Remote RN Utilization Management Case Manager

Lee Health; Fort Myers (FL); À distance; USD 42 000 - 56 000; Plein temps

Résumé du poste

Lee Health is hiring for a Utilization Management RN position. This remote role begins onsite for the first 90 days and requires licensure in Florida. The nurse will perform utilization management duties, ensure regulatory compliance, and document care accurately while maintaining productivity and quality standards.

Experience in acute care and familiarity with peds is a plus. The role supports a corporate utilization management department and may involve weekend coverage as needed.

Qualifications

• Registered nurse licensed in Florida; BSN preferred.
• Minimum 3 years acute care hospital or equivalent utilization management experience.
• Case management certification preferred; ACM/ CCM/ CMCN/NACCM are a plus.

Responsabilités

• Perform utilization management functions to ensure regulatory compliance and medical necessity.
• Facilitate concurrent documentation reflecting care and resources used.
• Meet productivity and accuracy goals across utilization management processes.

Connaissances

Communication skills

Interpersonal skills

Analytical skills

Grammar and spelling

Multi-tasking

Basic computer skills

Formation

Graduate of accredited nursing program

BSN preferred

BS in related healthcare field preferred

Description du poste

Lee Health is hiring for a Utilization Management RN position. This remote role begins onsite for the first 90 days and requires licensure in Florida. The nurse will perform utilization management duties, ensure regulatory compliance, and document care accurately while maintaining productivity and quality standards.

Experience in acute care and familiarity with peds is a plus. The role supports a corporate utilization management department and may involve weekend coverage as needed.