Utilization Review RN
$30 - $32 per hourHealthCare Support
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you! Daily Responsibilities: Conducts pre-admission, concurrent and retrospective acute care, sub-acute, hospice, qualification of transitional care and long-term care needs for medical necessity Perform case reviews and complete all required documentation in appropriate database Collaborate with primary or attending physician, case managers, patient and/or family to provide continuity and quality of care in the most cost-effective manner. Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) Provide outpatient or pharmacy services utilization review Hours for this Position: M-F 8:00am to 5:00pm Requirements: 2+ years in recent medical/surgical or critical care experience 3+ years of Utilization Review / Case Management experience Strong reasoning ability: define problems, collect data, establish facts, and draw conclusions Advantages of this Opportunity: Competitive salary ($30/hr. to $32/hr.) Benefits offered, Medical, Dental, and Vision Fun and positive work environment Interested in being considered? If you are interested in being considered for this position, PLEASE click the APPLY NOW button! #J-18808-Ljbffr
- ...Utilization Review Nurse The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM),... ...professional nursing. Licensure/Certification * Licensed RN in the State of Florida is required. * Bachelor of Nursing is...SuggestedDaily paidLocal area
- ...Responsibilities Reviews hospital admissions to ensure appropriate admission status in accordance with MCG/InterQual criteria Monitors... ...Graduate of an accredited school of professional nursing Licensed RN in the State of Florida is required Bachelor of Nursing preferred...Suggested
Jobtailor
Fort Lauderdale, FL1 day ago - ...safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is... ...varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant...SuggestedFull timeLocal area
$28.85 - $31.25 per hour
...A leading healthcare recruiting firm is seeking a qualified professional to conduct utilization reviews in Fort Lauderdale, FL. The ideal candidate will have a minimum of 3 years of experience in medical/surgical or critical care, as well as utilization review and case...SuggestedHourly payHealthCare Support
Fort Lauderdale, FL1 day ago$28.85 - $31.25 per hour
...care and long-term care needs for medical necessity Perform case reviews and complete all required documentation in appropriate... ...72-hours for weekend) Provide outpatient or pharmacy services utilization review Qualifications 3+ years in recent medical/surgical or critical...SuggestedPrivate practiceWeekend workWeekday workHealthCare Support
Fort Lauderdale, FL1 day ago- ...Job Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard... ...hours Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license required Minimum 2...Remote jobFull timeMonday to Friday
- ...environment and take appropriate action. Required Work Experience: Two (2) years of nursing experience. One (1) year of experience in utilization management or case management preferred. Other Information: Certification in utilization management and/or case management...Daily paidWork experience placement
$26.41 - $43 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. • Adheres to utilization management (UM) policies and procedures.... ...education and experience. • Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at officeRemote workMolina Healthcare
Fort Lauderdale, FL2 days ago- ...Summary : We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play... ...appropriate reimbursement. Qualifications: · Registered Nurse (RN) licensure required; must hold a USRN multi-state/compact...Work experience placement
Health Business Solutions
Cooper, FL6 days ago - ...Medical Records Reviewer – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions... ...will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources. The Medical Records Reviewer will...Work at officeFlexible hours
ICBD
Fort Lauderdale, FL3 days ago $30 - $40 per hour
...Appeals Clinical Reviewer The Appeals Clinical Reviewer serves as an Appeals Utilization Review Nurse responsible for reviewing and evaluating member and provider appeals... ...Skills Active Florida Registered Nurse (FL RN) license. At least 2 years of utilization management...Permanent employmentContract workTemporary workWork at officeRemote workWork from homeMonday to Friday- ...Utilization Management RN Location: Miramar, Florida We have an outstanding reputation for providing patient- and family-centered care that... ...screening tools to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness...Daily paidWork experience placementShift work
- ...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify acquired Performant and we are now part of the Machinify organization.... ...and regulations, may be necessary. Experience with utilization management systems or clinical decision-making tools such...Remote workFlexible hours
$33.37 - $45.05 per hour
...process of assessment, diagnosing, planning, implementation, and evaluation. Perform responsibilities in five areas of nursing practice utilizing critical thinking, management, problem solving and differentiation of urgency in the role of: clinician, teacher, researcher,...Full timeRelocation packageShift workLee Health
Fort Lauderdale, FL23 hours ago- ...Join to apply for the UM Clinical Reviewer role at Centers Plan for Healthy Living 1 month... ...Registered Nurse without experience. The Utilization Management Clinical Reviewer works within... ...interventions are maintained. Qualifications Active RN license, entry level RN welcome Excellent...Full timePart timeReliefWork at office
Centers Plan for Healthy Living
Pompano Beach, FL2 days ago - ...Job Description The Registered Nurse (RN) is a professional caregiver who assumes responsibility... ...the care of patients. The staff RN utilizes the nursing process by use of technology,... ...response to interventions through review of achievement of goals, clinical outcomes...Hourly pay
Intermountain Health
Fort Lauderdale, FL2 days ago - ...Job Description The Registered Nurse (RN) is a professional caregiver who assumes responsibility... ...evaluating the care of patients. The RN utilizes the nursing process with technology,... ...response to interventions through review of achievement of goals, clinical outcomes...Hourly payShift workNight shift
Intermountain Health
Fort Lauderdale, FL1 day ago - ...directions. # Performs assisting duties and responsibilities. # Reviews schedule at least one week in advance and prepares as necessary... ...# Helps in workroom and with restocking clinical supplies. # Utilizes computer system (time clock, reviewing schedules, scheduling...Work at office
Carolinas Center For Oral & Facial Surgery
Fort Lauderdale, FL3 days ago $7,000 per month
...perioperative practices as established by AORN. Review daily assignments and ascertain surgeon-... ...Assure that equipment and supplies are utilized at appropriate levels and returned to... ...the origin of each specimen to the RN Circulator. Assist surgeons and assistants...Hourly payRelocation packageCleveland Clinic
Fort Lauderdale, FL7 days ago$25 per hour
...help each patient design a recovery plan to meet their needs. Utilizing methadone, suboxone, and vivitrol to break the grip of withdrawal... ...clients about how to get to the laboratory, ensure physician review of results and communicates results and recommendations to the...Part timeShift workDay shiftCentral Florida Treatment Centers
Fort Lauderdale, FL16 days ago$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals...Remote workFlexible hours$25k
...Become a part of our caring community The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes... ...support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance....Full timeTemporary workApprenticeshipWork at officeMonday to FridayHumana
Fort Lauderdale, FL1 day ago$1,817 per week
...Health Advocates Network - Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fort Lauderdale... ...ICU - Intensive Care Unit Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so...Daily paidLong term contractTemporary workLocal areaFlexible hoursShift workHealth Advocates Network - Nursing
Fort Lauderdale, FL1 day ago$35 per hour
...required. Efficient Documentation: We utilize Kinnser (WellSky) for streamlined... ...treatment plans established by the supervising RN. Timely Documentation: Chart patient... ...consideration. Our clinical leadership is reviewing applications daily to get field...Price workImmediate startActify Home Care
Fort Lauderdale, FL13 days ago$1,519 - $1,616 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Fort Lauderdale, FL Agency: Fusion Medical Staffing Pay: $1,519 to $1,616 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/11/20...Full timeContract workTemporary workShift workNight shiftFusion Medical Staffing
Fort Lauderdale, FL23 hours ago$1,740 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Fort Lauderdale, FL Agency: Triage Staffing Pay: $1,740 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/11/2026 About the Position...Full timeContract workShift workNight shiftTriage Staffing
Fort Lauderdale, FL23 hours ago$1,519 - $1,616 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Fort Lauderdale, FL Agency: Fusion Medical Staffing Pay: $1,519 to $1,616 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/11/20...Full timeContract workTemporary workShift workNight shiftTravelNurseSource
Fort Lauderdale, FL23 hours ago$1,762 per week
...Registered Nurse (RN) | Cardiovascular Intensive Care Unit Location: Fort Lauderdale, FL Agency: FlexCare Pay: $1,762 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position...Full timeContract workLocal areaImmediate startShift workNight shiftFlexCare
Fort Lauderdale, FL23 hours ago$1,948 per week
...Registered Nurse (RN) | Cardiovascular Intensive Care Unit Location: Fort Lauderdale, FL Agency: Triage Staffing Pay: $1,948 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/11/2026 About...Full timeContract workShift workNight shiftTriage Staffing
Fort Lauderdale, FL23 hours ago$1,762 per week
...Registered Nurse (RN) | Cardiovascular Intensive Care Unit Location: Fort Lauderdale, FL Agency: FlexCare Pay: $1,762 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position...Full timeContract workLocal areaImmediate startShift workNight shiftTravelNurseSource
Fort Lauderdale, FL23 hours ago
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