Utilization Review Nurse: Case Mgmt & Care Coord

Healthcare Support Staffing; Fort Lauderdale (FL); On-site; USD 39,743 - 43,050; Full time

Benefits offered by this job

Excellent Medical benefits

Dental benefits

Vision benefits

401k

PTO

Job summary

A leading healthcare recruiting firm is seeking a qualified professional to conduct utilization reviews in Fort Lauderdale, FL. The ideal candidate will have a minimum of 3 years of experience in medical/surgical or critical care, as well as utilization review and case management. Responsibilities include conducting pre-admission reviews and collaborating with healthcare teams to ensure quality care. The hourly rate ranges from $28.85 to $31.25 based on experience, accompanied by excellent medical benefits.

Qualifications

• 3+ years in recent medical/surgical or critical care experience.
• 3+ years of Utilization Review / Case Management experience.
• Strong reasoning ability to define problems and draw conclusions.

Responsibilities

• Conducts pre-admission and retrospective reviews for medical necessity.
• Performs case reviews and completes required documentation.
• Collaborates with healthcare teams for continuity and quality of care.
• Timely completion of admission reviews.
• Provides outpatient utilization review.

Skills

Medical/surgical experience

Utilization Review

Case Management

Strong reasoning ability

Job description

A leading healthcare recruiting firm is seeking a qualified professional to conduct utilization reviews in Fort Lauderdale, FL. The ideal candidate will have a minimum of 3 years of experience in medical/surgical or critical care, as well as utilization review and case management. Responsibilities include conducting pre-admission reviews and collaborating with healthcare teams to ensure quality care. The hourly rate ranges from $28.85 to $31.25 based on experience, accompanied by excellent medical benefits.