RN Utilization Management Specialist
Memorial Health Care System
Memorial Healthcare System in Miramar, Florida seeks a seasoned Utilization Management RN to perform initial and continued stay reviews to determine medical necessity and appropriate level of care. You will collaborate with Case Management, support discharge planning, and assist with coding, documentation, reimbursement, and appeals. Requires RN licensure in Florida and at least two years of nursing experience; utilization management experience preferred. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Management Specialist in Florida, NY vacancy
- ...many facilities where you can search open positions and apply online to join #teamMHSflorida.Learn more below.Summary:The Utilization Management RN uses evidence-based medical necessity screening tools to complete initial and continued stay reviews in determining appropriate...SuggestedDaily paidWork experience placementShift work
- ...Health Business Solutions LLC seeks an experienced Utilization Review Nurse in New York to provide clinical guidance, drive appropriate level... ...criteria, and collaborate with insurers on denials. Requires RN license (US multi-state/compact), BSN preferred, 2+ years UR...Suggested
Health Business Solutions
Florida, NY2 days ago $55k - $70k
...Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote... ...Solutions is a unique team of revenue‑cycle management professionals specializing in the... ...(e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN). Proven experience in utilization...SuggestedWork at officeRemote workFlexible hoursExact Billing Solutions
Florida, NY2 days ago$73.86k - $98.23k
...Nurse for a position focused on clinical financial resource utilization in Town of Florida, New York. The successful candidate will perform... ...include an Associates degree, MCG Care Guidelines Specialist certification, and a minimum of three years nursing experience...Suggested- ...coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective... ...payer experience. Qualifications Active Registered Nurse (RN) license with 3+ years of experience in utilization review or...Suggested
$77.91k - $116.86k
Alignment Health is seeking a Utilization Management Clinical Trainer to onboard and develop clinical staff. This remote role focuses on ensuring compliance and quality in utilization review services while working collaboratively with clinical teams. The ideal candidate...Remote job- ...Learn more below.Summary:The Data Quality Specialist is responsible for abstracting, analyzing... ...participates in live or virtual meetings utilizing virtual meeting platforms on-site or from... ...(Required)Registered Nurse License (RN LICENSE) - State of Florida (FL)Additional...Work experience placementWork at officeRemote workShift work
Memorial Health Care System
Florida, NY15 hours ago - ...Description Reports to: Community Manager Supervises: No one Wage Status: Hourly (Non-Exempt... ...inspiring and customer-focused Leasing Specialist to join our team at The Bainbridge... ...personal computer functions and company-utilized software packages Learning and Development...Hourly payWork at officeLocal area
The Bainbridge Companies
Florida, NY7 days ago $19 - $24 per hour
...Transition Assistant Next Generation Management & Accounting Services is a growing community... .... Position Overview The Transition Specialist plays a key role in ensuring the seamless... ...the transfer, setup, or closure of utilities, vendor contracts, service agreements,...Hourly payWork at officeTrial periodMonday to FridayNext Generation Management & Accounting Services
Florida, NY1 day ago- Dormont Manufacturing Co seeks a Breast Health Specialist nurse to manage the needs of patients undergoing breast procedures, including care coordination... ...comprehensive patient care. Candidates should have current RN licensure in Florida and be willing to enhance their...
$31.53 - $52.24 per hour
...and monitoring activities as needed. Learns and upgrades skills, utilizing knowledge to assist with orientation, training, and education of... ...[Preferred] Licenses and Certifications Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required] Advanced...Full timeWork at officeLocal areaShift workWeekend work- ...is one of the fastest-growing education management organizations in the United States, providing... ...the opportunity for success. As an ESE Specialist, you will support the school's... ...(ESE), regular education, and parents. Utilize resources from school(s), CSUSA, the district...Work at office
ViziRecruiter
Florida, NY2 days ago - ...Hospital Position Summary The CV Invasive Specialist RN delivers direct and indirect patient... ...for patient charges, accurately utilizing the hospital’s inventory systems. Takes... ...Participates in inventory and supply management. Annually meets all required department...Full timeWork experience placementShift work
$54.08k - $56.16k
...00/yr - $56,160.00/yr Revenue Recovery Specialist - Exact Billing Solutions (EBS) Lauderdale... ...is a unique team of revenue cycle management professionals specializing in the substance... ...or a related healthcare area such as utilization management, case management, or hospital...Hourly payWork at officeFlexible hoursExact Billing Solutions
Florida, NY2 days ago$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K About the Role As... ...approvals, and denials and provide reports or insights to management to identify areas for process improvement. Track utilization...Remote workFlexible hoursICBD
Florida, NY1 day ago- Memorial Healthcare System in Hollywood, Florida is seeking a registered nurse to provide direct patient care in a designated specialty unit, aligning with scope and standards of practice, policies, and the organization's mission. The role involves planning, implementing...
$26 - $27 per hour
Revenue Recovery Specialist - Exact Billing Solutions (EBS) | Lauderdale Lakes, FL Salary... ...Solutions is a unique team of revenue cycle management professionals specializing in the... ...accounts or a related healthcare area such as utilization management, case management, or...Hourly payFull timeWork at officeFlexible hours- ...Resources is seeking a Sr Power Generation Technical Services Specialist to optimize auxiliary power and tariff strategies across wind,... ...assets. The role blends operations, engineering, finance, and utility interactions to influence asset economics and performance. The...
- ...About Us Welcome to United Utility Services, a dynamic player in the electric utility industry. As a trailblazer, we provide comprehensive... ...Project Controls Analysts to join our high performing project management team at United Utility Company. The successful candidate will...For contractorsLocal area
United Utility Power Services, LLC
Florida, NY3 days ago - ...qualifications include medical terminology knowledge, along with the ability to communicate effectively and utilize Microsoft Office tools. Educational qualifications may include an RN/LVN with an associate or bachelor degree, although HEDIS review experience may substitute for...Work at office
- ...Supervisor: Organizing and Field Services Management Location: East Central/Southeast... ...(AFT). Position Summary The Regional Specialist's primary responsibility is to provide... ...manner that effectively and efficiently utilizes FEA resources. Contribute to and support...Contract workInterim roleWork at officeLocal area
- Patel, Greene & Associates (PGA) is looking for a Utility Coordinator to join their team in the Town of Florida, NY. The ideal candidate... .... Responsibilities include collaborating with design teams, managing utility conflicts, and participating in project meetings. Candidates...
$20 per hour
...contract services company that employs and manages personnel for municipal clients. Our... ...purchasing, human resources, supervisory roles, utility services, water and wastewater plant... ...as Court Liaison or NIBRS Specialist. Work is reviewed through conferences, observation...Hourly payFull timeContract workFor contractorsWork at officeShift work- ...patient access professional to perform Medicare compliance reviews, generate patient financial estimates, and coordinate with utilization management for pre-authorizations. The role requires strong customer service and familiarity with EMR systems, HIPAA guidelines, and...ReliefDay shift
- ...critical asset monitoring, inspection, and management, specializing in the design,... ...- YouTube Job Overview: NC Programming Specialist will be responsible for creating and maintaining... ...sheets and assembly guidelines, while utilizing CAD/CAM software to optimize run times...
- ...please visit our career site: Job Description The Workforce Management Specialist is responsible for ensuring the right people are scheduled... ...and Shrinkage within targets. Cost-to-Serve / Labor Utilization improvements versus baseline. Monitors real-time ACD work...Flexible hoursAfternoon shift
- Solventum is seeking a Surgical Healing Specialist to drive sales growth and product adoption of incision management and wound healing solutions across a defined territory... ...accounts, plan territory strategy, and track utilization using CRM systems. #J-18808-Ljbffr 3mcompanyRemote job
- ...Sunday, July 19, 2026 Position Summary The Lead Portfolio Management Specialist serves as the Portfolio Manager for assigned areas of responsibility... ...management, and governance processes within a regulated utility environment, including prior experience across Distribution...Work experience placementLocal areaRemote workVisa sponsorshipRelocation package
- ...Opportunity Position: Project Control Specialist II Hybrid in Service Territory: OH, PA... ...’s project controls standards, capital management policies, and industry best practices.... ...separate bank of sick time! Chesapeake Utilities Corporation is an equal opportunity employer...Contract workFlexible hours
- .... Apply strong problem‑solving and technical skills to analyze and integrate large datasets from multiple databases and systems. Utilize analytical abilities to support cost control activities and project financial reporting. Prior experience in a PMO environment or...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Specialist. Be the first to apply!
