinical practice for the Washington University School of medicine. The academic medicine partnership has developed many treatments and procedures that are now common across the globe.


Role 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

  • Uses clinical and analytical skills to review and interpret diagnostic test results to determine appropriateness of patient's level of care.
  • Uses Interqual Criteria to determine level of care for all elective inpatient hospitalizations to assure services are provided in the appropriate setting.
  • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
  • Performs Other Responsibilities as Assigned

Minimum Requirements


Preferred Qualifications

Preferred Requirements

  • Bachelor's Degree in Nursing

Benefits Statement

Note: not all benefits apply to all openings

-  Comprehensive medical, dental, life insurance, and disability plan options
-  Pension Plan*/403(b) Plan
-  401(k) plan
-  Tuition Assistance
-  Health Care and Dependent Care Reimbursement Accounts
-  On-Site Fitness Center (depending on location)
-  Paid Time Off Program for vacation, holiday and sick time

*Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


Legal Statement

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

 

Recommended Skills

  • Health Care
  • Nursing
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Job ID: PGMCCM-4747_24473

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