Top 17 Utilization review nurse Jobs in Naples Fl

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
Registered Nurse Administrator
Home Care Collective, LLC —Naples, FL
- $75,000 - $85,000 a year
- Full-time
- Nursing
- RN License
- HIPAA
- Mileage reimbursement
- Health insurance
Quick Apply
14d
Team Manager Inpatient
VITAS Healthcare —Naples, FL
- Full-time
- RN License
- Bachelor's degree
- Recruiting
- Disability insurance
- Health insurance
Quick Apply
5d
Licensed Practical Nurse
Providia Home Care LLC —Naples, FL
- $40 an hour
- Full-time
- Nursing
- Mid-level
- LPN
Quick Apply
Care Manager LPN
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- PALS Certification
- BLS Certification
- Mid-level
Quick Apply
Registered Nurse
Preferred Care Home Health Services —Naples, FL
- Full-time
- Nursing
- Management
- RN License
Quick Apply
RN Care Manager ER Part Time
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Part-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Team Manager Nursing Home
VITAS Healthcare —Naples, FL
- Full-time
- RN License
- Nursing home
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
7d
Care Manager Registered Nurse ER
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
Quick Apply

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Active, unencumbered Florida RN license (or multistate / NLC privilege valid in Florida). Capacity for extended emergency shifts and austere field conditions;…
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Care Manager Registered Nurse PRN
Physicians Regional Medical Center - Collier —Naples, FL
Knowledge of federal, state, and Joint Commission standards related to case management. This role involves collaborating with interdisciplinary teams, reviewing…
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Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
5d
Patient Support Nurse
Valeris, Inc. —Columbus, OH
Must have active RN licensure in current state of practice. 2-3 years of nursing experience with relevant disease state experience preferred.
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4d

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utilization review nurse jobs near naples fl

RN Care Manager PRN

Physicians Regional Medical Center - Pine Ridge -
Naples, FL

Quick Apply

Job Details

Part-time

Qualifications

RN License
BLS Certification
Associate's degree
Associate Degree in Nursing
Hospital experience

Full Job Description

Join us as a Registered Nurse (RN) - Care Management PRN position at Physicians Regional Medical Center - Pine Ridge campus

Unit: Case Management
Shift: 5 8's

Job Summary

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
Performs other duties as assigned.
Complies with all policies and standards.

Qualifications

Associate Degree in Nursing required
Bachelor's Degree in Nursing preferred
2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
2-4 years of care management experience preferred

Knowledge, Skills and Abilities

Strong understanding of case management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and Joint Commission standards related to case management.
Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
Ability to assess complex situations, identify solutions, and implement care plans efficiently.
Proficiency in electronic medical records (EMR) and documentation systems.
Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure required
BCLS - Basic Life Support required

State Specific Requirements

Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.
New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

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utilization review nurse jobs in naples fl

RN Care Manager PRN

Care Manager Registered Nurse PRN

RN Care Manager

Registered Nurse Administrator

Team Manager Inpatient

Licensed Practical Nurse

Care Manager LPN

Registered Nurse

RN Care Manager ER Part Time

Team Manager Nursing Home

Care Manager Registered Nurse ER

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