Utilization & Discharge Planning Manager (RN/LPN)

kozmetickesluzby.vecnakraska.sk - Jobboard; Coral Gables (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

DOCTORS HEALTHCARE PLANS, INC. in Coral Gables, FL is seeking a Hospital Reviewer/Utilization Manager to oversee patient care options and ensure safe discharge. The role involves collaboration with healthcare teams and handling various administrative responsibilities related to utilization management.

Qualified candidates must have at least 3 years of experience in discharge planning and a valid nursing license in Florida. Proficiency in Microsoft applications and effective communication skills are essential, with Spanish fluency preferred.

Qualifications

• 3 years minimum experience in discharge planning, utilization management, or case management.
• Ability to communicate effectively both verbally and in writing.
• Able to work in a fast-paced environment managing deadlines.

Responsibilities

• Plan, assess, and evaluate healthcare options for patients.
• Review acute care admissions for medical necessity.
• Collaborate with healthcare teams and vendors for safe discharge.

Skills

Discharge planning

Utilization management

Case management

Microsoft Word

Microsoft Excel

Microsoft Outlook

Spanish

Education

Registered Nurse or Licensed Practical Nurse

Current and valid Florida nursing license

Tools

Electronic medical records systems

Job description

DOCTORS HEALTHCARE PLANS, INC. in Coral Gables, FL is seeking a Hospital Reviewer/Utilization Manager to oversee patient care options and ensure safe discharge. The role involves collaboration with healthcare teams and handling various administrative responsibilities related to utilization management.

Qualified candidates must have at least 3 years of experience in discharge planning and a valid nursing license in Florida. Proficiency in Microsoft applications and effective communication skills are essential, with Spanish fluency preferred.