Top 4 Utilization review nurse Jobs in Florence, Sc

Case Manager / PRN ( RN / RT / SW / LPN )
Regency Hospital - Florence —Florence, SC
- Part-time
- Master of Social Work
- RN License
- Inpatient
- Employee assistance program
- Opportunities for advancement
12h
Case Manager - Patient Flow Center - Care Coordination Center
McLeod Health —Florence, SC
- Online Application
- Nursing
- RN License
- Mid-level
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Case Manager - Patient Flow Center - Care Coordination Center
McLeod Health —Florence, SC
Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician.
Quick Apply
RN Case Manager (Part-Time) - Care Coordination Center
McLeod Health —Florence, SC
Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician.
Quick Apply

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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
6d
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.
Quick Apply
4d

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in florence, sc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review nurse jobs near florence, sc

Licensed Practical Nurse jobs in Florence, SC

Practical Radiology jobs in Phoenix, AZ

Licensed Practical Nurse jobs in Cincinnati, OH

Licensed Practical Nurse jobs in Texarkana, AR

Licensed Practical Nurse jobs in Minneapolis, MN

Licensed Practical Nurse jobs in Fort Wayne, IN

Licensed Practical Nurse Lpn jobs in Charlotte, NC

Non Licensed Psychologist jobs in California

Resort Nurse jobs in Las Vegas, NV

Patient Care Coordinator jobs in Orange County, CA

Urgent Care jobs in Las Vegas, NV

Real Estate Transaction Coordinator jobs in Charlotte, NC

Patient Care Coordinator jobs in Georgia

Transaction Coordinator jobs in Orlando, FL

Patient Care Assistant jobs in Los Angeles, CA

Patient Care Coordinator jobs in Knoxville, TN

Patient Care Coordinator jobs in Nashville, TN

Case Manager / PRN ( RN / RT / SW / LPN )

Regency Hospital - Florence -
Florence, SC

Apply Now

Job Details

Part-time | PRN
12 hours ago

Benefits

Employee assistance program
Opportunities for advancement

Qualifications

Inpatient experience
Experience working with individuals with chronic illnesses
Critical & intensive care
Acute care facility experience
Managing patients as a clinical case manager

Full Job Description

Overview:

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Case Manager (PRN)

Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines).

And

Previous discharge planning experience highly preferred.

SHIFT:

*Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.*

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way.

Responsibilities:

We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.

Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Qualifications:

How you will be successful in this environment:

We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum requirements:

Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per state guidelines
Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents)
Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations

Preferred qualifications that will make you successful:

Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.
Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.

Additional Data:

Why Join Us:

Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part time employees.
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans

Apply Now

Refine Your Search

utilization review nurse jobs in florence, sc

Case Manager / PRN ( RN / RT / SW / LPN )

Case Manager - Patient Flow Center - Care Coordination Center

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in florence, sc

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected