Top 26 Utilization review Jobs in Fort Myers Fl

Clinical Reimbursement Specialist (MDS Coordinator)
Rehab & Healthcare Center of Cape Coral —Cape Coral, FL
- Full-time
- CPR Certification
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
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
Utilization Management Case Manager
Lee Health —Fort Myers, FL
- $30.27 - $40.86 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
4h
Remote Utilization Management RN – Travel
Ana-Data Consulting Inc —Fort Myers, FL
- $50 - $55 an hour
- Full-time
- Mid-level
- Travel
- Epic
- Health insurance
- Paid time off
Quick Apply
6d
Travel RN - Case Management/Utilization Review - Utilization Review
American Traveler —Fort Myers, FL
- $2,169 a week
- Rotating weekends
- Remote
- RN License
- Computer literacy
- Mid-level
Quick Apply
5d
Business Office Coordinator
Aviata at Santa Barbara —Cape Coral, FL
- Full-time
- Nursing home
- Mid-level
- 3 years
- Paid holidays
- Dental insurance
Quick Apply
6d
Inpatient Utilization Management Specialist
CHARLOTTE BEHAVIORAL HEALTH CARE INC —Punta Gorda, FL
- $16.50 - $18.50 an hour
- Part-time
- Background check
- Pass drug screening
- Inpatient
- Health savings account
- Paid holidays
Quick Apply
Case Manager RN NE
Lee Health —Fort Myers, FL
- $30.27 - $40.86 an hour
- Full-time
- Nursing
- RN License
- Hospital
System Medical Director Physician Advisors
Lee Health —Fort Myers, FL
- Weekends as needed
- Medicine
- Hospital
- Public speaking
Market Physician Executive (MPE)
Monogram Health Professional Services —Cape Coral, FL
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
PRN Pharmacist
Westminster Communities of Florida —Fort Myers, FL
- Part-time
- Mid-level
- Organizational skills
- 1 year
Quick Apply
Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- LVN
- RN License
- Mid-level
- Travel reimbursement
- Health savings account
Quick Apply

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Occupational Therapist
BoldAge PACE —Columbus, OH
All Employees - Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
Quick Apply

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utilization review jobs near fort myers fl

Clinical Reimbursement Specialist (MDS Coordinator)

Rehab & Healthcare Center of Cape Coral -
Cape Coral, FL

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
Life insurance

Qualifications

RN License
Customer service
Microsoft Office
MDS
Case management

Full Job Description

The Clinical Reimbursement Specialist - Minimum Data Set (MDS) Coordinator is responsible for assisting Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payor program requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

MDS, PDPM, Case Management, RAI Process

KNOWLEDGE:  Knowledge and understanding of regulatory processes (Federal, and/or State Regulations)  Knowledge of the RAI Regulations  Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

SKILLS:  Effective verbal and written communication skills  Understanding written sentences and paragraphs in work related documents.  Actively looking for ways to help people.  Communicating effectively in writing as appropriate for the needs of the audience.

ABILITIES:  Ability to work in a “Matrix” management environment  The ability to listen to and understand information and ideas presented through spoken words and sentences.  Ability to relate positively, effectively, and appropriately with residents, families, community members, volunteers, and other facility staff. Possess special interest in working with long-term care residents and the elderly.

EDUCATION, EXPERIENCE, and TRAINING  Computer literacy skills (Microsoft Outlook, Microsoft Office, Internet)  High School Diploma  One to three years of professional experience and/or training; or equivalent combination of education and experience.

CERTIFICATES, LICENSES, REGISTRATIONS  Licensed Registered Nurse (RN), Required/preferred OR Licensed Practical Nurse (LPN), Required, AND  CPR Certified

We are an Equal Opportunity Employer

Job Type: Full-time

Benefits:

Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

MDS, PDPM and Utilization review: 1 year (Preferred)

License/Certification:

RN or LPN (Required)

Work Location: In person

Quick Apply

Refine Your Search

utilization review jobs in fort myers fl

Clinical Reimbursement Specialist (MDS Coordinator)

MDS Coordinator (RN/LPN Part-Time)

Utilization Management Case Manager

Remote Utilization Management RN – Travel

Travel RN - Case Management/Utilization Review - Utilization Review

Business Office Coordinator

Inpatient Utilization Management Specialist

Case Manager RN NE

System Medical Director Physician Advisors

Market Physician Executive (MPE)

PRN Pharmacist

Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license

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