Registered Nurse Utilization Review, Case Management, FT, 8:30A-5P

baptisthlth; Miami (FL); On-site; USD 70,000 - 100,000; Full time

Job summary

baptisthlth is seeking an experienced Registered Nurse in Miami to join our team. The role requires strong clinical skills, excellent communication, and the ability to manage multiple tasks in a high-volume setting.

Minimum 3 years of nursing experience is preferred; BSN may be required within 3 years for non-leadership RN roles. Licensure as an RN and MCG Care Guidelines Specialist certification are essential, with ISC/HRC certification due within 12 months of entry.

Qualifications

• Minimum 3 years nursing experience preferred.
• Excellent written, interpersonal communication and negotiation skills.
• Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently.
• Strong analytical, data management and computer skills.
• Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
• Knowledgeable in local, state, and federal legislation and regulations.
• Ability to tolerate high volume production standards.

Skills

Interpersonal communication

Negotiation skills

Critical thinking

Data management

Computer skills

Time management

Organizational skills

Independent work

Education

Associates Degree in Nursing

Job description

Degrees:

• Associates.

Licenses & Certifications:

• MCG Care Guidelines Specialist.


• Registered Nurse.

Additional Qualifications:

• RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN.


• however, they are required to complete the BSN within 3 years of job entry date.


• MCG Specialist Certification ISC/HRC required within 12 months of job entry date.


• 3 years of Nursing experience preferred.


• Excellent written, interpersonal communication and negotiation skills.


• Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently.


• Strong analytical, data management and computer skills.


• Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.


• Current working knowledge of payer and managed care reimbursement preferred.


• Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.


• Knowledgeable in local, state, and federal legislation and regulations.


• Ability to tolerate high volume production standards.

Minimum Required Experience:3 Years

EOE, including disability/vets