Utilization Management RN - Care Coordination & Authorization Expert
$68.13k - $119.52kDirect Jobs
Direct Jobs is looking for a Registered Nurse to monitor admissions and perform medical necessity reviews in Altamonte Springs, Florida. The ideal candidate will collaborate with the care team and ensure proper patient status authorization. The required qualifications include an Associate's of Nursing, with a preference for a Bachelor's, along with a minimum of 3 years of clinical nursing experience in an acute care setting. The pay range for this role is between $68,132.50 and $119,520.35. #J-18808-Ljbffr Direct Jobs
$71.1k - $97.8k
...insurance company is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills for coordinating medical services and benefit determinations... ...experience and a Compact RN license. Responsibilities include making care determinations, excellent...SuggestedRemote job- Itlearn360 is seeking a dedicated Utilization Management professional based in the... ...as either an LPN or RN and a minimum of 2 years of... ...patient clinical information, coordinating with healthcare teams, and maintaining... ...on teamwork and patient care. #J-18808-Ljbffr Itlearn360SuggestedFull time
$73.86k - $96.02k
...clinical financial resource utilization. Coordinates with the healthcare team for... ...Licenses & Certifications: MCG Care Guidelines Specialist.... ...their non-leadership role as an RN. However, they are required... .... Strong analytical, data management and computer skills. Strong...SuggestedLocal area- ...providing outstanding patient care and a high level of... ...our success!**The Per Diem RN is responsible for assessing... ...identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the... ...patients* Ability to manage the emotional stress of...SuggestedDaily paidContract workReliefLocal areaImmediate startFlexible hoursNight shift
$71.1k - $97.8k
Job Summary The Utilization Management Registered Nurse uses clinical nursing skills... ...interpret and support the coordination, documentation and... ...This team manages post-acute care services, including Skilled... ...a Compact Registered Nurse (RN) license in your state of residence...SuggestedBi-weekly payTemporary workRemote work$73.86k - $96.02k
Baptist Health South Florida is seeking a qualified individual to conduct chart reviews for clinical financial resource utilization. The role requires effective communication with healthcare teams and various agencies to optimize patient outcomes. Qualifications include...$62.7k - $100.4k
A healthcare organization is seeking a Clinical Care Reviewer II responsible for processing medical necessity reviews and assisting with care coordination activities. Candidates need to hold an Associate's degree in nursing and have at least three years of clinical experience...- Position Summary The Metabolic and Bariatric Program Coordinator Registered Nurse (RN) supports and manages the coordination, facilitation, and operational... ...clinical, and operational teams to deliver education, care navigation, data management, support groups, and program...Full timeWork experience placementWork at officeShift work
$32.76 - $57.47 per hour
...Registered Nurse in Florida to actively participate in patient care discussions and develop discharge plans. Candidates must have an... ...essential. The role involves educating patients and families, coordinating care transitions, and advocating for patient empowerment. The pay...Hourly pay- ...is looking for a full-time Metabolic and Bariatric Program Coordinator Registered Nurse (RN) to oversee program coordination, patient education, and... ...5 PM. Join Health First to be part of a patient-centered care team with a commitment to quality and excellence. #J-18808...Full time
- ...New York. This part-time position involves actively participating in discharge planning for patients, educating families, and coordinating care. Essential skills include leadership and critical thinking, along with 2+ years of nursing experience. The role offers competitive...Part time
- ...Florida, NY, seeks a Clinical Nurse to provide comprehensive nursing care, including patient assessments and education. The role involves... ...must have an Associate's Degree in Nursing and a valid RN license from Florida or a Compact State, alongside BLS certification...
- LRP Media Group is seeking a Case Manager RN for the new Alan B. Miller Medical Center, opening... ...in Spring 2026. This role is vital for utilizing hospital services effectively and... ...recognizing stroke symptoms and managing patient care transitions. Join our dedicated team in...Relief
- Chapters Health System is looking for a Per Diem RN in Florida to assess and coordinate patient care as part of an interdisciplinary team. The role demands... ...preferred. Ideal candidates must be flexible, capable of managing emotional stress while providing palliative and...Daily paidFlexible hours
- ...is seeking a Registered Nurse for case management roles in the Southeast Region, including... ...FL and GA. Responsibilities include coordinating care for chronically ill members, assessing... ...stakeholders. Candidates must have an active RN licensure and at least 3 years of...
- The Case Manager is a qualified registered nurse... ...and oversee the care of assigned... ...patient welfare and coordinates care between patients... ...caregivers and/or their authorized representative,... ...and procedures utilizing community resources... ...as the on-call RN acts as the after-...Immediate startNight shiftWeekend work
- BayCare Health System seeks a Hospital Care Coordinator‑RN for its New Port Richey facility, focusing on patient advocacy and care coordination... ...requiring RN certification, with responsibilities including managing a caseload and discharge planning. The role requires an...Relief
- A healthcare staffing organization is seeking an experienced RN Case Manager in Town of Florida, New York. This role involves supporting patient care coordination and conducting clinical assessments. The ideal candidate will work independently, manage moderately complex...Monday to Friday
- ...facility in New York is seeking a Case Manager Registered Nurse to oversee patient care processes including assessment, planning, and discharge coordination. This role involves working closely... ...an Associate's Degree in Nursing, an RN license from Florida or a Compact State...
- ...Nurse with expertise in discharge planning. The role involves assessing patient needs and coordinating care transitions. Candidates must have an Associate's degree in Nursing and RN certification. Strong leadership and critical thinking skills are essential, along with...Part time
$32.76 - $57.47 per hour
...progression and level of care, and discharge... ...’s needs for authorization for post‑acute care... ...ensure timely care coordination and progression of... ...Required] Ability to manage multiple tasks and... ...Care Management/Utilization Management... ...Registered Nurse (RN) [Required] Basic...Part timeWork experience placementLocal areaFlexible hoursShift workWeekend work- ...consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and... ...respect, responsibility and clinical excellence. Hospital Care Coordinator‑RN Case Management Responsibilities Provides linkage, monitoring, planning...ReliefWeekend work
- ...is seeking a Clinical Nurse Coordinator for their Florida office. This... ...support patients with complex care needs. Ideal candidates have... ...clinical experience and an active RN license. The position offers... ...model and focuses on care management, assessment, and effective...Work at office
$72k - $81k
...healthcare services company seeks a Case Manager to handle individual caseloads in a... ...role involves managing treatment plans, coordinating care, and ensuring compliance with medical standards... .... Candidates should hold a current RN license and have 7 years of clinical experience...Remote job- ...provider in New York is seeking an Emergency Charge RN to ensure high-quality, patient-centered care. Responsibilities include coordinating patient care, assisting with admissions and discharges, and collaborating with a management team. Candidates must be registered nurses...Shift work
- ...a Registered Nurse - Hospice to participate in clinical management functions and coordinate care for patients. The ideal candidate will have an Associate... ...ensuring compliance with regulations. This role requires an RN license in Florida and a valid driving license. #J-18808...
- ...using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and... ...Job Specific Duties Coordinates medical DCP needs specific... ...vendors for obtaining authorization for ancillary/hospital... ...Management Transition RN to determine continued...Daily paidWork experience placementFlexible hours
$26.41 - $51.49 per hour
...regulations, and collaborating with teams for healthcare delivery. The ideal candidate has an active RN license and at least 2 years of experience in hospital or managed care settings. Competitive pay is offered, ranging from $26.41 to $51.49 hourly based on experience and...Hourly pay- A leading urgent care provider in New York seeks an RN Case Manager for a part-time position. You will coordinate care and interact with medical staff and insurers to ensure patients receive the necessary treatment. Candidates must have a current RN licensure in Florida...Daily paidPart time
- ...Description SummaryThe ACO Clinical Manager is primarily responsible for... ..., discharge planning, care coordination and continuity, provider/... ..., as well as the ability to utilize both internal and external resources... ...outside formal line of authority (e.g., peers, senior...Work at officeWork from homeMonday to Friday3 days per week
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