Utilization Review RN: Case Management Specialist
$30 - $32 per hourHealthCare Support
A national healthcare recruiting firm is seeking an experienced Registered Nurse specializing in Utilization Review for a prestigious Managed Care Company in Fort Lauderdale, Florida. This role involves conducting medical necessity reviews, collaborating with healthcare professionals, and ensuring timely admissions. The ideal candidate will have over 3 years of experience in Utilization Review and a passion for delivering quality care. Competitive salary ranging from $30 to $32 per hour, along with benefits, is offered. #J-18808-Ljbffr
$30 - $32 per hour
...you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking... ...a new opportunity with a prestigious Managed Care Company? Do you want the chance to... ...care needs for medical necessity Perform case reviews and complete all required...SuggestedPrivate practiceWeekend workWeekday work$60k - $75k
...health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation:... ...in ensuring both clinical quality management and financial viability for our... ...expectations. Communication & Case Management Maintain clear, professional...SuggestedFull timeWork at officeRemote work$28.85 - $31.25 per hour
...care needs for medical necessity Perform case reviews and complete all required documentation... ...primary or attending physician, case managers, patient and/or family to provide continuity... ...outpatient or pharmacy services utilization review Qualifications 3+ years in recent...SuggestedPrivate practiceWeekend workWeekday work$28.85 - $31.25 per hour
...recruiting firm is seeking a qualified professional to conduct utilization reviews in Fort Lauderdale, FL. The ideal candidate will have a... ...or critical care, as well as utilization review and case management. Responsibilities include conducting pre-admission reviews...SuggestedHourly pay$1,740 per week
...Registered Nurse (RN) | Utilization Review Location: Margate, FL Agency: GQR Healthcare Pay: $1,740 per week Shift Information... ...13 Weeks Start Date: ASAP About the Position Case Manager RN Job Location: Margate, FL Profession:...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work$1,740 per week
...Registered Nurse (RN) | Utilization Review Location: Margate, FL Agency: GQR Healthcare Pay: $1,740 per week Shift Information... ...Utilization Review RN in Margate, Florida, 33063! Case Manager RN Job Location: Margate, FL Profession: Registered...Hourly payWeekly payFull timeContract workImmediate startShift work$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Margate, Florida. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 06/29/2026 ~ Duration: 13...Temporary workFor contractorsImmediate startShift workWeekend work$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote... ...Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder,...Remote workFlexible hours$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote... ...is a unique team of revenue cycle management professionals specializing in the substance... ...(e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN). Proven experience in...Full timeWork at officeRemote workFlexible hours- ...Exciting Opportunity with Banyan Treatment Centers! We are seeking a Utilization Review Specialist to join our corporate team in Pompano Beach, FL. The position is responsible for contacting external case managers and managed care organizations for pre-authorization and...Full timeTemporary workRemote workWeekend workWeekday work
$80k - $90k
...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for... ...activity as assigned by management. Monitors, tracks, and... ...necessary. Experience with utilization management systems or... ...reporting tools, and case management system/tools to...For contractorsImmediate startRemote workWork from homeHome officeFlexible hoursShift work- ...Summary: The Data Quality Specialist is responsible for... ...in live or virtual meetings utilizing virtual meeting platforms on-... ..., and retrospective clinical reviews and abstractions as assigned.... ...Required)Registered Nurse License (RN LICENSE) - State of Florida (...Work experience placementWork at officeRemote workShift work
- ...Data Quality Specialist Location: Hollywood, Florida The Data... ...in live or virtual meetings utilizing virtual meeting platforms on-... ..., and retrospective clinical reviews and abstractions as assigned.... ...Required) Registered Nurse License (RN LICENSE) - State of Florida (...Work experience placementWork at officeRemote workShift work
- ...children through an adoption case management model that includes... ...within the role of an Adoption Specialist to include: Relationships... ...Participate in Adoption Applicant Review Committee (AARC) staffings... ...team meetings, client care and utilization reviews, and other meetings...Permanent employmentFlexible hours
$58.07k - $88.67k
...skilled Regulatory Quality RN Clinical Care-... ...the key factors in each case and whether the standard... ...Assists the provider peer review process which assesses... ...quality of medical care utilizing a high level of knowledge... ...to: Legal, Risk Management, Behavioral Health QOCC...Full timeShift workNight shiftWeekend work- ...Healthy Living is seeking a UM Clinical Reviewer to join their team in Pompano Beach, FL.... ...supports a multidisciplinary approach to managing member care, ensuring quality services and... ...Qualified candidates should have an active RN license and strong communication skills,...
$78.5k - $90k
...to health plans. The Medical Review Nurse (Home Health)... ...particular vulnerabilities and/or cases subject to potential abuse.... ...and Abilities Experience with utilization management systems or clinical decision... ...Qualifications Active unrestricted RN license in good standing is...For contractorsWork at officeRemote workHome officeShift work- ...Job Summary: The AutoCAD Specialist – SUE is responsible for preparing... ...related to Subsurface Utility Engineering (SUE) investigations... ...supports engineers, project managers, and field teams by converting... ...company CAD standards. Review drawings for accuracy, completeness...Full time
- ...Nurse to join our Fort Lauderdale team. This role is ideal for an RN who is passionate about preventative health, wellness, and... ...Hyperbaric Oxygen Therapy sessions Perform health assessments and review medical histories Monitor clients during treatments and respond to...Hourly payPart timeFlexible hoursShift workWeekend work
- ...will you be doing: As a Utilization Management Nurse, you will ensure that... ...compliance. By continuously reviewing and auditing patient treatment... ...State licensure as a LPN or RN Minimum 2 years of prior... ...Utilization Management or Case Management certification preferred...Full timeTemporary work
- ...Clinical Reviewer Nurse IHCS provides an Integrated Delivery... ...training program As a Utilization Management Nurse, you will ensure that... ...State licensure as a LPN or RN Minimum 2 years of prior experience... ...Utilization Management or Case Management certification...Full timeTemporary work
- ...and driven Registered Nurse (RN) to join our Continuous Care... ...comfort and quality of life Utilize monitoring, intervention, and... ...characteristics of Hospice Nursing: case management, crisis intervention,... ...further information, please review the Know Your Rights notice from...Daily paidFlexible hoursWeekend work
- ...bathing, and repositioning. Reviews patient admission history, prepares... ...assessment findings with case management to coordinate oncology care.... ...accredited school of Nursing RN Licensure within the State of... ...analyze and interpret data and utilize the information to make...Daily paidFlexible hoursShift workNight shift
$33 - $39 per hour
...FUNCTION The Registered Nurse, RN, is a member of the... ...JOB RESPONSIBILITIES a. Case Management and Supervision for Registered... ...RN, appropriately identifies/utilizes resources, referrals such as... ...personally and per Team Manager reviews b. Registered Nurse,...Flexible hoursShift workNight shiftRotating shiftWeekend workDay shiftAfternoon shiftWeekday work- ...divh2Clinical Reviewer Nurse/h2pIHCS provides an Integrated Delivery... ...training program/li/ulpAs a Utilization Management Nurse, you will ensure that... ...licensure as a LPN or RN Minimum 2 years of prior experience... ...Utilization Management or Case Management certification...Temporary work
$38 - $43 per hour
...Description Job Description Job Title: OB RN Case Manager Job Description The OB RN Case... ..., WIC, and SNAP when applicable. Utilize case management and utilization management... ..., you acknowledge and agree that your application may be reviewed using AI tools....Contract workTemporary workWork at officeRemote workMonday to Friday- ...patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management in order to... ...admission and concurrent/retro reviews using available third-party critical... ...Care Management Transition RN to determine continued...Daily paidWork experience placementFlexible hours
- ...RN Care Coordinator - Gastroenterology Join Cleveland... ...of care and disease management for patients with... ...access, optimizing APP utilization, and supporting timely... ...certification Prior case management experience... ...Administration: Please review the Equal Employment Opportunity...
- ...Learn more below. Summary: The RN Case Manager coordinates the care and service of patient... ...effective care coordination and utilization of healthcare resources to achieve desired... ..., and discharge.Performs ongoing chart review to identify actual or potential issues,...Work experience placementRelocation packageShift work
- ...Power of Every One. Job Title PRN RN Case Manager Location Weston... ...Weston Hospital Department Utilization And Quality Assur-Weston Hospital... ...years of recent experience in utilization review, quality or care management Knowledge...ReliefWork at officeShift work
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