Utilization Review Nurse
Acrisure, LLC
- # Utilization Review NurseApplyremote type: Hybridlocations: 1301 6th Ave W - BRADENTON, FLposted on: Posted Todayjob requisition id: JR114100## # About AcrisureA global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.**Job summary:**Acrisure is seeking a **Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory requirements. This role reviews medical information submitted by treating providers, determines whether treatment can be authorized at the nurse level, and refers requests for physician review when additional clinical evaluation is required.This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization review or case management is highly beneficial, particularly within workers' compensation. Clinical experience involving orthopedic or neurological conditions is also highly valued.This is a hybrid position with two days per week in the office and three days remote. Candidates must also have flexibility to periodically work a later schedule to support business needs across multiple time zones.**Responsibilities:*** Review medical treatment requests and supporting clinical documentation for adherence to applicable state guidelines and utilization review requirements* Apply clinical knowledge and established guidelines to determine whether treatment requests can be authorized at the nurse level* Refer treatment requests requiring additional clinical evaluation to physicians for review* Evaluate medical records and treatment information to support timely and appropriate utilization review decisions* Complete required documentation and administrative processing throughout the utilization review process* Manage assigned reviews within applicable state-mandated and URAC turnaround requirements* Accurately document treatment requests, clinical information, review activity, and determinations within client records* Maintain confidentiality of medical and client information in accordance with HIPAA and applicable standards* Collaborate with physicians, healthcare providers, claims professionals, and internal team members to facilitate the review process* Maintain current clinical and industry knowledge relevant to utilization review and workers' compensation* Provide responsive service while managing multiple reviews and competing deadlines**Requirements:*** Active LPN license required* Active multistate/compact nursing license required* Strong clinical nursing experience with the ability to review medical records and evaluate treatment requests* Ability to interpret medical terminology, treatment plans, and clinical documentation* Ability to apply established clinical guidelines and determine when requests require physician review* Flexibility to periodically work later hours to support business needs across multiple time zones* Workers' compensation utilization review experience highly beneficial* Utilization review or case management experience highly beneficial* Clinical experience involving orthopedic or neurological conditions strongly preferred* Strong organizational skills with the ability to prioritize a high volume of time-sensitive reviews* Strong written and verbal communication skills* Proficiency with Microsoft Office applications and ability to learn new clinical and claims systems**Education and licenses:*** Active Licensed Practical Nurse (LPN) license required* Active multistate/compact nursing license required* Additional utilization review, case management, workers' compensation, or related professional certifications beneficial**Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.****Why Join Us:**At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.**Employee Benefits**We also offer our employees a comprehensive suite of benefits and perks, including:* **Physical Wellness:** Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.* **Mental Wellness:** Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.* **Financial Wellness:** Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.* **Family Care:** Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.* **... and so much more!***This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.***Acrisure is an Equal Opportunity Employer.** We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting *View email address on click.appcast.io*.Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.**California Residents:** Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.**Recruitment Fraud:** Please visit here to learn more about our Recruitment Fraud Notice.
- J-18808-Ljbffr Acrisure, LLC
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Review Nurse in Bradenton, FL vacancy
- ...and collaboration, we equip our teams to work at the highest levels possible. Job summary: Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable...SuggestedWork at officeImmediate startRemote workFlexible hours2 days per week
Acrisure LLC
Bradenton, FL4 days ago $59.64k - $83.78k
...on Incredible Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Registered Nurse - CNO. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge,...SuggestedFull timePart timeShift workDay shiftIncredible Health
Bradenton, FL11 hours ago- ...Healthcare is committed to the growth and development of our future nurses! The HCA Nurse Residency Program is a year-long program... ...that provides satisfaction and personal growth, we promptly review all applications. Unlock the possibilities and apply today!...SuggestedTemporary workFlexible hoursShift work
HCA Florida Blake Hospital
Bradenton, FL11 hours ago $59.64k - $83.78k
...on Incredible Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Registered Nurse - Med Surg Float Pool. Nurses with experience in any of the following areas are strongly encouraged to apply: Cardiac patients,...SuggestedFull timePart timeShift workNight shiftDay shiftIncredible Health
Bradenton, FL11 hours ago$59.64k - $83.78k
...Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Emergency Department (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Care of psychiatric patients, Fast track, Transport...SuggestedFull timePart timeShift workNight shiftDay shiftIncredible Health
Bradenton, FL11 hours ago$59.64k - $83.78k
...on Incredible Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Registered Nurse - PCU / Stepdown. Nurses with experience in any of the following areas are strongly encouraged to apply: Bariatric, BiPap monitoring...Full timePart timeShift workNight shiftDay shiftIncredible Health
Bradenton, FL11 hours ago$59.64k - $83.78k
...on Incredible Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Registered Nurse - PCU Charge Nurse. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager,...Full timePart timeShift workNight shiftIncredible Health
Bradenton, FL11 hours ago$59.64k - $83.78k
...Incredible Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Labor & Delivery Nurse (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Antepartum, Birthing, Gynecology, or...Full timePart timeShift workNight shiftIncredible Health
Bradenton, FL11 hours ago- ...only Pediatric Center hospital-based outpatient multidisciplinary pediatric therapy center in Manatee County. The Registered Nurse provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Provides professional...Daily paidLocal area
Manatee Memorial Hospital
Bradenton, FL11 hours ago - .... Manatee Memorial Hospital also offers a Level II Neonatal Intensive Care Unit for babies with special needs. The Registered Nurse promotes and provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Demonstrates...Full timeLocal area
Bayshore Fed
Bradenton, FL11 hours ago - .... Manatee Memorial Hospital also offers a Level II Neonatal Intensive Care Unit for babies with special needs. The Registered Nurse promotes and provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Demonstrates...Daily paidLocal areaShift work
Bayshore Fed
Bradenton, FL11 hours ago - Incredible Health is seeking a compassionate, detail-oriented Registered Nurse to deliver exceptional patient care within our partner healthcare & medical services network. In this role, you’ll assess, plan, implement, and evaluate patient care, collaborate with interdisciplinary...
Incredible Health
Bradenton, FL2 days ago $59.64k - $83.78k
...on Incredible Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Registered Nurse - Med Surg Charge Nurse. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse...Full timePart timeShift workNight shiftIncredible Health
Bradenton, FL11 hours ago- ...Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we...Private practiceWork at office
Florida Cancer Specialists
Bradenton, FL11 hours ago - ...integrity. We care like family! Jump-start your career as a(an) Nurse Extern PRN today with HCA Florida Blake Hospital. Job Summary... ...you to apply for our Nurse Extern PRN opening. We promptly review all applications. Highly qualified candidates will be contacted...Temporary workReliefFlexible hours
HCA Florida Blake Hospital
Bradenton, FL4 hours ago - ...Registered Nurse RN Med Surg HCA Florida Blake Hospital is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse RN Med Surg position...Shift work
Doctors Hospital of Augusta
Bradenton, FL2 days ago - ...areas of the center, including pre-op, post-op, and circulator. Qualifications: Graduate of an accredited School of Nursing. Current, unencumbered GA state license to practice as a Registered Nurse (RN). Current BLS/ACLS certification. A minimum...Full timeLocal areaWeekend work
Eye Health America
Bradenton, FL1 day ago $1,651.24 per month
...Details Client Name Blake Medical Center Job Type Travel Offering Nursing Profession RN Specialty Outpatient Job ID 120951 Job Title RN - Outpatient Weekly Pay $1651.24 Shift...Weekly payContract workFlexible hoursShift workMission Hospital
Bradenton, FL4 days ago- ...Job Title Registered Nurse Job Description We are VITAS Healthcare, the nation's leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class employee...Work at officeLocal areaFlexible hoursNight shiftWeekend workDay shift1 day per weekWeekday work
VITAS Healthcare
Bradenton, FL3 days ago - Travel RN PACU Job Client Name: HCA Florida Blake Hospital Job Type: Travel Profession: RN Specialty: PACU Shift Details: 11:00 AM - 09:00 PM Shifts Per Week: 4 Start Date: 08/17/2026 End Date: 11/16/2026 Duration: 13 Week(s) Float Required...Shift work
HCA Florida Blake Hospital
Bradenton, FL3 days ago - ...happiest, healthiest life? Are you passionate about delivering care that truly makes a difference? At Boost Home Healthcare-Bradenton, nurses are the heart of what we do. We’re inspired every day by the compassion and expertise our nurses bring, and we proudly stand by our...Relocation packageFlexible hours
Boost Home Healthcare - Fairfax West
Bradenton, FL11 hours ago - ...Summary: The PACU (Post-Anesthesia Care Unit) Registered Nurse provides specialized care to patients recovering from anesthesia... ...adverse reactions Respond promptly to emergency situations utilizing PACU nursing standards, policies, procedures, and protocols...Full timeTemporary work
- ...Registered Nurse (RN) We are looking for an RN-Med/Surg, ER & Trauma nurse to provide the highest degree of care and treatment to... ...developmental, cultural, and discharge planning needs of patients. Review patient history and physical with the patients and/or their...
Inteletech Global Inc.
Bradenton, FL4 days ago - ...Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we...Private practice
Florida Cancer Specialists
Bradenton, FL2 days ago - ...experienced tremendous growth year over year in the markets we serve. Rapid expansion has created an opportunity for an IVIG Infusion Nurse. Job Skills, Requirements And Responsibilities: Attention to Detail Use excellent nursing skills to observe, interpret...Work at officeLocal area
InfuCare Rx Inc
Bradenton, FL1 day ago - RN - PACU Shift Details: Shift 07:00 AM - 05:00 PM, Shifts Per Week 4, Scheduled Hours 40 Job Order Details: Start Date 07/13/2026, End Date 10/12/2026, Duration 13 Week(s) Client Details: Setting Hospital, City Bradenton, State FL, Cancellation Policy Client ...Shift work
HCA Florida Blake Hospital - healthtrust
Bradenton, FL11 hours ago $34.95 - $41.11 per hour
...Growth and Advancement Opportunities JOB SUMMARY: Provide direct nursing care to residents and supervise day-to-day nursing activities... ...to federal employment laws. For further information, please review the Know Your Rights ( notice from the Department of Labor....Hourly payFull timePart timeFlexible hoursShift workWestminster Palms
Bradenton, FL2 days ago- ...do your best work with patient safety and workflow efficiency in the Operating Room Rounding with unit leaders, including charge nurses, to ensure your voice is heard on suggestions for patient care and surgical workflow improvement On-call is required during...Temporary workFlexible hoursShift work
HCA Houston Healthcare Pearland
Bradenton, FL4 days ago $180k
...About The greatest reward for nearly every nurse is the joy of serving others. In the Navy Nurse Corps, when you work to improve the lives of others, you can also advance your own—both professionally and personally. As a Navy Nurse, you will serve your country by helping...Part timeWorldwideRelocation packageUS Navy
Bradenton, FL3 days ago$2,115.72 per month
Registered Nurse - Operating Room - Travel | Lakewood Ranch, Florida Estimated Weekly Pay: $2115.72 Start Date: 08/31/2026 | Duration: 13 Weeks Shift: 4 x 10hr Days Job Details AHS Staffing is seeking a qualified Travel - Registered Nurse - Operating Room...Hourly payWeekly payDaily paidFlexible hoursShift workAHS Staffing
Bradenton, FL4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Nurse. Be the first to apply!
Related searches