Utilization Review Registered Nurse - St. Louis Children's Hospital

BJC HealthCare

1 month ago

St. Louis, Missouri — HybridFull TimeUtilization Review

✓ No Call

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Job Description

About the Role

Join BJC HealthCare as a Utilization Review Registered Nurse - St. Louis Children's Hospital in United States.

Key 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.

Requirements

prevention programs to fulfill its mission to “do what’s right for kids.” Providing comprehensive, high

quality care and serving as an advocate for children has been St. Louis Children’s commitment since its inception in 1879. Today, the hospital serves patients and families across a 300

utilization according to patient's presentation and documentation. Education of medical providers and other health care professionals on the appropriate and cost

Nursing Experience 2

Benefits & Compensation

401(k) with employer match.

Work Schedule

Full-Time position.

Hybrid position - combination of remote and on-site.

No call required.

Day shift only - no nights.

This position offers day shifts only. Work with BJC HealthCare in United States.

Key Skills

Utilization ReviewUtilization ManagementRegistered NurseClinical ReviewAnalytical SkillsEPIC ExperienceInterqual CriteriaCost EvaluationQuality Care

HealthcareAdministrativevia Icims

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Utilization Review Registered Nurse - St. Louis Children's Hospital at BJC HealthCare a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% of all Utilization Review registered nurse listings evaluated on our platform. Contributing factors include no on-call duties, remote work flexibility.

This score reflects a generally positive work environment with some areas for improvement. Clinicians should evaluate scheduling and workload expectations carefully.

Utilization Review — Registered Nurse Career Context

This Utilization Review position at BJC HealthCare is open to registered nurse candidates.

Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.

Remote registered nurse positions in Utilization Review have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Location & Logistics

This is a fully remote registered nurse position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

No on-call requirements — clinicians are completely off-duty after hours
Fully remote — work from anywhere with an active license

Skills, Responsibilities & Benefits

Key skills and qualifications: Utilization Review, Utilization Management, Registered Nurse, Clinical Review, Analytical Skills, EPIC Experience, Interqual Criteria, Cost Evaluation. Candidates with experience in these areas may be especially well-suited for this Utilization Review role.

Core responsibilities: The role ensures the appropriate and efficient administration of hospital resources within payment parameters while maintaining safe and quality care. This involves evaluating the cost and quality of medical services and ensuring appropriate utilization according to patient presentation and document...

Benefits package: Health Insurance, Dental Insurance, Vision Insurance, Life Insurance, Legal Services, Disability Insurance, 401(k) with Match, Tuition Assistance. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Utilization Review registered nurse jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.