Utilization Review Nurse

• 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

• Current Florida RN License
• 3+ 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

Hours for this Position:

• M-F 8-5
  

Advantages of this Opportunity:

Competitive salary

• $28.85/hr - $31.25/hr pending experience
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
• Growth potential
• Fun and positive work environment