RN Utilization Management Reviewer – Entry Level

Centers Plan for Healthy Living; Pompano Beach (FL); On-site; USD 60,000 - 70,000; Full time

Job summary

Centers Plan for Healthy Living is seeking a UM Clinical Reviewer to join their team in Pompano Beach, FL. This entry-level position supports a multidisciplinary approach to managing member care, ensuring quality services and education are upheld. Qualified candidates should have an active RN license and strong communication skills, making this an exciting opportunity in a rapidly growing healthcare company.

Qualifications

• Entry-level RN welcome.
• Strong problem solving and communication skills are required.
• Proficiency in Microsoft Office tools.

Responsibilities

• Assess and process all authorization requests to determine medical necessity.
• Work with a multidisciplinary team to identify care needs.
• Ensure care services and member education are maintained.

Skills

Communication

Problem Solving

Deadline Management

Microsoft Office Suite

Education

Active RN license

Job description

Centers Plan for Healthy Living is seeking a UM Clinical Reviewer to join their team in Pompano Beach, FL. This entry-level position supports a multidisciplinary approach to managing member care, ensuring quality services and education are upheld. Qualified candidates should have an active RN license and strong communication skills, making this an exciting opportunity in a rapidly growing healthcare company.