Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

The Valley Health System

Responsibilities

The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center , Spring Valley Hospital Medical Center , Summerlin Hospital Medical Center, Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.

Benefit Highlights:

  • Comprehensive education and training center
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career opportunities within VHS and UHS Subsidies
  • Challenging and rewarding work environment

Job Description:

To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team.


Qualifications

Education: Graduate of an accredited school of nursing.

Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs.

Technical Skills:
Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.

License/Certification:
Has a current license to practice as a Registered Nurse in the State of Nevada.

Other:
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at:

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME) in Sunrise, FL vacancy
  •  ...The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and... 
    Full time
    Work experience placement

    Memorial Healthcare System

    Hollywood, FL
    4 days ago
  •  ...PRN Utilization Management RN Reviewer NE Join Cleveland Clinic Weston Hospital's team of caregivers that...  ...that the UR process for the case was followed. Attend all staff meeting...  ...Cross Three years of equivalent full-time clinical experience as a Registered... 
    Full time
    Relief
    Work at office
    Remote work
    Weekend work

    Cleveland Clinic

    Fort Lauderdale, FL
    21 hours ago
  •  ...RN Case Manager – Plantation (Full Time) Company: Medcare Broward Overview We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our healthcare team. The ideal candidate will play a critical role in coordinating patient care, ensuring that... 
    Full time

    Southeastern Health Management

    Plantation, FL
    1 day ago
  • $41.25 - $48.75 per hour

     ...position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. Minimum Requirements: 1 year full time RN Hospice experience within the last 2 years. SkyBridge Healthcare offers industry leading benefits including: ~ Top of... 
    Full time
    Weekly pay
    Contract work
    Relocation package

    Skybridge Resources

    Fort Lauderdale, FL
    4 days ago
  •  ...Title: Social Services Case Manager (Florida PACE Centers)...  ...tracking. In emergent or time-sensitive situations,...  ...requires supervisory review and co-signature prior...  ...information Identifies and utilizes appropriate channels of...  ...plan for eligible full and part-time positions... 
    Full time
    Part time
    Local area

    Miami Jewish Health

    Fort Lauderdale, FL
    3 days ago
  •  ...PRN RN Case Manager Join Cleveland Clinic Weston Hospital's team of caregivers that remain on the leading edge of technology and...  ...CTM, ACM, CCM or AHA) Two years of recent experience in utilization review, quality or care management Knowledge of acute care and... 
    Relief
    Work at office

    Cleveland Clinic

    Fort Lauderdale, FL
    3 days ago
  •  ...Case Manager Career Opportunity Are you ready for a Case...  ...vision plans for both full-time and part-time...  ...department operations. Review/analyze case management...  ...record. Participate in utilization review process: data...  ...discipline (for example, RN, SW, OT, PT, ST, and... 
    Full time
    Contract work
    Part time
    Flexible hours

    Aya Healthcare

    Sunrise, FL
    1 day ago
  •  ...RN Fertility Case Manager Build What Matters MostFamilies, Futures, and Your Career Enjoy meaningful...  ...all employment types. Full-Time Employees (30+ hours/week) ~ Medical...  ...laws. For further information, please review the Know Your Rights notice from the... 
    Full time
    Daily paid
    Part time
    Immediate start
    Monday to Friday

    US Fertility

    Pompano Beach, FL
    2 days ago
  • $30.27 - $40.86 per hour

     ...: ALS Clinic Work Type: Full Time Shift: Shift 1/8:00:00AM...  ....86 / hour Summary The Case Manager has clinical expertise with knowledge...  ..., and applies principles of utilization and quality management,...  ...Currently licensed as an RN in the State of Florida. Certifications... 
    Full time
    Shift work

    Lee Health

    Plantation, FL
    2 days ago
  • Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers...
    Work experience placement

    Memorial Healthcare System

    Davie, FL
    3 days ago
  •  ...and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient...  ...Experience: Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare. Other... 
    Work experience placement

    Memorial Healthcare System

    Davie, FL
    3 days ago
  • $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... 
    Hourly pay

    HealthCare Support

    Fort Lauderdale, FL
    1 day ago
  • $28.85 - $31.25 per hour

     ...for medical necessity Perform case reviews and complete all required...  ...or attending physician, case managers, patient and/or family to provide...  ...most cost-effective manner. Timely completion of admission...  ...outpatient or pharmacy services utilization review Qualifications 3+... 
    Private practice
    Weekend work
    Weekday work

    HealthCare Support

    Fort Lauderdale, FL
    1 day ago
  • $68.4k - $100.4k

     ...Oakland Park, Florida, 33334-4806, United States of America RN Case Manager - Position Highlights Location: Orlando- Hybrid -...  ...needs and nephrology partner availability. Employment Type: Full-Time This position functions autonomously and in... 
    Full time
    Minimum wage
    Remote work
    Home office
    Monday to Friday
    2 days per week
    1 day per week

    DaVita

    Oakland Park, FL
    3 days ago
  • $68.4k - $100.4k

     ...RN Case Manager - Position Highlights Location: Orlando – Hybrid – Remote (CKD). This role requires a dedicated home office and ability to...  ...needs and nephrology partner availability. Employment Type: Full‑Time This position functions autonomously and in collaboration with... 
    Full time
    Remote work
    Home office
    Monday to Friday
    2 days per week
    1 day per week

    Dormont Manufacturing Company

    Oakland Park, FL
    5 days ago
  •  ...highly motivated and experienced Utilization Review Nurse to join our team. The...  ...effective utilization management, and ensuring revenue cycle...  ...Coordinator team members on cases escalated for level of care...  ...Qualifications: · Registered Nurse (RN) licensure required; must... 
    Work experience placement

    Health Business Solutions

    Cooper, FL
    13 hours ago
  • $60k - $80k

     ...law firm in Aventura looking for an experienced Case Manager who can hit the ground running. This is a full-time, in-office position for a self-starter who thrives...  ...case status, timelines, and next steps Gather, review, and analyze medical records, bills, and... 
    Full time
    Work at office
    Monday to Friday

    Rafaeli Law PLLC

    Fort Lauderdale, FL
    7 hours ago
  •  ...Job Description Case Management Director Career Opportunity...  ...vision plans for both full-time and part-time...  ...procedures, and objectives. Review operations to ensure a...  ...in nursing (BSN) with RN licensure. • For other...  ...experience, including Utilization Review and Discharge... 
    Full time
    Part time
    Local area
    Flexible hours
    Night shift
    Weekend work
    Day shift
    Afternoon shift
    Weekday work

    Encompass Health

    Tamarac, FL
    2 days ago
  • $15k

     ...Job Description Full Time, Days Up to $15,000 SOB for...  ...Position Summary The RN provides high quality,...  ...care to all patients utilizing the nursing process. The...  ...standards of safety, risk management, Infection control,...  ...Practice Act. The RN reviews orders/test results and... 
    Full time
    Flexible hours

    West Boca Medical Center

    Sunrise, FL
    2 days ago
  •  ...you as a(an) Registered Nurse Case Manager? At HCA Florida Westside...  ...qualifications you will need: RN with current state licensure...  ...in case management or utilization review preferred InterQual experience...  ...and referral services Time away from work programs for... 
    Temporary work
    Flexible hours

    Mission Hospital

    Plantation, FL
    2 days ago
  •  ...RN Case Manager Location: Hollywood, Florida The RN Case Manager...  ...effective care coordination and utilization of healthcare resources to...  ...and to manage the patient's timely progression of care and safe...  .... Performs ongoing chart review to identify actual or potential... 
    Work experience placement
    Relocation package
    Shift work

    Memorial Regional Hospital

    Hollywood, FL
    2 days ago
  •  ...RN Case Manager - Coral Springs (Per Diem/ Pool, Days) This position...  ...patients using the functions of Utilization Resource Management,...  ...admission and concurrent/retro reviews using available third-party...  ...information accurately and in a timely manner. Participates in utilization... 
    Daily paid
    Work experience placement
    Flexible hours

    Nicklaus Children's Health System

    Pompano Beach, FL
    3 days ago
  •  ...site Travel Required: Yes Social Services Full-Time Requisition #: HOUSI002242 Description...  .... Complete registration in the Homeless Management Information System (HMIS) and other housing...  .... Maintain progress notes and progress reviews in client records as specified in agency... 
    Full time
    Hourly pay
    Permanent employment
    Work at office

    Care Resource

    Fort Lauderdale, FL
    2 days ago
  •  ...RN- Oncology- Ft Lauderdale Job Summary: The...  ...and repositioning. Reviews patient admission history...  ...accurate and timely documentation in the patient...  ...assessment findings with case management to coordinate oncology...  ...interpret data and utilize the information to make... 
    Full time
    Flexible hours
    Shift work
    Night shift

    Nicklaus Children's Health System

    Fort Lauderdale, FL
    3 days ago
  • $1,948.5 per month

     ...HCA FLORIDA WESTSIDE HOSPITAL Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 15905877 Weekly Pay $1948.5 Shift Details Shift 5X8 Days Scheduled... 
    Weekly pay
    Shift work

    Carilion Roanoke Memorial Hospital

    Fort Lauderdale, FL
    3 days ago
  •  ...Benefits Information Full-time employees will enjoy a competitive benefits package with...  ...Employer Responsibilities Summary The Case Manager provides counseling services, assists the...  ...program assignments to ensure all cases are reviewed in a timely manner. Conducts visits to... 
    Full time
    Work experience placement
    Flexible hours

    The GEO Group, Inc.

    Pompano Beach, FL
    2 days ago
  •  ...Summary We are seeking a CaseManager to join our team. As a Case Manager you must be highly organized and able to work on a varied caseload...  ..., not the powerful. This success starts with our staff. For full-time employees, we offer an excellent benefits package including... 
    Full time
    Local area

    Morganmorganjobsapplynow

    Fort Lauderdale, FL
    5 days ago
  •  ...Benefits Information Full-time employees will enjoy a competitive benefits...  ...and the provision of management services and evidence-based rehabilitation...  ...Responsibilities Summary The Case Manager provides counseling...  ...to ensure all cases are reviewed in a timely manner. Conducts... 
    Full time
    Work experience placement
    Work at office
    Worldwide
    Flexible hours

    The GEO Group Australia Pty Ltd.

    Pompano Beach, FL
    1 day ago
  •  ...Travel Rn Specialty Case Manager Job Type Travel Profession RN Specialty Case Manager Shift Details Shift 5X8 Days Shifts Per Week 5 Scheduled Hours 40 Start Date 02/10/2025 End Date 05/10/2025 Duration 13 Week(s) Float Required No Client Details City Plantation State... 
    Shift work
    Day shift

    Bestica Healthcare

    Plantation, FL
    4 days ago
  • $91.7k - $163.7k

     ...accountability and oversight the NV Medical Management Command Center RN case Manager functions. Medical...  ...improved transitions of care, and utilization management of long length hospitalized...  ...1,700 - $163,700 annually based on full-time employment. We comply with all... 
    Full time
    Minimum wage
    Work experience placement
    Work at office
    Local area
    Relocation package

    UnitedHealth Group

    Sunrise, FL
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME). Be the first to apply!