Top 25 Utilization management nurse Jobs in Naples, Fl

RN Case Manager
NCH —Naples, FL
- 8 hour shift
- Nursing
- RN License
- Hospital
Care Manager Registered Nurse PRN
Physicians Regional Medical Center - Collier —Naples, FL
- Part-time
- Nursing
- RN License
- PALS Certification
Quick Apply
RN Case Manager
NCH Healthcare System —Naples, FL
- 8 hour shift
- Nursing
- RN License
- Hospital
RN Care Manager
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- PALS Certification
Quick Apply
RN Care Manager PRN
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- 8 hour shift
- Nursing
- RN License
- PALS Certification
Quick Apply
Psychiatric Mental Health Nurse Practitioner
David Lawrence Mental Health Center —Naples, FL
- $136,000 - $155,000 a year
- Full-time
- Background check
- Nursing
- Management
- Health savings account
- Health insurance
13d
RN Charge Emergency Room Nights
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
RN Case Manager Lead
NCH Healthcare System —Naples, FL
- 8 hour shift
- Microsoft Word
- Nursing
- Microsoft Excel
RN Director of Care Management
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Care Manager Registered Nurse ER
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
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
House Calls APRN/PA-Collier County
Millennium Physician Group, LLC —Naples, FL
- Full-time
- Nursing
- Customer service
- Computer literacy
Quick Apply
RN Charge Neuro Med/Surg Days
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
RN Charge Ortho Med/Surg Nights
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Charge
Physicians Regional Medical Center - Collier —Naples, FL
- Up to $20,000 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Med Surg Registered Nurse Charge Nights
Physicians Regional Medical Center - Collier —Naples, FL
- Up to $20,000 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Nurse Manager Emergency Department
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- PALS Certification
- Health insurance
- Dental insurance
Quick Apply
RN Charge Neuro Med/Surg Nights
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Up to $20,000 a year
- Full-time
- RN License
- Hospital
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
RN Charge Robotic Urology Med/Surg Nights
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
RN Charge Emergency Room
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply

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RN Case Manager

NCH -
Naples, FL

Apply Now

Job Details

Full-time

Qualifications

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

Full Job Description

DEPARTMENT: 17170 - Case Management
LOCATION: 350 7th Street North, Naples, FL, 34102
WORK TYPE: Full Time
WORK SCHEDULE: 8 Hour Day

ABOUT NCH

NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.

NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.

Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.

JOB SUMMARY

The RN Case Manager serves as a patient advocate to support, guide and coordinate care for patients, families, and caregivers as they navigate their health and wellness journeys. The RN Case Manager is responsible for participating in the development of the patient's plan of care and facilitating efficient throughput, ensuring appropriate utilization of resources, identifying needs, and establishing safe and appropriate discharge plans.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Other duties may be assigned.

Screen all patients for clinical, psychosocial, financial, and other factors that may affect the progression of care and collaborate with patients/families/caregivers in goal setting that is reflective of the patient’s needs.
Evaluates the patient’s/family's/caregiver’s level of understanding and engagement with the progress toward goals and incorporates findings into the plan of care.
Arranges services among community agencies, provider, patient/family/caregivers, and others involved in the plan of care.
Provides patient/family/caregivers available tools/ resources including pertinent quality measures to make informed choices.
Develops a plan that is clinically appropriate and focused on the patient’s care needs and goals for care and treatment plan is consistent with patient choice and available resources.
Facilitate bi-directional communication to enhance the handover of care from one setting and arrange/ensure all elements of the transition plan are implemented and communicated to key stakeholders including, not limited to, the health care team, patient/family/caregiver, payers, and post-acute providers.
Identify available community resources/potential partners and advocate for resolution of gaps in the available resources and processes.
Maintain knowledge of and ensure compliance with the federal, state, local organization and accreditation requirements that not only impact their scope of services but affect their ability to advocate for the patient.
Ensure the patient is in the appropriate status, level of care and length of stay for the patient’s clinical condition and participates in multidisciplinary rounds with the care team.
Follows through with appropriate intervention and documentation to facilitate discharge when a patient fails to meet medical necessity.
Identify and address avoidable delay practice patterns that may require modification to support cost-effective care. Uses escalation process as needed.
Educates patients/families/caregivers on the financial impact of their care options.
Tracks avoidable delays/days as well as over/under utilization of resources.
Provide the clinical information necessary for the appeals process of cases for which a denial of care or services has been received.
Proactively prevent medical necessity denials by providing education to physicians, staff and patients, interfacing with payers and documenting relevant information.
Participate in the development of performance improvement activities relevant to identified opportunities.
Actively collaborates with utilization review team to facilitate and meet organizational and department goals.
Recognizes situations that require referral to quality or risk management and makes a timely referral.

EDUCATION, EXPERIENCE AND QUALIFICATIONS

Minimum of Associate Degree in Nursing required; BSN preferred.

Minimum of 1 years Discharge planning, case management, managed care, or Registered Nurse experience in a medical setting.
Licensed as a Registered Nurse (RN) in the state of Florida.
Basic Life Support (BLS) certification required from the American Red Cross or American Heart Association.

Case Management Certification preferred.

Apply Now

Refine Your Search

utilization management nurse jobs in naples, fl

RN Case Manager

Care Manager Registered Nurse PRN

RN Case Manager

RN Care Manager

RN Care Manager PRN

Psychiatric Mental Health Nurse Practitioner

RN Charge Emergency Room Nights

RN Case Manager Lead

RN Director of Care Management

Care Manager Registered Nurse ER

RN Care Manager ER Part Time

House Calls APRN/PA-Collier County

RN Charge Neuro Med/Surg Days

RN Charge Ortho Med/Surg Nights

Registered Nurse Charge

Med Surg Registered Nurse Charge Nights

Nurse Manager Emergency Department

RN Charge Neuro Med/Surg Nights

RN Charge Robotic Urology Med/Surg Nights

RN Charge Emergency Room

I want to receive the latest job alert for utilization management nurse in naples, fl

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