Utilization Review RN

Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:

• Conducts pre-admission, concurrent and retrospective acute care, sub-acute, hospice, qualification of transitional care and long-term care needs for medical necessity
  
• Perform case reviews and complete all required documentation in appropriate database
• Collaborate with primary or attending physician, case managers, patient and/or family to provide continuity and quality of care in the most cost-effective manner.
• Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend)
• Provide outpatient or pharmacy services utilization review

Hours for this Position:

• M-F 8:00am to 5:00pm
  

Requirements:

• Current Florida RN License
  
• 2+ years in recent medical/surgical or critical care experience
• 3+ years of Utilization Review / Case Management experience
• Strong reasoning ability: define problems, collect data, establish facts, and draw conclusions

Advantages of this Opportunity:

• Competitive salary ($30/hr. to $32/hr.)
  
• Permanent position
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Interested in being considered?

If you are interested in being considered for this position, PLEASE click the APPLY NOW button!