Top 25 Utilization management nurse Jobs in Edgewater Fl

Care Mgr RN Nonexempt
AdventHealth New Smyrna Beach —New Smyrna Beach, FL
- $32.76 - $57.47 an hour
- PRN
- Nursing
- Microsoft Outlook
- RN License
Registered Nurse Medical Surgical
AdventHealth New Smyrna Beach —New Smyrna Beach, FL
- $31.53 - $52.24 an hour
- Extended hours
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Care Manager RN
AdventHealth Daytona Beach —Daytona Beach, FL
- $32.76 - $57.47 an hour
- Full-time
- Background check
- Nursing
- Microsoft Outlook
- Paid parental leave
- Disability insurance
2d
Registered Nurse Med Surg
AdventHealth New Smyrna Beach —New Smyrna Beach, FL
- $31.53 - $52.24 an hour
- Extended hours
- Acute care
- Background check
- CPR Certification
- Paid parental leave
- Disability insurance
PRN Case Manager Inpatient Rehabilitation Unit
AdventHealth Daytona Beach —Daytona Beach, FL
- $32.76 - $57.47 an hour
- PRN
- Background check
- Nursing
- Microsoft Outlook
- Paid parental leave
- Disability insurance
Home Health Clinical Manager
Centerwell —Daytona Beach, FL
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
10d
Registered Nurse Care Manager PRN
AdventHealth Fish Memorial —Orange City, FL
- $32.76 - $57.47 an hour
- PRN
- Nursing
- Microsoft Outlook
- RN License
MDS Coordinator
Ormond Rehabilitation and Nursing Center —Daytona Beach, FL
- $70,000 - $82,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Student Nurse Tech Program - Greater Daytona Beach
AdventHealth Corporate —New Smyrna Beach, FL
- $15.87 - $25.38 an hour
- Extended hours
- CPR Certification
- Nursing
- Hospital
Registered Nurse PRN - Orange City FL
Optum —Orange City, FL
- $64,100 - $141,500 a year
- Part-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Clinical Nurse Manager – Registered Nurse (RN)
Healthcall —Daytona Beach, FL
- Full-time
- Nursing
- RN License
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Nurse Manger General Surgical PCU
AdventHealth Daytona Beach —Daytona Beach, FL
- $77,758.69 - $144,624.32 a year
- Weekends as needed
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Nurse Manager PCU Medical 2
AdventHealth Daytona Beach —Daytona Beach, FL
- $77,758.69 - $144,624.32 a year
- Weekends as needed
- CPR Certification
- Nursing
- Microsoft Excel
- Paid parental leave
- Disability insurance
Registered Nurse - Ormond Beach FL
Optum —Ormond Beach, FL
- $28.27 - $50.48 an hour
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
Physician Assistant/Nurse Practitioner (D), CVOR - Regional
Corewell Health —United States
- Weekends as needed
- Acute care
- Nursing
- Surgery
- Free parking
- Paid holidays

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Registered Nurse (RN) - Inpatient Surgery - Springfield Regional Medical Center
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Valid nursing license from the state of practice (required). In collaboration with the interdisciplinary care team, conducts initial and ongoing patient…
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utilization management nurse jobs near edgewater fl

Care Mgr RN Nonexempt

AdventHealth New Smyrna Beach -
New Smyrna Beach, FL

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Job Details

PRN
$32.76 - $57.47 an hour

Qualifications

Microsoft Outlook
Electronic health records (EHR) management
RN License
Customer service
Team leadership
CMS
Community resource coordination in health services social work
Medical social work
Clinical program data analysis
Conflict management
Working with individuals from diverse cultural backgrounds
Associate's degree
Clinical data analysis
Associate Degree in Nursing
Hospital experience

Full Job Description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule:

PRN

Shift:

Day (United States of America)

Address:

401 PALMETTO ST

City:

NEW SMYRNA BEACH

State:

Florida

Postal Code:

32168

Job Description:

Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate. Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services. Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission. Organizes and facilitates patient and family care conferences with the multidisciplinary team. Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work. Communicates with Payors patient’s needs for authorization for post-acute care as needed. Assesses patients’ and families’ wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning. Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan. Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs. Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate. Other duties as assigned.Knowledge, Skills, and Abilities:

Leadership skills [Required]
Process and Outcome data analysis skills [Required]
Critical thinking and problem-solving skills [Required]
Ability to manage multiple tasks and prioritize levels of importance [Required]
Customer service skills [Required]
Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change [Required]
Effective organizational skills [Required]
Computer proficiency with Outlook e-mail and electronic medical records [Required]
Flexible in a complex and changing healthcare environment [Required]
Knowledge of community resources and post-acute care programs across the continuum [Required]
Knowledge of clinical and social factors that affect the patient's functional status at discharge [Required]
Knowledge of CMS Conditions of Participation for Discharge Planning [Required]
Conflict management and resolution skills [Required]
Teamwork principles [Required]

Education:

Associate's of Nursing [Required]
Bachelor's of Nursing [Preferred]

Field of Study:

Nursing

Work Experience:

2+ medical/hospital nursing experience [Required]
Prior Care Management/Utilization Management experience [Preferred]

Additional Information:

Licenses and Certifications:

Registered Nurse (RN) [Required]
Certified Case Manager (CCM) [Preferred]
Accredited Case Manager (ACM) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/2vvwrzem

Pay Range:

$32.76 - $57.47

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Apply Now

Refine Your Search

utilization management nurse jobs in edgewater fl

Care Mgr RN Nonexempt

Registered Nurse Medical Surgical

Care Manager RN

Registered Nurse Med Surg

PRN Case Manager Inpatient Rehabilitation Unit

Home Health Clinical Manager

Registered Nurse Care Manager PRN

MDS Coordinator

Student Nurse Tech Program - Greater Daytona Beach

Registered Nurse PRN - Orange City FL

Clinical Nurse Manager – Registered Nurse (RN)

Nurse Manger General Surgical PCU

Nurse Manager PCU Medical 2

Registered Nurse - Ormond Beach FL

Appeal Analyst RN | Remote | Contract

Physician Assistant/Nurse Practitioner (D), CVOR - Regional

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