Utilization Review Jobs in Florida
Medical Solutions is seeking a travel nurse RN Case Manager, UtilizationReview for a travel nursing job in Port Charlotte, Florida. Job Description & Requirements Specialty: UtilizationReview Discipline: RN Duration: 13 weeks 36 hours per week...
Summary
The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right...
Medical Solutions is seeking a travel nurse RN Case Manager, UtilizationReview for a travel nursing job in Port Charlotte, Florida. Job Description & Requirements Specialty: UtilizationReview Discipline: RN Duration: 13 weeks 40 hours per week...
Summary
The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right...
Overview:
Shift: 7am - 3:30pm
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Responsibilities:
ESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations...
Summary
The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right...
- Experience: Minimum of three years of Acute Care RN experience within a hospital setting required.
- Minimum 2 Years of RN Case Management within a Large Acute Care “Hospital”.
- 1 year of UtilizationReview experience...
Summary
The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right...
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of UtilizationReview and Resource Management, including but not limited to daily review of medical records to determine...
Summary
The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right...
The Emergency Department Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of UtilizationReview and Resource Management, including but not limited to daily review of medical...
- Acts as resources person for computer issues that relate to the MDS process. Contacts support when indicated.
- Attends Medicare or UtilizationReview meeting...
family groups, family program, and/or family weekend. Required to sit at a meal and/or snack a minimum of once per week.
Provides utilizationreviews to insurance companies, providing appropriate clinical information to obtain initial authorization...
Up to $10,000 Sign-On bonus for experienced Registered Nurse / RN
POSITION SUMMARY
Responsible for utilizationreview and discharge planning of all acute clinical areas. Responsible for all insurance authorizations, clinical communication...
A cost containment background, such as utilizationreview or managed care is helpful.
Strong interpersonal, time management and organizational skills.
Computer proficiency and technical aptitude with the ability to utilize MS...