Registered Nurse (RN) - Utilization Review

Utilization Management – NursingMonday through Friday, 8 AM to 4:30 PM, with every fifth weekend rotation.Guaranteed Hours: 40 Weekly Contract Weeks: 132 years of experience required, with provider experience. CCM or CMCN certification required. Epic EMR experience required. Experience with the UM tool Dragonfly required. Prior travel experience highly preferred. Degree accreditation verification required or 5 years of experience accepted. Must be computer literate and have some experience working remotely.Conduct utilization reviews and manage patient care efficiently. Collaboration with healthcare providers to facilitate patient services. Maintain accurate documentation of patient interactions and care plans. Participate in case management activities as needed. Adhere to all regulatory and compliance standards in utilization management. Engage in continuous education and training related to job performance.All requests for time off must be submitted with the application; no approval for requests after submission. Proper demographic information must be included at the time of submission for confirmation.City Fort Myers State FL Job Board Disclaimer TLC Nursing Associates, Inc. is an equal-opportunity employer and fully complies with all applicable federal, state, and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, veteran status, or any other status protected under the law. Accuracy of Information: All job listings are subject to change, and while we strive to ensure that all job information, including job descriptions, pay packages, and shift details, is accurate and up-to-date, we cannot guarantee the availability or specifics of any position at the time of application. Pay packages and shift availability may vary based on facility needs and may be subject to changes before or after hire.