← all jobs

Remote - Utilization Review Nurse PRN

Work from home Full-time role Hiring

Find your calling at Mercy!

Overview

Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration of a seamless care model; assisting with patient throughput; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice Position Details:

Qualifications

Education: Graduate of an accredited school of nursing. Licensure: Current license in the state of residence and/or employment Experience: 2-3 years acute care hospital setting Other: Must have the ability to work independently and meet deadlines, giving attention to detail and follow up. Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work. Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information. Excellent verbal and written communication skills, particularly telephone Advanced computer skills and have the ability to interact effectively with a variety of people and situations at all levels of the organization. Preferred Experience: Care Management or Utilization Review experience, Preferred Certifications: Case Management or Utilization Review, Preferred Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employer’s data processor SonicJobs. See Mercy Terms & Conditions at about/legal-notices/ and Privacy Policy at about/legal-notices/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions Experience: 3 years required

More open positions

Real Time Specialist Workforce Management

Work from home Full-time role

Principal, Commercial Life Sciences Solutions at Datavant: 100% Remote (US)

Work from home Full-time role

Remote Recruitment Coordinator (20-27 per hour)

Work from home Full-time role

Client Success Manager - Remote

Work from home Full-time role

Community Engagement Coordinator, DCC Communities

Work from home Full-time role

Sr Dir Underwriting & Client Financial Strategy - REMOTE

Work from home Full-time role

Area Sales Professional

Work from home Full-time role

Software Engineer | $110/hr | Remote

Work from home Full-time role

Operations Software Engineer - Operations

Work from home Full-time role

Roofing Sales Representative

Work from home Full-time role

Clerical Assistant 3 - State Correctional Institution (SCI) Laurel Highlands

Work from home Full-time role

Manager - Contracting

Work from home Full-time role

Medical Coding SME - Remote position

Work from home Full-time role

Roger E. Koontz Fellowship in Law and Climate Policy

Work from home Full-time role

Lead Software Engineer - Enterprise Email SME, SES. DNS, Java Development

Work from home Full-time role

Delivery Expert- (09633) Kansas City, KS

Work from home Full-time role

Online Customer Service – Booking Hotels

Work from home Full-time role

SALES REPRESENTATIVE (FREELANCE) - GERMANY

Work from home Full-time role

Senior Remote Virtual Assistant & Project Coordination Specialist – Championing Engineering Consulting Support, Process Optimization, Cross‑Functional Collaboration, and Strategic Project Management at brighthush

Work from home Full-time role

Coronary Executive Sales Representative- Hoboken - Jersey City

Work from home Full-time role

Senior Remote Engineering Manager – Leading Customer Developer Experience, Open Source Advocacy, and AI‑Powered E‑Commerce Platform Innovation at brighthush

Work from home Full-time role