Remote Utilization Review Nurse for PACE

Miami Jewish Health

Miami Jewish Health in Florida is seeking an Utilization Review Nurse to conduct prospective, concurrent, and retrospective reviews ensuring medical necessity and appropriate level of care. You will collaborate with hospital UR/Case Management, the IDT, and providers to facilitate timely care transitions and maintain audit-ready records. The role supports CMS PACE requirements and involves travel to area hospitals as needed, with a focus on compliant, evidence-based determinations. #J-18808-Ljbffr

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Vacancy posted 19 hours ago

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