Top 15 Utilization management nurse Jobs in High Springs, Fl

Case Manager ( RN / RT / SW / LPN )
Select Specialty Hospital - Gainesville —Gainesville, FL
- Full-time
- RN License
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
2d
RN, Utilization Management | Utilization Management| Night | Part Time
UF Health —Gainesville, FL
- Part-time
- Nursing
- RN License
- Mid-level
RN, Utilization Management Lead | Utilization Management| Day Full Time
UF Health —Gainesville, FL
- Full-time
- RN License
- Computer literacy
- Mid-level
RN Case Manager Full Time Evenings
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Surgery
- Mid-level
- 3 years
- Employee stock purchase plan
- Disability insurance
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RN Coordinator | Adult Emergency Department | Full-Time | Nights
UF Health —Gainesville, FL
- $78,811 - $135,512 a year
- Weekends as needed
- Nursing
- RN License
- Customer service
Advance Practice Registered Nurse (APRN) - Weekend
Palms Medical Group —High Springs, FL
- Extended hours
- Nursing
- Microsoft Excel
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
Advance Practice Registered Nurse (APRN)
Palms Medical Group —Trenton, FL
- Extended hours
- Nursing
- Microsoft Excel
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
3h

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Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital - Gainesville -
Gainesville, FL

Quick Apply

Job Details

Full-time
2 days ago

Benefits

Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Paid sick time

Qualifications

Inpatient experience
Critical & intensive care
Acute care facility experience

Full Job Description

Overview:

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Case Manager

Full Time: Monday-Friday 8-5pm

Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).

And

Previous discharge planning experience preferred.

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:

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 or a Respiratory Therapist (RN preferred) 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)

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.

Additional Data:

General Benefits Full-time

Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
Invest in Your Future:Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
Your Impact Matters:Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans

Quick Apply

Refine Your Search

utilization management nurse jobs in high springs, fl

Case Manager ( RN / RT / SW / LPN )

RN, Utilization Management | Utilization Management| Night | Part Time

RN, Utilization Management Lead | Utilization Management| Day Full Time

RN Case Manager Full Time Evenings

RN Coordinator | Adult Emergency Department | Full-Time | Nights

Advance Practice Registered Nurse (APRN) - Weekend

Advance Practice Registered Nurse (APRN)

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