Registered Nurse-Utilization Review
Job ID #2011130
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About this Role
We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states.
Job details
$35.00 / hour
Earth City, Missouri
Profession: Registered Nurse
Facility Type: ???
Specialty: Utilization Review
Division:
MedFi
Start Date: 03/02/2026
Responsibilities
Review chart notes and perform utilization management on patient/drug specific case basis.
Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery to the appropriate site of care.
Handle case assignments, review case progress, properly document case notes and determine case closure.
Follows established procedures, processes, and standards for production, productivity, quality, and customer-service. Meets performance targets for speed, efficiency, and quality.
Complete care management clinical escalations. Escalate to account management as appropriate.
Ensure all external and internal customers receive the level of customer service required by Archimedes and serves as a representative of Archimedes to all external customers.
Required Qualifications
Registered Nurse License
3+ years of experience in one of or a combination of Case Management, Utilization Management, Managing Specialty Medications, Experience in an infustion
Detail oriented
Need to have ownership over their tasks and members – there is not a strait workflow so have to be on top of their members
Good critical thinkings
Be able to work with a broader team