Top 45 Utilization review nurse Jobs in Miramar, Fl

Case Manager
West Gables Rehabilitation Hospital —Miami, FL
- $75,000 - $112,000 a year
- Full-time
- Hospital
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Utilization Review Nurse
Oscar Health —Miami, FL
- $35.00 - $45.94 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida
Molina Healthcare —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
Sr. Quality of Care Review Nurse
Oscar Health —Miami, FL
- $83,628.00 - $109,761.75 a year
- Remote
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Quick Apply
Concurrent Review Nurse
Leon Medical Centers —Doral, FL
- Spanish
- Nursing
- English
1d
Utilization Review Specialist
We Level Up —Pompano Beach, FL
- $50,000 - $90,000 a year
- Full-time
- Remote
- 18 years or older
- CPR Certification
- HIPAA
Quick Apply
Registered Nurse Utilization Review, Case Management
West Kendall Baptist Hospital —Miami, FL
- $47 an hour
- Weekends as needed
- Nursing
- RN License
- Mid-level
- Wellness program
- Health insurance
7h
Concurrent Review Nurse
Leon Health —Miami, FL
- Spanish
- Nursing
- English
1d
Utilization Review
Westchester General Hospital —Miami, FL
- Overtime
- Nursing
- RN License
- Hospital
Quick Apply
Case Manager, RN
Jackson Health —Miami, FL
- Full-time
- Nursing
- RN License
- Inpatient
Quick Apply
6d
Clinical Documentation Integrity - Second Level Reviewer
University of Miami —Hialeah, FL
- Full-time
- Remote
- Nursing
- Medicine
- Microsoft Excel
- Health insurance
- Dental insurance
Case Manager, Acute Care-Case Mgmt-Pool-Days-BHMC #27788
Broward Health —Fort Lauderdale, FL
- Acute care
- Nursing
- RN License
UTILIZATION REVIEWER
Larkin Community Hospital —South Miami, FL
- Full-time
- Spanish
- RN License
- English
5d
Medical Case Manager I
CorVel Corporation —Sunrise, FL
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
7d
Case Manager, Acute Care - Case Mgmt - Pool Days - BHMC
Broward Health —Fort Lauderdale, FL
- Acute care
- Nursing
- RN License
Clinical Care Coordinator, Full-Time, 7a-7:30pm
Jackson Health —Miami, FL
- 12 hour shift
- Nursing
- Psychiatry
- RN License
Quick Apply
UM Clinical Reviewer
Centers Plan for Healthy Living —Margate, FL
- Full-time
- RN License
- Communication skills
- Entry level
Quick Apply
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Fort Lauderdale, FL
- $1,853.14 a week
- Contract
- Acute care
- RN License
- Hospital
Quick Apply
Utilization Management Nurse
Solis Health Plans —Doral, FL
- $60,000 - $70,000 a year
- Full-time
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
7d
Case Manager, Acute Care - Case Mgmt - Pool - Days - BHMC
Broward Health —Fort Lauderdale, FL
- Acute care
- Nursing
- RN License

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utilization review nurse jobs near miramar, fl

Case Manager

West Gables Rehabilitation Hospital -
Miami, FL

Quick Apply

Job Details

Full-time
$75,000 - $112,000 a year

Benefits

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

Qualifications

Patient care outcome improvement
Fiscal management
Utilization review
Case assessment
Mid-level
Master's degree
Transitional care planning in clinical case management
Overseeing care coordination
Bachelor's degree
Utilization management
Master's degree in human services
Care plan development
Resource utilization in healthcare
Human Services
Insurance provider collaboration
Certified Case Manager
Case referral
Care coordination
Managing patients as a clinical case manager
Referral coordination
Bachelor's degree in human services

Full Job Description

Overview:

Hospital Name: West Gables Rehabilitation Hospital

Partnership with Select Medical
Position: Case Manager
Location: Miami, FL
Schedule: Full-time
Compensation: $75,000 - $112,000 (based on experience)

Our Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas.

At our company, we support your career growth and personal well-being.

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

Responsibilities:

The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the discharge planning process.

The primary job functions in Case Management include:
Clinical Interventions/Discharge Planning
Care Planning Management
Fiscal Management
Payer/Referral Management

Qualifications:

Minimum Qualifications

Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.

Preferred Qualifications

Previous experience in Case Management and Discharge Planning preferred.
CCM Certification Preferred.

Additional Data:

Equal Opportunity Employer/including Disabled/Veterans

Quick Apply

Refine Your Search

utilization review nurse jobs in miramar, fl

Case Manager

Utilization Review Nurse

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Sr. Quality of Care Review Nurse

Concurrent Review Nurse

Utilization Review Specialist

Registered Nurse Utilization Review, Case Management

Concurrent Review Nurse

Utilization Review

Case Manager, RN

Clinical Documentation Integrity - Second Level Reviewer

Case Manager, Acute Care-Case Mgmt-Pool-Days-BHMC #27788

UTILIZATION REVIEWER

Medical Case Manager I

Case Manager, Acute Care - Case Mgmt - Pool Days - BHMC

Clinical Care Coordinator, Full-Time, 7a-7:30pm

UM Clinical Reviewer

Travel RN - Case Management/Utilization Review - Case Management

Utilization Management Nurse

Case Manager, Acute Care - Case Mgmt - Pool - Days - BHMC

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