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
$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 work- ...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... ...focused on teamwork and patient care. #J-18808-Ljbffr...SuggestedFull time
$73.86k - $96.02k
...others reflect our commitment to caring for our people, so they can... ...clinical financial resource utilization. Coordinates with healthcare team for... ...their non-leadership role as an RN. However, they are required... .... Strong analytical, data management and computer skills. Strong...SuggestedLocal area$68.13k - $119.52k
...factors into the transition of care plan. Develops discharge... ...hospital stay to ensure timely care coordination and progression of care,... ...with Payors patient’s needs for authorization for post-acute care as needed... ...: Registered Nurse (RN) [Required] Basic Life Support...SuggestedFull timeWork experience placementLocal areaShift work$68.13k - $119.52k
...factors into the transition of care plan. Develops discharge... ...hospital stay to ensure timely care coordination and progression of care,... ...with Payors patient’s needs for authorization for post-acute care as needed... ...Registered Nurse (RN) [Required] Basic Life Support...SuggestedFull timeWork experience placementLocal area$45 per hour
...Per Diem RN The Per Diem RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing... ...House patients Ability to manage the emotional stress of...Daily paidContract workReliefLocal areaImmediate startFlexible hoursNight shift$61.86k - $96.66k
...Job Profile Summary Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care...Local area$60.52k - $129.62k
...passionate colleagues who care deeply, innovate with... ...-savvy Clinical Case Management to join our Case... ...and flexibility as you coordinate the care of your members... ...not limited to: Prior Authorizations, Coordination with PCP... ...Active and unrestricted RN license in FL Must...Hourly payFull timeTemporary workLocal areaRemote workMonday to Friday- About This Role As an RN Care Coordinator in Gastroenterology, you will collaborate with multidisciplinary... ...coordination of care and disease management for patients with chronic conditions.... ...needed by the specialty care team. Utilize assessment skills and risk assessment...Full timeDay shift
$31.55 - $58.69 per hour
...effective transitions of care. Assess, educate, and... ...in disease self‑management both during the hospital... ...medication compliance. Coordinate care of patients at risk... ...Abilities Ability to utilize the nursing process (assessing... ...Registered Nurse (RN) [Required] Basic Life...Full timeWork experience placementLocal areaShift work$71.1k - $97.8k
...Job Summary The Utilization Management Registered Nurse uses clinical nursing... ...to interpret and support the coordination, documentation and communication... ...team manages post-acute care services, including Skilled... ...a Compact Registered Nurse (RN) license in your state of residence...Bi-weekly payTemporary workRemote work- ...Nightingale Nurses is looking for a travel nurse RN Acute Care Case Management in Fort Pierce, Florida. This position requires a commitment of 13 weeks, working 40 hours per week in 8-hour day shifts. Ideal candidates will thrive in managing acute care cases and require...Day shift
- ...Integrated Home Brand is seeking a Utilization Management Nurse to ensure quality, cost-efficient home health care services. Responsibilities... ...reviewing patient files, coordinating care with a multidisciplinary... ...candidate will hold a state LPN or RN license, have a minimum of 2...
- 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
- ...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
- ...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
- ...The Case Manager is a qualified registered nurse empowered... ...provide and oversee the care of assigned patients and... ...for patient welfare and coordinate care between patients, families, authorized representatives, the... ...strategies and procedures utilizing community resources. Observe...Immediate startNight shiftWeekend work
- ...Broughton Group is seeking a Per Diem RN in New York to provide direct nursing care and support to hospice patients and their families. Responsibilities include coordinating care plans with the Interdisciplinary Group and ensuring high-quality patient care. The ideal candidate...Daily paidFlexible hours
- ...HCA Florida North Florida Hospital seeks an RN Case Manager Hematology who will coordinate patient care plans for hematology, transplant, and cellular therapy patients. This role includes collaborating with multidisciplinary teams and promoting quality outcomes in patient...
- ...VitalCaring Group is looking for a Clinical Care Manager (RN) in the Town of Florida, NY, to lead patient care coordination in a fast-paced home health environment. This role requires an active RN license, with responsibilities such as managing physician orders, conducting...
- ...The Case Manager is a qualified registered... ...provide and oversee the care of assigned... ...patient welfare and coordinates care between patients... ...and/or their authorized representative, the... ...strategies and procedures utilizing community... ...functioning as the on-call RN acts as the after-...Immediate startNight shiftWeekend work
- ...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...
- ...Department CC207688 IMED - Hialeah West Job Description Summary manage an assigned panel of patients in the Primary Care practices. Coordinate all aspects of care, outpatient care, post acute care and ancillary testing. Manage high risk patients between office visits...Work at office
- ...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...
- ...seeking a Registered Professional Nurse in the Town of Florida, New York. The RN will assess patient health, implement nursing interventions, and ensure optimal care outcomes, all while coordinating with healthcare teams. This role requires a current RN license in the...
$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 work- ...CorVel Corporation is seeking a Telephonic Case Manager to coordinate resources and create personalized care plans for patients. This remote role requires clinical... ...The ideal candidate will have a Bachelor’s degree, RN Licensure, and 3+ years of clinical experience. Strong...Remote work
- ...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...
- ...Life Care Centers of America is searching for an RN Unit Care Coordinator located in the Town of Florida, New York. The role involves supervising and managing patient care, with an emphasis on leadership and interpersonal contact with patients and families. Candidates...
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