Case Manager Utilization Review

Broward Health; Fort Lauderdale (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Broward Health in Fort Lauderdale is seeking a Registered Nurse for utilization review to perform and monitor integrated concurrent reviews and case referrals. You will collaborate with medical staff to obtain the necessary clinical documentation for review and ensure optimal patient placement.

The role requires an RN license, BLS certification, and 2+ years in hospital utilization review or equivalent experience. The position is full-time and based in Broward Health facilities.

Qualifications

• Essential: Associate degree in Nursing.
• Education specialization: in a Nursing Program from an Accredited School of Nursing.
• Two Years of acute hospital Utilization Review experience; or Foreign Medical Graduate with Utilization Review experience.
• Basic Life Support (BLS) certification.
• Registered Nurse-LIC.

Responsibilities

• Performs and monitors integrated concurrent utilization review and case referrals.
• Works with medical and professional staff to obtain appropriate clinical documentation for review and optimal patient placement.
• Maintains contact with Managed Care and other third party payors to ensure appropriate case management.

Skills

Utilization Review experience

Acute hospital experience

Education

Associate degree

Job description

Education

Essential:

Broward Health Corporate Spectrum - Department: Case Management
Shift: Shift 1 (Days)
FTE: 1.000000 (Full-Time)
Req #34780

Summary

Performs and monitors integrated concurrent utilization review and case referrals on patients consistent with the approved Utilization Review Plans. Works with medical and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact with Managed Care and other third party payors to ensure appropriate case management.

Education

Essential:

• Associate

Essential

Education specialization:

• in a Nursing Program from an Accredited School of Nursing

Experience

Essential:

• Two Years of acute hospital Utilization Review experience; or Foreign Medical Graduate with Utilization Review experience

Credentials

Essential:

• Basic Life Support
• Registered Nurse-LIC

Visit us online at www.BrowardHealth.org or contact Talent Acquisition

• Bonus Exclusions may apply in accordance with policy HR-004-026

Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law.

At Broward Health the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.