Remote Utilization Management Nurse (RN/LPN)

Integrated HomeCare Services; Florida; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, Vision, Dental, Short- and LT

PTO

Employer paid life insurance

401K with employer contribution

Wellness program with rewards

Employee recognition programs

Job summary

Integrated Home Care Services (IHCS) seeks a Utilization Management Nurse to ensure home health services are delivered with quality, cost efficiency, and compliance. You will review treatment files, verify medical necessity, and collaborate with a multidisciplinary team to optimize patient outcomes.

State licensure as an LPN or RN and a minimum of 2 years in Utilization Management are required. Proficiency with word processing and spreadsheet programs is essential; UM/Case Management

Qualifications

• Must hold a nursing license (LPN or RN) in good standing.
• Minimum 2 years of experience in Utilization Management.
• Strong knowledge of word processing and spreadsheet programs.
• Utilization Management or Case Management certification preferred.

Responsibilities

• Conduct concurrent reviews of patient clinical information for efficiency and compliance.
• Review precertification requests for medical necessity.
• Coordinate patient care with a multidisciplinary team.
• Maintain accurate records of patient interactions and interventions.
• Provide updates to the Manager of Utilization Management for review.

Skills

Team Player

Enthusiastic

Detail Oriented

Dedicated

Job description

Integrated Home Care Services (IHCS) seeks a Utilization Management Nurse to ensure home health services are delivered with quality, cost efficiency, and compliance. You will review treatment files, verify medical necessity, and collaborate with a multidisciplinary team to optimize patient outcomes.

State licensure as an LPN or RN and a minimum of 2 years in Utilization Management are required. Proficiency with word processing and spreadsheet programs is essential; UM/Case Management