RN Utilization Review Case Manager

Children's Diagnostic & Treatment Center (CDTC); Fort Lauderdale (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Broward Health in Fort Lauderdale, FL seeks a full-time Case Management professional to perform and monitor integrated concurrent utilization review and case referrals per approved Utilization Review Plans. The role collaborates with medical staff to obtain clinical documentation for review and optimal patient placement.

You will maintain contact with Managed Care and other third-party payors to ensure appropriate case management, leveraging your nursing background and utilization review

Qualifications

• Requires nursing degree and RN licensure.
• Specialization in nursing from an accredited school.
• Two years of acute hospital utilization review experience or foreign medical graduate with utilization review experience.

Responsibilities

• Performs and monitors integrated concurrent utilization review and case referrals per approved Utilization Review Plans.
• Collaborates with medical staff to secure necessary clinical documentation for review and optimal patient placement.
• Maintains contact with managed care and other payors to ensure appropriate case management.

Skills

Utilization review

Case management

Nursing knowledge

Education

Associate degree

Nursing program specialization

Job description

Broward Health in Fort Lauderdale, FL seeks a full-time Case Management professional to perform and monitor integrated concurrent utilization review and case referrals per approved Utilization Review Plans. The role collaborates with medical staff to obtain clinical documentation for review and optimal patient placement.

You will maintain contact with Managed Care and other third-party payors to ensure appropriate case management, leveraging your nursing background and utilization review