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 3 days 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, FL5 days ago - ...ongoing patient assessments and ensure plan-of-care alignment Review clinical reports (occurrences, infection control, on-call) and... ...RN license in state of practice Graduate of an accredited nursing program (BSN preferred) Home Health experience strongly preferred...SuggestedFull time
VitalCaring Group
Bradenton, FL22 days ago $71.68k - $107.52k
...Caring. Connecting. Growing together. #LHCjobs As the Registered Nurse in Home Health you will provide and direct provisions of... ...meet patient needs Adheres to and participates in the agency's utilization management model ~ Ability to function in any home situation...SuggestedHourly payMinimum wageWork experience placementLocal areaWeekend work$2,374 per week
...Host Healthcare is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: Cardiac Cath Lab ~ Discipline: RN ~ Start Date: 09/23/2026 ~ Duration: 13 weeks ~40 hours per week...SuggestedFor contractorsZero hours contractShift workHost Healthcare
Bradenton, FL2 days ago$2,617 per week
...Lucid Staffing Solutions is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: Cardiac Cath Lab ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift: 10 hours...SuggestedWeekly payFor contractorsZero hours contractFlexible hoursShift workLucid Staffing Solutions
Bradenton, FL2 days ago$753 - $835 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Bradenton, FL Agency: LRS Healthcare Pay: $753 to $835 per week Shift Information: Days Contract Duration: 9 Weeks Start Date: 9/21/2026 About the Position TravelNurseSource is working...Full timeContract workImmediate startFlexible hoursShift workTravelNurseSource
Bradenton, FL1 day ago$2,517 per week
...MedPro Healthcare Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: Cardiac Cath Lab ~ Discipline: RN ~ Start Date: 09/28/2026 ~ Duration: 13 weeks ~40 hours...Hourly payWeekly payContract workTemporary workFor contractorsZero hours contractImmediate startShift workMedPro Healthcare Staffing
Bradenton, FL2 days ago$2,350 per week
...MedPro Healthcare Staffing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: OR - Operating Room ~ Discipline: RN ~ Start Date: 09/28/2026 ~ Duration: 13 weeks ~40...Hourly payWeekly payContract workTemporary workFor contractorsZero hours contractImmediate startShift work$1,971 per week
...HealthTrust Workforce Solutions HCA is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: PCU - Progressive Care Unit ~ Discipline: RN ~ Duration: 13 weeks ~36 hours...Contract workFor contractorsShift workNight shiftHealthTrust Workforce Solutions HCA
Bradenton, FL1 day ago$2,539 per week
...Medical Talent is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: Cardiac Cath Lab ~ Discipline: RN ~ Start Date: 10/12/2026 ~ Duration: 13 weeks ~40 hours per week ~...Permanent employmentContract workFor contractorsZero hours contractShift workMedical Talent
Bradenton, FL1 day ago$2,435 per week
...ARMStaffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Bradenton, Florida. Job Description & Requirements... ...multidisciplinary team to provide optimal patient outcomes. Utilize advanced cardiac catheterization technology and equipment....Daily paidLong term contractPermanent employmentFull timeContract workTemporary workZero hours contractWork at officeLocal areaImmediate startShift workWeekend work$2,527 per week
...Wise Medical Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: Cardiac Cath Lab ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~36 hours per week...Weekly payContract workFor contractorsZero hours contractReliefLocal areaImmediate startFlexible hoursShift work$35.26 - $41.49 per hour
...Life Sciences is seeking an experienced Operating Room Registered Nurse (RN) to support an Office-Based Laboratory surgical team. The... ...efficient case turnover. Preoperative / PACU Responsibilities Utilize advanced nursing assessment skills to identify patient care...Hourly payWork at officeLocal areaMonday to FridayShift workAdecco
Bradenton, FL13 days ago$2,409 per week
...Medical Solutions is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Bradenton, Florida. Job Description & Requirements ~ Specialty: Cardiac Cath Lab ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift: 10 hours, days...Weekly payDaily paidFor contractorsZero hours contractWork from homeShift work$2,082 - $2,203 per week
OR RN Location: Bradenton, FL Weekly Rate: $2,082 - 2,203 Shift: Days, 8 hours Duration: 13 weeks In God We Trust Florida, the Sunshine State, lures healthcare travelers with its sun-kissed beaches and coastal bliss. With a staggering 1,300 miles of pristine...Contract workReliefLocal areaShift workPRN Healthcare Services
Bradenton, FL5 days ago$65 per hour
...Manatee Memorial Hospital (MMH) in Bradenton, FL seeks a Registered Nurse for a seasonal night position on the Medical Step-Down Unit (2RS). Requires at least 2 years of acute care experience. Seasonal rate is $65/hr plus night shift differential, with a 6-month contract...Contract workSeasonal workNight shiftUniversal Health Services
Bradenton, FL4 days ago- ...Incentive bonus opportunities ~ Continuing education and scholarship opportunities Responsibilities Our PRN Registered Nurse (RN) administers skilled care visits to clients requiring intermittent professional services and teaches the client, family, and other...Full timeReliefFlexible hours
Enhabit Home Health & Hospice
Bradenton, FL1 day ago - ...Premier Healthcare, LLC is seeking a dedicated RN Registered Nurse to join their team in Bradenton, Florida. This position offers a $5000 sign-on bonus and a chance to work in a state-of-the-art facility. The selected candidate will provide vital patient care and collaborate...Relocation package
Premier Healthcare Services
Bradenton, FL5 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 and monitor...Work at officeLocal area
InfuCare Rx Inc
Bradenton, FL3 days ago - ...Lakewood Ranch Medical Center in Bradenton, FL, seeks an experienced Registered Nurse for full-time Day Shift as a Float RN to provide safe, competent care across units in accordance with hospital policies. Eligible RNs with two or more years of acute care experience may...Full timeRelocation packageDay shift
Universal Health Services
Bradenton, FL2 days ago - ...RN - OROperating Room Nurses Responsible for planning, executing, directing and evaluating, direct and indirect nursing care given to the surgical patient. The nursing activities may include preoperative, intra-operative and postoperative evaluation. Operating Room Nurses...
Care Career
Bradenton, FL4 days ago - ...weekend and four weekday shifts. At least two years' experience, ACLS, PALS, and BLS required. RN license required. The operating room nurse is responsible for scrubbing and/or circulating duties for operative procedures; department admissions to the operative suite....Shift workWeekend workWeekday work
Careers Integrated Resources Inc
Bradenton, FL1 day ago - ...who align with our core values. What You'll Do: Provide skilled nursing and comprehensive assessments to establish individualized care... ...and plans of care, and promoting self-advocacy and independence. Utilize state-of-the-art technology to timely document, process and...Daily paidFull timePart time
Family First Health Care
Bradenton, FL1 day 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 $35.77 - $53.65 per hour
...Centerstone team!Job DescriptionSummary Of Position:Assesses needed nursing care and monitoring; provides direct nursing care services to... ...care as unit Charge NurseActively participates in PI (Peer Review) and disseminates information to staff.Monitors seclusion and restraint...Centerstone
Bradenton, FL2 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, FL4 days ago- ...patients' lives. Our priority is to care: For our patients, for each other, and for the future. WHAT YOU'LL DO As a home care registered nurse (RN), you will ensure hospice patients are comfortable and forge compassionate, meaningful connections with the people in their...Work at officeLocal area1 day per week
VITAS Healthcare
Bradenton, FL2 days ago - ...accountability for the planning and provision of direct and indirect nursing care to the patient, family, care partner and appropriate... ...nursing staff in obtaining safe optimal health care outcomes, and reviews and audits documentation. Supports activities that meet the...Full timeLocal areaShift work
Socket
Bradenton, FL1 day ago $65 per hour
...services. 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....Seasonal workLocal areaIntelyCare
Bradenton, FL5 days ago- ...has the only Pediatric Center hospital-based outpatient multidisciplinary pediatric therapy center in Manatee County.The Registered Nurse promotes and provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Demonstrates...Full timeLocal areaNight shift
IntelyCare
Bradenton, FL5 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