Top 24 Utilization management nurse Jobs in Ave Maria, Fl

Care Manager LPN
Physicians Regional Medical Center - Collier —Naples, FL
- 8 hour shift
- Nursing
- LVN
- Hospital
- Health insurance
- Dental insurance
Quick Apply
13d
RN Care Manager PRN
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- 8 hour shift
- Nursing
- RN License
- PALS Certification
Quick Apply
Care Manager Registered Nurse PRN
Physicians Regional Medical Center - Collier —Naples, FL
- Part-time
- Nursing
- RN License
- PALS Certification
Quick Apply
RN Care Manager
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- PALS Certification
Quick Apply
MDS Coordinator (RN/LPN Part-Time)
Lehigh Acres Health and Rehabilitation Center —Lehigh Acres, FL
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
Nurse Manager Emergency Department
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- PALS Certification
- Health insurance
- Dental insurance
Quick Apply
RN Manager of Care Management
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
Quick Apply
RN Director of Care Management
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
RN Charge Emergency Room Nights
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Care Coordinator 2
Millennium Healthcare Management Serv LLC —Naples, FL
- $20 - $30 an hour
- Full-time
- Bilingual
- Computer literacy
- BLS Certification
Quick Apply
7d
Care Manager Registered Nurse ER
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
Quick Apply
House Calls APRN/PA-Collier County
Millennium Physician Group, LLC —Naples, FL
- Full-time
- Nursing
- Customer service
- Computer literacy
Quick Apply
Nurse Practitioner - PACE Program - Lehigh Acres
Hope Hospice and Community Services, Inc. —Lehigh Acres, FL
- $88,500 - $134,300 a year
- Full-time
- Background check
- Nursing
- BLS Certification
- Benefits from day one
Quick Apply
RN Charge Neuro Med/Surg Days
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
RN Charge Neuro Med/Surg Nights
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Up to $20,000 a year
- Full-time
- RN License
- Hospital
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Psychiatric Mental Health Nurse Practitioner
David Lawrence Mental Health Center —Naples, FL
- $136,000 - $155,000 a year
- Full-time
- Background check
- Nursing
- Management
- Health savings account
- Health insurance
Advanced Practice Provider (PA/NP) - Regenerative Medicine & Musculoskeletal Care
SOUTHERN SPORTS MEDICINE PARTNERS LLC —Naples, FL
- CPR Certification
- Nursing
- Ability to walk for extended periods
- Health insurance
- 401(k)
Quick Apply
RN Charge Robotic Urology Med/Surg Nights
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Med Surg Registered Nurse Charge
Physicians Regional Medical Center - Collier —Naples, FL
- Up to $20,000 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
APRN in Naples, FL (Primary Care Part-Time)
Millennium Physician Group, LLC —Naples, FL
- Part-time
- Nursing
- Primary Care
- Mid-level
Quick Apply

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Care Manager LPN

Physicians Regional Medical Center - Collier -
Naples, FL

Quick Apply

Job Details

Full-time
13 days ago

Benefits

Health insurance
Dental insurance
Vision insurance
401(k) matching

Qualifications

Acute care experience

Full Job Description

Join us as a Registered Nurse (RN) - Care Management LPN position at Physicians Regional Medical Center - CAMPUS

Unit: Care management

Shift:5x8 8-4:30 every other weekend and Holiday rotation

Other incentives include: Medical, Vision, Dental, 401k match & more available for eligible employees

Job Summary

The Care Manager LVN/ LPN supports effective utilization management and discharge planning by coordinating patient care activities under the direction of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and medical necessity, collaborating with interdisciplinary teams, and facilitating safe and timely transitions of care in compliance with federal, state, and accreditation standards.

Essential Functions

Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
Identifies and documents avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams.
Coordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care.
Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions.
Assists in facilitating interdisciplinary meetings, presenting relevant information, and supporting collaborative care planning.
Ensures accurate and timely documentation of utilization review, discharge planning activities, and patient interactions in accordance with organizational policies.
Directs others to comply with the federal mandate for first person reporting. This requirement cannot be delegated to another licensed staff member.
Participates in the development, implementation, and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.

Qualifications

1-2 years of clinical acute care nursing experience required
Experience in utilization review, case management, or discharge planning preferred

Knowledge, Skills and Abilities

Strong understanding of nursing practice, utilization management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and accreditation standards related to case management and patient care.
Excellent communication and interpersonal skills to collaborate with interdisciplinary teams and community resources.
Organizational and time management skills to prioritize tasks and meet deadlines in a dynamic environment.
Proficiency in electronic medical records (EMR) systems and documentation processes.
Ability to assess complex situations, identify solutions, and implement effective care plans.

Licenses and Certifications

LPN - Licensed Practical Nurse - State Licensure Licensure in state of employment required or
LVN - Licensed Vocational Nurse Licensure in state of employment required
BLS - Basic Life Support preferred

Quick Apply

Refine Your Search

utilization management nurse jobs in ave maria, fl

Care Manager LPN

RN Care Manager PRN

Care Manager Registered Nurse PRN

RN Care Manager

MDS Coordinator (RN/LPN Part-Time)

Nurse Manager Emergency Department

RN Manager of Care Management

RN Director of Care Management

RN Charge Emergency Room Nights

Care Coordinator 2

Care Manager Registered Nurse ER

House Calls APRN/PA-Collier County

Nurse Practitioner - PACE Program - Lehigh Acres

RN Charge Neuro Med/Surg Days

RN Charge Neuro Med/Surg Nights

Psychiatric Mental Health Nurse Practitioner

Advanced Practice Provider (PA/NP) - Regenerative Medicine & Musculoskeletal Care

RN Charge Robotic Urology Med/Surg Nights

Med Surg Registered Nurse Charge

APRN in Naples, FL (Primary Care Part-Time)

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